摘要
【摘要】目的探讨利用微信平台健康管理模式对哮喘-COPD重叠综合征（asthma-COPD overlapsyndrome，Ac0S）患者治疗效果的影响。方法选取门诊收治的120例ACOS患者为研究对象，随机将患者分为微信组及对照组，每组60例，微信组为应用微信建群模式进行管理的患者，对照组为实施常规门诊随访指导的患者，干预时间均为6个月。应用ACOS调查问卷对2组患者干预前后疾病认知程度、自我管理能力、疾病控制水平及生命质量进行调查，并在干预前后分别对2组患者进行相关检查，包括血嗜酸粒细胞计数、IgE、肺功能检查、呼出气一氧化氮（FeNO），并对患者病情进行客观评估。结果微信组患者干预后各类检查指标、疾病认知程度、自我管理能力、疾病控制水平及生命质量优于干预前，且优于对照组患者干预后各类指标，差异有统计学意义（P〈0．05）。结论微信平台管理模式能有效提高ACOS患者对疾病的认知水平，提高患者自我管理能力及疾病控制水平。
Objective To investigate the effect of WeChat management on the treatment of asthma- COPD overlap syndrome （ACOS）. Methods A total of 120 ACOS patients were admitted to the outpatient department as the research object, the patients were randomly divided into WeChat group and control group, 60 cases in each group, the WeChat group built chat-group mode based on WeChat to manage patients, the control group used outpatient follow-up routine to guide patients, intervention time was all 6 months. Disease questionnaire of ACOS was used to investigate the degree of disease cognition, self-management, disease control and quality of life in 2 groups before and after intervention. Before and after intervention of two groups, the number of blood eosinophils, IgE, pulmonary function test, exhaled nitric oxide （FeNO） were examined, to evaluate the patientr s health condition. Results The various examination index, the degree of disease cognition, self-management ability, the level of disease control and quality of life of the patients in the WeChat group after the intervention were better than before the intervention, and better than the various indicators of the patients in the control group after the intervention, the difference was statistically significant （ P d0.05）. Conclusions The management model based on the WeChat platform can effectively improve the cognitive level, self-management ability and the control level of patients with ACOS.
出处
《国际呼吸杂志》
2017年第14期1078-1082,共5页
International Journal of Respiration
基金
浦东新区科技发展基金（PKJ2016-Y49）
国家自然科学基金（81570020）
浙江省公益技术应用研究计划项目（2016C33216）
湖南省教育厅重点科研项目（16A152）
教育部留学回国人员科研启动基金
