慢性阻塞性肺疾病延续护理移动医疗APP平台的构建及应用效果评价

目的构建及研发慢性阻塞性肺疾病(COPD)延续护理移动医疗APP平台,并验证其效果。方法于2017年9月成立研究小组,(1)采用文献回顾法、专家咨询法构建APP模块框架。经软件工程师与研究者与用户的多轮测试及修正,开发Android及iOS系统的患者端、医护端APP两个端口。(2)选取呼吸内科60例出院的稳定期COPD患者为研究对象。二病区为对照组,给予常规延续护理;一病区为观察组,在对照组基础上实施移动医疗APP延续护理,分别干预3个月。比较干预前后两组患者生活质量,并调查患者对使用APP的评价及满意度。结果 (1)APP患者端包括:专家库、我的消息、数据上传、最新资讯、电子病历5大模块;医护端包括:待办事项及我的患者两大模块。(2)干预前两组患者生活质量差异无统计学意义(P>0.05);干预后观察组患者生活质量优于对照组,差异有统计学意义(P<0.05)。患者对使用APP评价居前3位的依次是资讯内容实用性、护理指导针对性及医护人员服务态度。结论移动医疗APP提供了科学、高效的延续护理手段,提高了COPD患者生活质量及满意度,为开展相关研究提供了实践经验。

Construction and application of transitional care mobile health APP for chronic obstructive pulmonary disease

Objective To build and develop a mobile health APP platform for continuous care of chronic obstructive pulmonary disease(COPD),and to verify its effect in order to provide a new way for the integrated and efficient management of COPD in and out of hospital.Methods The research group was set up in September 2017,(1)Literature review and expert consultation method was used to construct the content of mobile health APP for COPD transitional care.Through multiple rounds of testing and correction by software engineers,researchers and users,Android/iOS system were developed,including the patient-version APP,the staff-version APP.(2)60 patients were randomly divided into intervention group and control group,with 30 cases in each group.The control group was given the routine transitional care,and the intervention group implemented the mobile health APP transitional care on the basis of the control group.The quality of life was compared between the two groups before and after 3-month intervention.Patients were investigated for the evaluation and the satisfaction of the use of the APP.Results(1)patient-version APP included five modules:expert database,my message,data upload,latest information,electronic medical record.Staff-version APP included two modules:my to-do list,my patients.(2)There were no significant differences in the indexes between the two groups before intervention(P>0.05).There were significant differences in quality of life between the two groups(P<0.05).Patients evaluated APP ranked following:the practicability of information contents.The individualized of nursing guidance and the attitude of doctors and nurses.Conclusion Mobile health APP provided a scientific,efficient transitional care way,which improved patient's quality of life and satisfaction.It also provided practical experience for conducting relevant research.