基于物联网的整体护理在COPD患者中应用研究

Application research of internet of things-based holistic nursing in COPD patients

目的探讨基于物联网的整体护理在慢性阻塞性肺疾病(COPD)患者中的应用价值,为制订临床治疗方案提供参考。方法选取2019年1月—2020年12月内蒙古自治区人民医院干部保健所收治的COPD患者98例,采用随机数字表法分为对照组和观察组各49例。对照组给予常规护理,观察组在对照组基础上实施基于物联网的整体护理,均持续干预3个月。比较两组干预前后自我管理能力、COPD评估测试问卷(CAT)评分及生活质量。结果干预后,观察组自我护理能力测定量表(ESCA)自我概念、健康认知、自我责任感、自我护理技能评分及生活质量调查问卷(QOL-30)评分分别为(27.65±2.11)、(52.69±3.25)、(20.67±1.63)、(39.41±3.78)及(98.50±6.67)分,高于对照组的(22.26±2.07)、(45.87±3.01)、(15.32±1.49)、(32.95±3.62)及(89.28±5.34)分,差异均有统计学意义(P<0.05);观察组CAT评分为(12.42±2.58)分,低于对照组的(16.59±3.07)分,差异有统计学意义(t=7.279,P<0.05)。结论基于物联网的整体护理能够有效提高COPD患者自我管理能力,促进病情恢复,改善生活质量,临床应用价值高。

Objective To explore the application value of internet of things-based holistic nursing in patients with chronic obstructive pulmonary disease(COPD),and provide reference for formulating clinical treatment plans.Methods A total of 98 patients with COPD admitted to Inner Mongolia Autonomous Region People's Hospital Cadre Health Care Center from January 2019 to December 2020 were selected and divided into control group and observation group,with 49 patients in each group,using the random number table method.The control group received routine nursing,while the observation group received internet of things-based holistic nursing on the basis of the control group,with both groups receiving continuous intervention for 3 months.The self-management abilities,COPD assessment test questionnaire(CAT)scores and quality of life before and after intervention between two groups were compared.Results After intervention,the scores of self-concept,health cognition,sense of self responsibility,self-care skills of self-care ability assessment scale(ESCA),and quality of life questionnaire(QOL-30)score in the observation group were(27.65±2.11),(52.69±3.25),(20.67±1.63),(39.41±3.78)and(98.50±6.67)points,respectively,which were higher than those in the control group with(22.26±2.07),(45.87±3.01),(15.32±1.49),(32.95±3.62)and(89.28±5.34)points,and the differences were statistically significant(P<0.05);the CAT score of the observation group was(12.42±2.58)points,which was lower than(16.59±3.07)points of the control group,and the difference was statistically significant(t=7.279,P<0.05).Conclusion Internet of things-based holistic nursing could effectively improve the self-management ability of COPD patients,promote disease recovery,improve quality of life,and had high clinical application value.