Study On The Application Of Wechat Platform Continuous Nursing Based On IMB Skill Model In COPD Patients

Objectives:1.To investigate the knowledge status,self-management ability,social support and quality of life evaluation of patients with COPD.2.To explore the effect of continuous nursing of Wechat platform based on IMB skill model on knowledge,self-management,social support and quality of life of COPD patients,and to investigate the satisfaction of Wechat platform,so as to provide reference for continuous nursing in the future.Methods:1.From April to June 2021,convenience sampling method was used to investigate the status of information,motivation and behavioral skills in 130 COPD inpatients who met the inclusion criteria in a respiratory department of a grade 3A hospital in Shanxi province.The collected data were analyzed by SPSS26.0 and described statistically by mean±standard deviation,median,maximum and minimum.2.In a randomized controlled trial,92 patients with COPD admitted to the respiratory department of a grade 3A hospital in Shanxi province from July to September2021 were selected for the experimental study.They were randomly divided into control group and intervention group,with 46 cases in each group.The control group was treated with routine discharge guidance and telephone follow-up,and the intervention group was treated with Wechat platform continuous nursing based on IMB skill model.After 3months of intervention,the two groups were treated with Bristol COPD knowledge questionnaire(BCKQ),COPD self-management scale(CSMS),social support rating scale(SSRS)and COPD assessment test(CAT)were used to evaluate the effect.T-test and rank sum test were used according to the level of alpha =0.05,analyze the difference between the intervention group and the control group,and investigate the satisfaction of the Wechat platform after the intervention.Results:1.Status survey findings:(1)Most of the patients were male,the average age was(71.95±10.67)years old,the family was mainly in rural areas,farmers were the main group,and the education level was mainly in junior middle school and below.(2)COPD patients knowledge status:The total score of the questionnaire was 30,the average score was(15.69±5.80),the highest score was 29 and the lowest score was 0 in127 patients with COPD.The correct rates of answers to each dimension of the knowledge questionnaire from high to low are as follows: smoking(79.53%),etiology(63.78%),nature of disease(45.66%),pulmonary infection(44.09%),clinical symptoms(40.94%),use of antibiotics(25.98%),home oxygen therapy(24.41%),rehabilitation training(12.60%),inhaled bronchodilator application(11.81%),steroid therapy(7.09%).(3)Self-management ability of COPD patients: The average score of was(123.79±20.62),the highest score was 227,the lowest score was 83,and the overall score rate was 48.55%.The score rates of each dimension from high to low are as follows:daily life management(53.09%),symptom management(52.83%),information management(49.10%),emotion management(47.58%),self-efficacy(46.38%).(4)Social support: The average score was(36.00±6.33),with the highest score of 52 and the lowest score of 22.The average scores of items in each dimension from high to low were subjective support(4.41±1.32),objective support(3.43±0.84)and support utilization(2.69±0.73).(5)Evaluation of COPD quality of life: The average score was(21.16±0.44),the highest score was 40,the lowest score was 4,and the score rate was 52.90%.The score rates of each dimension from high to low are as follows: ability to go out(69.80%),ability of daily living(69.40%),activity ability(64.00%),chest tightness(56.80%),energy(51.40%),sleep(46.00%),expectoration(34.20%),cough(31.60%).2.Experimental results:(1)After intervention,the scores of knowledge questionnaire,self-management,self-management of all dimensions,social support,quality of life level of COPD patients in the two groups were improved compared with those before intervention(P<0.05);the scores of knowledge questionnaire,self-management,self-management of all dimensions,social support and quality of life level of COPD patients in intervention group were higher than the control group,the difference was statistically significant(P<0.05).(2)COPD patients’ evaluation and satisfaction survey on the use of Wechat platform.The results showed that the overall evaluation and satisfaction of the platform were(3.74±0.69).The top three scores were as follows: pertinence of guidance(4.21±0.64),practicality of propaganda content(4.00±0.72)and simple operation flow(3.12 ±0.93).Conclusions:1.COPD patients have little knowledge of disease,relatively low ability of self-management,lack of social support and low evaluation of quality of life,which need to be further improved.2.The continuous nursing of Wechat platform scheme based on IMB skill model can improve the disease knowledge level of COPD patients,arouse the motivation of self-management of COPD patients,enhance the social motivation of COPD patients and improve the quality of life of COPD patients.The continuous nursing of Wechat platform scheme based on IMB skill model is effective and has certain application value.