基于微视频的健康教育管理在慢性阻塞性肺疾病长期家庭氧疗患者中的应用价值

Application value of health education management based on micro-videos in patients with COPD in long-term home oxygen therapy

目的:探讨基于微视频的健康教育管理在慢性阻塞性肺疾病(COPD)长期家庭氧疗患者中的应用价值。方法:选取2019年1月-2021年1月明确诊断为COPD稳定期患者112例,随机分为两组,各56例。对照组在家庭氧疗期间实施常规健康教育;观察组则采取基于微视频的全新健康教育管理模式。比较两组患者自我管理能力、生活质量、治疗依从性、抑郁(HAMD)及焦虑(HAMA)评分。结果:观察组患者自我管理能力量表中各维度评分均明显高于对照组,差异有统计学意义(P<0.05);观察组管理后生活质量及治疗依从性评分均高于对照组,HAMA及HAMD评分均低于对照组,差异有统计学意义(P<0.05)。结论:在COPD长期家庭氧疗患者中实施基于微视频的健康教育管理,可显著改善患者自我管理能力与治疗依从性,并对提高患者生活质量以及缓解焦虑、抑郁负性情绪具有积极作用。

Objective:To explore the application value of micro-video-based health education and management in patients with COPD in long-term home oxygen therapy.Methods:From January 2019 to January 2021,112 patients with a stable COPD diagnosis were selected,they were randomly divided into the two groups with 56 cases in each group.The control group received routine health education during home oxygen therapy.The observation group adopted a new health education management model based on micro-video.We compared the self-management ability,quality of life and treatment compliance between the two groups.Results:The scores of all dimensions in the self-management ability scale in the observation group were significantly higher than those in the control group,the difference was statistically significant(P<0.05).The scores of quality of life and treatment compliance in the observation group were higher than those in the control group,and the scores of HAMA and HAMD were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The implementation of micro-video-based health education and management for COPD patients with long-term home oxygen therapy can significantly improve patients'life self-management ability and treatment compliance,and have a positive effect on improving patients'quality of life and alleviating anxiety and depression negative emotions.