Abstract: Objective　To explore the application effect of continuous management model based on wechat platform in patients with chronic obstructive pulmonary disease (COPD). Methods　The data of 76 patients with COPD treated in The First People's Hospital of Shangqiu City from October 2019 to October 2021 were analyzed retrospectively. According to different nursing methods, they were divided into a control group [21 males and 17 females, with an age of (60.64±3.21) years old, with a course of disease of (8.98±1.20) years; pulmonary function grading: 10 cases of grade Ⅰ, 16 cases of grade Ⅱ, and 12 cases of grade Ⅲ] and an observation group [20 males and 18 females, with an age of (60.58±3.24) years old, with a course of disease of (8.94±1.23) years; pulmonary function grading: 9 cases of grade Ⅰ, 15 cases of grade Ⅱ, and 14 cases of grade Ⅲ], with 38 cases in each group. The control group received routine intervention, and the observation group received continuous management model based on wechat platform, continuous nursing for 4 weeks in both groups. The self-care ability, negative emotions, pulmonary function, and quality of life were compared between the two groups. t test was used for the measurement data and χ² test was used for the count data. Results　The scores of self-care skills [(35.59±3.24) points], self-care knowledge [(26.92±3.27) points], self-care responsibility [(20.88±3.54) points], self-care concept [(24.65±4.03) points] of the Exercise of Self-Care Agency Scale (ESCA) in the observation group after nursing were higher than those in the control group, with statistically significant differences (all P<0.05). The scores of Patient Health Questionnaire (PHQ-9) developed by the American Psychiatric Association [(10.31±2.08) points] and Generalized Anxiety Disorder Scale (GAD-7) [(8.79±1.53) points] in the observation group after nursing were lower than those in the control group, with statistically significant differences (both P<0.05). The forced expiratory volume in the first second (FEV1) [(1.79±0.27) L], forced vital capacity (FVC) [(2.96±0.30) L], peak expiratory flow (PEF) [(6.54±0.72) L/s], and maximum ventilation volume per-minute (MVV) [(48.95±5.34) L/min] in the observation group after nursing were all higher than those in the control group, with statistically significant differences (all P<0.05). The score of St. George Respiratory Questionnaire (SGRQ) [(42.36±4.92) points] in the observation group after nursing was lower than that in the control group, with a statistically significant difference (P<0.05). Conclusion　The continuous management model based on wechat platform can enhance the self-management ability in COPD patients, alleviate their anxiety and depression emotions, and helps to improve the lung function, so as to improve the quality of life.

Key words: Chronic obstructive pulmonary disease, Wechat platform, Continuous management mode, Self-care ability, Pulmonary function

摘要： 目的　探讨基于微信平台的延续管理模式在慢性阻塞性肺疾病（COPD）患者中的应用效果。方法　回顾性分析2019年10月至2021年10月商丘市第一人民医院收治的76例COPD患者资料，依照护理方式不同将分为对照组［男21例，女17例；年龄（60.64±3.21）岁；病程（8.98±1.20）年；肺功能分级：Ⅰ级10例，Ⅱ级16例，Ⅲ级12例］和观察组［男20例，女18例；年龄（60.58±3.24）岁；病程（8.94±1.23）年；肺功能分级：Ⅰ级9例，Ⅱ级15例，Ⅲ级14例］，每组38例。对照组采取常规干预，观察组实施基于微信的延续管理模式，两组均持续护理4周。比较两组自我护理能力、负性情绪、肺功能和生活质量。计量资料用t检验，计数资料用χ²检验。结果　观察组护理后自我护理能力测定量表（ESCA）中自我护理技能评分（35.59±3.24）分、自我护理知识评分（26.92±3.27）分、自我护理责任感评分（20.88±3.54）分、自我护理概念评分（24.65±4.03）分，均高于对照组，差异均有统计学意义（均P<0.05）。观察组护理后美国精神病学会制定的患者健康问卷（PHQ-9）评分（10.31±2.08）分、广泛性焦虑障碍量表（GAD-7）评分（8.79±1.53）分低于对照组，差异均有统计学意义（均P<0.05）。观察组护理后第1秒用力呼气容积（FEV1）（1.79±0.27）L、用力肺活量（FVC）（2.96±0.30）L、呼气峰流速（PEF）（6.54±0.72）L/s和每分钟最大通气量（MVV）（48.95±5.34）L/min，均高于对照组，差异均有统计学意义（均P<0.05）。观察组护理后圣乔治呼吸问卷（SGRQ）评分（42.36±4.92）分，低于对照组，差异有统计学意义（P<0.05）。结论　基于微信平台的延续管理模式能够增强COPD患者自我管理能力，缓解焦虑、抑郁情绪，有助于提高肺功能，从而提升生活质量。

关键词: 慢性阻塞性肺疾病, 微信平台, 延续管理模式, 自我护理能力, 肺功能