Study On The Influence Of Self-care Intervention Based On WeChat Public Platform On Patients With COPD

Objective: Based on the background of "Internet +",develop a WeChat public platform suitable for patients with chronic obstructive pulmonary disease(COPD),and discuss the application effect of self-care intervention for COPD patients based on the WeChat public platform.Methods: This research includes two parts,the design and development of wechat public platform and the implementation of nursing intervention for COPD patients based on the wechat public platform.From July to October 2018,we cooperated with a software company in Zunyi City,Guizhou Province to design and develop the Wechat public platform.It covers four functional areas,including patient end and medical staff background management end.The former include personal settings,help area,disease knowledge base and daily reminders;The latter include user list,disease knowledge base,help list and account modification.Then 5 COPD patients were invited to use the WeChat public platform,and qualitative interviews were developed to obtain patient experience and suggestions.From November 2018 to March 2019,78 COPD patients hospitalized in the Department of respiratory and critical care medicine(PCCM)of a top three hospital in Zunyi City were selected as the research objects.The research objects were divided into the experimental group and the control group according to the method of random number table.Each group included 39 research objects.The control group received routine disease care during hospitalization,health education at discharge,regular telephone follow-up after discharge.The experimental group used the WeChat public platform on the basis of the control group;based on the WeChat public platform for nursing intervention,they could gain dynamic,continuous,targeted disease knowledge guidance and self-care,and were encouraged to participate in interactive sharing on the platform for 9 consecutive months of intervention.After intervention for 3 months,6 months and 9 months respectively,self-care behavior,self-management(CSMS),self-efficacy,quality of life(CAT)andre-admission status(number of re-hospitalization,days of re-hospitalization and rehospitalization costs)of the two groups are analyzed with SPSS18.0.Results:1.In general,COPD patients have higher acceptance(80%)and trust(80%)on the WeChat public platform,and are more satisfied with the platform.It is feasible to apply it to the self-care of COPD patients.2.General information of patients: A total of 78 subjects were included in the study,3cases were lost due to death,lung cancer and other reasons.A total of 75 patients completed the study,38 cases in the control group and 37 cases in the experimental group.The two groups of patients were compared in terms of age,gender,marital status,education level,occupation,payment method of medical expenses,course of disease,the difference was not statistically significant(P>0.05).3.Before intervention,the self-care behavior,self-management,self-efficacy,quality of life and readmission of the two groups were compared,the difference was not statistically significant(P>0.05).4.After 3 months of intervention,the self-efficacy,quality of life and readmission of the two groups were compared,the difference was not statistically significant(P>0.05);the self-care behavior and self-management of the patients in the experimental group were better than those in the control group,the difference was statistically significant(P<0.05).5.After 6 months of intervention,the self-care behavior,self-management,self-efficacy and quality of life of the patients in the experimental group were better than those in the control group,the difference was statistically significant(P<0.05);the re-admission status of the two groups of patients was compared,the difference was not statistically significant(P>0.05).6.After 9 months of intervention,the self-care behavior level,self-management,self-efficacy and quality of life of the patients in the experimental group were better than those in the control group,the difference was statistically significant(P<0.05);And re-hospitalization costs,the difference was statistically significant(P<0.05).Conclusion:1.The WeChat public platform constructed in this study,recognized and trusted by patients,is suitable for patients with COPD,and can be applied to nursing intervention for patients with COPD.2.Self-care intervention based on WeChat public platform can improve the self-care behavior level,self-management ability and self-efficacy of COPD patients,and the quality of life.3.Self-care intervention based on the WeChat public platform can reduce the incidence of re-admissions caused by acute exacerbations after COPD patients discharging,reduce the number of re-hospitalization,shorten the number of re-hospitalization days and prune the cost of re-hospitalization.