基于微信平台的家庭一体化健康教育对哮喘患者的影响

Influence of family-integrated health education on asthma patients based on WeChat platform

目的:探讨基于微信平台的家庭一体化健康教育对哮喘患者的影响。方法:以海安市人民医院2018年6月至2021年5月的112例哮喘患者为研究对象,采用随机数字法将患者分为对照组与观察组,各56例。对照组采用常规健康教育,观察组联合基于微信平台的家庭一体化健康教育。两组均完成4周护理干预,比较两组自我管理能力、治疗依从性、哮喘控制情况及生活质量。结果:干预半年后,观察组避免疾病诱发因素[(45.72±7.06)分]、疾病监测[(16.27±3.21)分]、症状识别[(14.73±2.18)分]、遵医嘱用药[(21.52±3.85)分],均明显高于对照组[分别(38.25±5.63)分、(12.06±1.63)分、(12.05±1.54)分、(18.33±3.31)分,均P<0.05],但观察组按时就诊[(10.74±2.13)分]与对照组[(9.26±2.17)分]差异无统计学意义(P>0.05)。干预半年后,观察组总体治疗依从性及哮喘控制情况均明显好于对照组(均P<0.05);观察组活动受限[(36.51±5.28)分]、哮喘症状[(32.26±5.37)分]、心理状态[(28.41±4.62)分]、刺激源反应[(20.34±3.26)分]、身心健康关注度[(12.33±2.05)分]均高于对照组[分别(28.41±4.93)分、(25.18±4.55)分、(25.36±3.87)分、(17.31±3.18)分、(11.06±1.72)分,均P<0.05]。结论:基于微信平台的家庭一体化健康教育能明显提高患者自我管理能力、治疗依从性及生活质量,控制哮喘。

Objective:To explore the effect of family-integrated health education based on WeChat platform on asthma patients.Methods:A total of 112 asthma patients in Hai’an People’s Hospital from June 2018 to May 2021 were selected as research subjects,and randomly divided into a control group and an observation group with 56 cases in each group.The control group was given routine health education,and the observation group was combined with family-integrated health education based on WeChat platform.Both groups completed 4-week nursing intervention,and the self-management ability,treatment compliance,asthma control,and quality of life were compared between the 2 groups.Results:After half a year of intervention,the observation group had significantly higher scores for avoiding disease-inducing factors[(45.72±7.06)points],disease monitoring[(16.27±3.21)points],symptom recognition[(14.73±2.18)points],and taking medication as prescribed by doctors[(21.52±3.85)points]than the control group[(38.25±5.63)points,(12.06±1.63)points,(12.05±1.54)points,(18.33±3.31)points,all P<0.05],but the time of going to the doctor between the observation group[(10.74±2.13)points]and the control group[(9.26±2.17)points]had no significant difference(P>0.05).After 6 months of intervention,the overall treatment compliance and asthma control in the observation group were significantly better than those in the control group(both P<0.05).Symptoms[(32.26±5.37)points],psychological state[(28.41±4.62)points],stimulus response[(20.34±3.26)points],and physical and mental health attention score[(12.33±2.05)points]were higher than those in the control group[(28.41±4.93)points,(25.18±4.55)points,(25.36±3.87)points,(17.31±3.18)points,(11.06±1.72)points,all P<0.05].Conclusion:Family-integrated health education based on WeChat platform can significantly improve patients’self-management ability,treatment compliance,asthma control,and quality of life.