Application of WeChat mini program-based continuing care in home-based pulmonary rehabilitation of stable COPD patients
基于微信小程序的延续护理在稳定期COPD患者居家肺康复中的应用研究

摘要

目的 探究稳定期COPD患者居家康复期间实施基于微信小程序的延续护理的具体情况。方法 选择2023年1月-2024年6月在上海市浦东新区浦南医院呼吸内科就诊的51例COPD患者，随机分为对照组（n=26，常规护理）与观察组（n=25，基于微信小程序的延续护理）。比较肺功能、COPD严重程度分级、血气分析指标、呼吸困难程度以及综合症状。结果 干预前，两组肺功能（FEV1、FVC、FEV₁/FVC）、COPD严重程度分级（Ⅰ级、Ⅱ级、Ⅲ级、Ⅳ级）以及血气分析指标（PaO₂、PaCO₂、SaO₂）、呼吸困难程度以及综合症状对比（P＞0.05）；干预后，两组肺功能等均发生明显改善，且观察组改善均优于对照组（P＜0.05）。结论 在稳定期COPD患者居家肺康复期间实施基于微信小程序的延续护理，有助于患者肺功能、血气分析指标以及COPD严重程度的改善，值得推荐。

Abstract

Objective To explore the specific situation of implementing continuous care based on WeChat mini-program during the home rehabilitation period of patients with COPD.
Methods Fifty-one patients with stable COPD who visited the Department of Respiratory Medicine of Punan Hospital, Pudong New Area, Shanghai from January 2023 - June 2024 were selected and randomly divided into the control group (n=26, routine care) and the observation group (n=25, continuous care based on WeChat mini-program). Compare lung function, severity classification of COPD, blood gas analysis indicators, degree of dyspnea and comprehensive symptoms.
Results Before the intervention, comparisons of pulmonary function (FEV1, FVC, FEV₁/FVC), severity classification of COPD (grade I, grade II, grade III, grade Ⅳ), blood gas analysis indicators (PaO₂, PaCO₂, SaO₂), degree of dyspnea and comprehensive symptoms between the two groups (P > 0.05); After the intervention, the lung functions and other aspects of both groups improved significantly, and the improvement in the observation group was better than that in the control group (P < 0.05).
Conclusion   The implementation of continuous care based on WeChat mini-programs during home-based pulmonary rehabilitation for patients with stable COPD is conducive to the improvement of lung function, blood gas analysis indicators and the severity of COPD in patients, and is worthy of recommendation.