基于“互联网+”的反馈式健康教育在稳定期慢性阻塞性肺疾病患者中的应用效果

Application effect of feedback health education based on"Internet+"in patients with stable chronic obstructive pulmonary disease

目的探讨基于“互联网+”的反馈式健康教育在稳定期慢性阻塞性肺疾病(COPD)患者中的应用效果。方法选取2019年6月至2021年2月我院收治的136例稳定期COPD患者作为研究对象,按照随机数字表法将其分为对照组和观察组,各68例。对照组给予传统健康教育,观察组在对照组基础上给予基于“互联网+”的反馈式健康教育。比较两组的干预效果。结果干预后,观察组的疾病治疗、危险因素控制、呼吸道治疗照顾及日常生活照顾评分高于对照组(P<0.05)。干预后,观察组的居家康复依从性评分高于对照组,慢性阻塞性肺疾病评估测试问卷(CAT)评分低于对照组(P<0.05)。干预后,观察组的第1秒用力呼吸容积(FEV1)、第1秒用力呼吸容积/用力肺活量(FEV1/FVC)、无氧阈值(AT)及最大摄氧量(VO2max)均高于对照组(P<0.05)。观察组的不良反应总发生率及COPD急性发作率低于对照组(P<0.05)。结论基于“互联网+”的反馈式健康教育有助于提高稳定期COPD患者的自我照护认知水平及居家康复依从性,缓解其临床症状,增强肺功能和运动耐力,改善预后。

Objective To explore the application effect of feedback health education based on"Internet+"in patients with stable chronic obstructive pulmonary disease(COPD).Methods A total of 136 patients with stable COPD admitted in our hospital from June 2019 to February 2021 were selected as the research objects and divided into control group and observation group according to the random number table method,with 68 cases in each group.The control group was given traditional health education,and the observation group was given feedback health education based on"Internet+"on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of disease treatment,risk factor control,respiratory treatment care and daily life care in the observation group were higher than those in the control group(P<0.05).After intervention,the home rehabilitation compliance score of the observation group was higher than that of the control group,and the Chronic Obstructive Pulmonary Disease Assessment Test(CAT)score was lower than that of the control group(P<0.05).After intervention,the forced expiratory volume in one second(FEV1),forced expiratory volume in one second/forced vital capacity(FEV1/FVC),anaerobic threshold(AT)and maximal oxygen uptake(VO2max)in the observation group were higher than those in the control group(P<0.05).The total incidence of adverse reactions and the acute attack rate of COPD in the observation group were lower than those in the control group(P<0.05).Conclusion Feedback health education based on"Internet+"is helpful to improve the self-care cognition level and home rehabilitation compliance of patients with stable COPD,relieve their clinical symptoms,enhance lung function and exercise endurance,and improve prognosis.