Application effect of 5A nursing mode based on WeChat platform in patients with chronic obstructive pulmonary disease / 中国实用护理杂志

ABSTRACT

Objective:To explore the application effect of 5A nursing model based on WeChat platform in patients with chronic obstructive pulmonary disease (COPD).Methods:A total of 82 patients with COPD were enrolled in our hospital from February 2018 to March 2019. According to the order of establishment, the patients were divided into study group and control group, with 41 cases in each group. The control group received routine care, and the study group adopted a 5A care model based on the WeChat platform on the basis of the control group. Pulmonary function before and after intervention in the two groups [1 second forced expiratory volume (FEV1), forced vital capacity (FVC), FEV1/FVC)], mood disorder [Self-rating Anxiety Scale (SAS), Depression Self-rating Depression Scale (SDS)], self-efficacy [General Self-Efficient Energy Meter (GSES)] supplements the Chinese name of this scale), quality of life [St. George Respiratory Questionnaire (SGRQ)] supplements the Chinese name of this scale) and nursing job satisfaction.Results:The FEV1, FVC and FEV1/FVC of the study group were (0.98±0.07)L, (1.59±0.22)L, (61.64±1.88)%, and the control group was (0.99±0.08)L, (1.61±0.20). L, (61.49±2.05)%; after 3 months of intervention, the study group was (1.45±0.18)L, (2.01±0.24)L, (72.14±1.49)%, and the control group was (1.21±0.12)L, (1.83±0.21) L, (66.12±1.75)%, there was no significant difference between the two groups before the intervention of FEV1, FVC, FEV1/FVC ( t value was 0.602, 0.431, 0.345, P>0.05), intervention 3 The difference between the two groups was statistically significant ( t value was 7.104, 3.614, 16.771, P<0.05). The SAS and SDS scores of the study group were 59.17±3.25 and 61.02±4.06; and 58.96±3.72, 60.75±3.84 in the control group; after 3 months of intervention, the study group scored 42.05±3.10, 44.26±3.25, and the control group scored 48.59±3.55, 49.97±3.41. There was no significant difference in the scores of SAS and SDS between the two groups before intervention ( t value was 0.272, 0.309, P>0.05). After 3 months of intervention, the difference between the two groups was statistically significant ( t value was 8.885, 7.762, P<0.01); the GSES score of the study group was 22.19±3.11 before the intervention, and the control group scored 22.58±2.97. After 3 months of intervention, the study group scored 33.65±2.14. The scores of the group were 28.71±2.03. There was no significant difference in the GSES scores between the two groups before intervention ( t value was 0.581, P>0.05). After 3 months of intervention, the difference between the two groups was statistically significant ( t value was 10.724, P<0.01). Conclusion:The 5A nursing model based on WeChat platform can significantly improve lung function, reduce mood disorder, enhance self-efficacy, improve quality of life, and patients showed high satisfaction with nursing work.