Influence of lung rehabilitation nursing based on cloud platform of internet of things on lung function of elderly patients with chronic obstructive pulmonary disease in stable plase
ZHU Yutong1,2 LIU Zuoyan1,2▲
1.Rehabilitation Medical Center of West China Nursing College, West China Hospital of Sichuan University, Sichuan Province, Chengdu 610041, China;
2.Key Laboratory of Rehabilitation Medicine in Sichuan Province, Sichuan Province, Chengdu 610041, China
Abstract：Objective To investigate the effect of lung rehabilitation nursing on elderly patients with chronic obstructive pulmonary disease (COPD for short) in stable phase based on internet of things cloud platform. Methods Retrospectively analyzsis was carried out in this study, clinical data of 69 elderly patients with COPD who had received routine pulmonary rehabilitation care and completed follow-up in West China Hospital of Sichuan University from March 2018 to December 2018 was collected and as routine group; the clinical data of 72 elderly patients with COPD who received lung rehabilitation nursing based on the internet of things cloud platform and completed follow-up in West China Hospital of Sichuan University from February 2019 to November 2019 was collected and as the research group. Before and after six months of intervention, examined the lung function of the two groups; the british medical research council modified dyspnea scale (mMRC) was used to assess the changes in dyspnea in the two groups. The COPD quality of life scale (CAT score) was used to assess the impact of patients’ daily life, a self-made questionnaire was used to investigate the two groups’ mastery of lung rehabilitation training. Results After six months of intervention, the forced expiratory volume in one second, forced vital capacity, and forced expiratory volume in the first second accounted for the proportion of all expiratory volumes and the maximum expiratory flow rate of the two groups were higher than those before the intervention. while those in the study group were higher than those in the conventional group (P ＜ 0.05); mMRC score and CAT score in both groups were lower than those before the intervention, and those in the study group were lower than those in the conventional group (P ＜ 0.05); the relevant knowledge mastery score of the study group was higher than that of the conventional group (P ＜ 0.05). Conclusion Elderly patients with chronic obstructive pulmonary disease in stable stage have a definite effect of lung rehabilitation nursing based on the internet of things cloud platform. It is helpful to improve the patient’s grasp of lung rehabilitation related knowledge, improve the patient’s lung function, reduce the symptoms of dyspnea, and reduce the impact of the disease on the patient’s daily life, which is worthy of clinical promotion and application.
朱俞彤1,2 刘祚燕1,2▲. 物联网云平台的肺康复护理对老年慢性阻塞性肺疾病稳定期患者肺功能的影响[J]. 中国医药导报, 2021, 18(1): 184-188.
ZHU Yutong1,2 LIU Zuoyan1,2▲. Influence of lung rehabilitation nursing based on cloud platform of internet of things on lung function of elderly patients with chronic obstructive pulmonary disease in stable plase. 中国医药导报, 2021, 18(1): 184-188.
[1] 代妍，刘运秋，勾海超，等.目标式护理模式在慢性阻塞性肺病急性加重期患者体外膈肌起搏器辅助治疗中的应用效果[J].中国医药导报，2018，15（13）：156-159.
[2] Alcaraz FG. Pulmonary rehabilitation in chronic obstructive pulmonary disease （Review） [J]. Enferm Clin，2015， 25（6）：357-359.
[3] Ambrosino N，Venturelli E，De Blasio F，et al. A Prospective Multicentric Study of Pulmonary Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease and Different Clinical Phenotypes [J]. Respiration，2015，89（2）：141-147.
[4] 吴挺实，陈钰，梁勇.个体化健康教育模式对改善稳定期慢阻肺患者行为和生活质量的作用[J].中国健康教育，2017，33（9）：855-858.
[5] Cao H，You J，Zheng Y，et al. Practice and Exploration of Regional Medical Equipment Cloud Management Platform Based on the Internet of Things [J]. Chinese J Med Instrum，2018，42（5）：332-335.
[6] 郑真慧，何朝珠，贾培培.基于物联网的云平台在老年慢性病管理中的应用现状[J].护理学杂志，2016，31（9）：15-17.
[7] 张先庚，王红艳，刘爽，等.基于物联网的中西医结合护理对半自理老人跌倒效能的干预研究[J].成都医学院学报，2017，12（4）：21-24，30.
[8] 中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南（2013年修订版）[J].中华结核和呼吸杂志，2013，36（4）：255-264.
[9] Guo AM，Han JN，Wang P，et al. Reliability and validity of modified pulmonary functional status and dyspnea questionnaire in Chinese patients with chronic obstructive pulmonary disease [J]. Chinese J Tuberc Resp Dis，2010，33（4）：251-255.
[10] Goreshi R，Okawa J，Rose M，et al. Evaluation of Reliability，Validity，and Responsiveness of the CDASI and the CAT-BM [J]. J Invest Dermatol，2012，132（4）：1117-1124.
[11] Méndez A，Labra P，Pizarro R，et al. Low rates of participation and completion of pulmonary rehabilitation in patients with chronic obstructive pulmonary disease in primary health care [J]. Rev Med Chil，2018，146（11）：1304-1308.
[12] 仇晓敏，邵志燕，鲍晓芳.老年慢阻肺疾病护理中优质护理应用的效果分析[J].中国妇幼健康研究，2017，28（2）：383-384.
[13] Marquis N，Larivée P，Saey D，et al. In-Home Pulmonary Telerehabilitation for Patients with Chronic Obstructive Pulmonary Disease：A Pre-experimental Study on Effectiveness，Satisfaction，and Adherence [J]. Telemed J E Health，2015，21（11）：870-879.
[14] 包红梅.不同护理干预模式在慢阻肺急性加重期患者中的对比研究[J].中国妇幼健康研究，2017，28（3）：596-597.
[15] 刘晓丽，蒋延文，张捷，等.长期家庭氧疗联合肺康复训练对慢阻肺合并呼吸衰竭患者的疗效观察[J].临床肺科杂志，2016，21（5）：850-853.
[16] 李文龙，张华，张鹏.物联网云平台管理下慢性阻塞性肺疾病合并慢性呼吸衰竭患者家庭无创通气效果及依从性研究[J].临床内科杂志，2017，34（4）：275-276.
[17] 赵东兴，陈淑云，周玉民，等.慢性阻塞性肺疾病社区综合防治管理平台的建立及应用效果评价[J].中华结核和呼吸杂志，2017，13（2）：102-107.
[18] 刘洁，张静，白春学.物联网医学在肺功能随访与监测中的应用[J].中华结核和呼吸杂志，2014，37（4）：316-317.
[19] 何易晨，杨波，熊仕奇，等.基于医学物联网的便携式肺功能测试仪的设计[J].中国医疗器械杂志，2018，42（2）：103-106.
[20] Yang S，Qiu Y，Shi B. The Key Technology Study on Cloud Computing Platform for ECG Monitoring Based on Regional Internet of Things [J]. Chinese J Med Instrum，2016，40（5）：341-343.
[21] 刘建华，杨明，姚峰，等.对老年冠心病血运重建术后基于物联网平台的医院综合管理模式的药物经济学分析[J].中国医院药学杂志，2019，39（16）：103-105.
[22] 周磊，姜燕，杜春玲，等.物联网便携式肺功能检测仪的研制与临床应用[J].国际呼吸杂志，2019，39（2）：113-118.
[23] 胡琴，谢作舟，刘漪，等.基于信息平台的慢阻肺患者自我管理模式构建及效果评价[J].昆明医科大学学报，2018， 39（9）：37-41.
[24] 季燕，马利军.基于移动终端的物联网技术在哮喘患者管理中的效果研究[J].临床肺科杂志，2019，24（10）：1804-1807.
[25] 曹辉，尤健，郑蕴欣，等.基于物联网的区域性医疗设备云管理平台的实践与探索[J].中国医疗器械杂志，2018， 42（5）：332-334，344.
[26] 刘洁，张静，白春学.物联网医学在肺功能随访与监测中的应用[J].中华结核和呼吸杂志，2014，37（4）：316-317.
2021, Vol. 18 
京公网安备 11010502046598号