基于微信平台的优势内容递增健康教育结合积极心理干预对慢性阻塞性肺疾病患者心理弹性、自护能力及肺功能的影响

Effects of advantage content increasing health education based on WeChat platform and positive psychological intervention on psychological resilience,self-care ability and lung function of patients with chronic obstructive pulmonary disease

目的探讨基于微信平台的优势内容递增健康教育结合积极心理干预对慢性阻塞性肺疾病患者心理弹性、自护能力及肺功能的影响。方法选取我院收治的90例慢性阻塞性肺疾病患者,以随机数字表法将其分为对照组(45例,常规护理干预)和观察组(45例,基于微信平台的优势内容递增健康教育结合积极心理干预)。比较两组的干预效果。结果干预后,观察组的乐观、坚韧、自强评分均高于对照组(P<0.05)。干预后,观察组的自我概念、自护责任感、健康知识、自护技能评分均高于对照组(P<0.05)。干预后,观察组的第1秒用力呼气容积占预计值百分比(FEV_(1)%)、第1秒用力呼气量占用力肺活量比值(FEV_(1)/FVC)、最大自主通气量(MVV)均高于对照组(P<0.05)。结论临床对慢性阻塞性肺疾病患者采用基于微信平台的优势内容递增健康教育结合积极心理干预有助于提高其心理弹性、自护能力,促进肺功能改善。

Objective To explore the effects of advantage content increasing health education based on WeChat platform and positive psychological intervention on psychological resilience,self-care ability and lung function of patients with chronic obstructive pulmonary disease.Methods A total of 90 patients with chronic obstructive pulmonary disease admitted in our hospital were selected and divided into control group(45 cases,routine nursing intervention)and observation group(45 cases,advantage content increasing health education based on WeChat platform and positive psychological intervention)by random number table method.The intervention effects of the two groups were compared.Results After intervention,the scores of optimism,tenacity and self-improvement in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of self-concept,self-care responsibility,health knowledge and self-care skills in the observation group were higher than those in the control group(P<0.05).After intervention,the forced expiratory volume in one second as percentage of predicted value(FEV_(1)%),forced expiratory volume in one second/forced vital capacity(FEV_(1)/FVC),maximal voluntary ventilation(MVV)in the observation group were higher than those in the control group(P<0.05).Conclusion In clinic,the advantage content increasing health education based on WeChat platform and positive psychological intervention for patients with chronic obstructive pulmonary disease will help to improve their psychological resilience and self-care ability,and promote the improvement of lung function.