Effect of information management mode based on WeChat platform on patients with mild to moderate chronic obstructive pulmonary disease
10.3760/cma.j.cn115624-20210808-00445
- VernacularTitle:基于微信平台的管理模式对轻中度慢阻肺患者的干预效果
- Author:
Chunling ZHANG
1
;
Zhen WANG
;
Chang LIU
;
Xiaolei ZHOU
;
Jing GAO
;
Jingsi CHEN
;
Hao XU
;
Weihua ZHANG
Author Information
1. 河南省商丘市第一人民医院呼吸与危重症医学科，商丘 476000
- Keywords:
Pulmonary disease, chronic obstructive;
WeChat platform;
Health management;
Intervention studies
- From:
Chinese Journal of Health Management
2022;16(2):90-94
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of management mode based on WeChat platform on patients with mild to moderate chronic obstructive pulmonary disease (COPD).Methods:A total of 100 patients with mild to moderate COPD treated in the outpatient or ward of the Respiratory Department of Shangqiu First People′s Hospital from January 2019 to January 2020 were included. According to the randomization criteria singular number (observation group, control group), there were 50 cases in each group. The control group received routine outpatient treatment and health education follow-up, the observation group was enrolled into the WeChat management group of COPD based on the same treatment as the control group. Smoking cessation, eight-item Morisky Medication Adherence Scale (MMAS-8) score for inhaled drug compliance, chronic obstructive pulmonary disease assessment test (CAT) questionnaire score, 6 min walking distance (6MWD) and lung function [forced expiratory volume in the first second (FEV 1) and FEV 1%pred] were compared between 2 groups before and after six months intervention. Results:After intervention, the intervention follow-up was completed in 46 patients in the observation group and 35 patients in the control group, the rate of loss to follow-up in the observation group was lower than that in the control group (8% vs. 30%) ( P<0.05); The success rate of smoking cessation, the score of MMAS-8, the score of CAT, the FEV 1 and FEV 1%pred in the observation group were higher than those in the control group [82.4% vs 53.6%, (5.17±1.06) vs (4.55±0.94) points, (6.72±4.29) vs (9.37±4.54) points, (1.87±0.44) vs (1.64±0.41) L, (69.48±10.97) vs (64.46±8.25)%] (all P<0.05). There was no significant difference in 6MWD between the observation group and the control group [(401.5±92.3) vs (382.9±79.7) m] ( P>0.05). Conclusion:Management intervention based on WeChat platform can improve the smoking cessation rate and medication compliance of patients with mild to moderate COPD, so as to reduce the symptoms of dyspnea and delay the decline of pulmonary function.
