Objective To evaluate the effect of health education based on mobile phone new media on knowledge-attitude-practice (KAP),pulmonary function and exercise endurance for COPD patients.Methods 100 patients with COPD at stable phase were randomly divided into two group from 2015 July to 2016 April.50 subjects as the control group were given traditional health education,and 50 subjects as the strengthening group were added with the strengthened health education via the mobile phone new media (Wechat based,supplemented by text messages).Before and 9 months after intervention,self-designed questionnaire investigation was performed to compare the COPD related KAP levels of the two groups,and the changes of FEV1％ pred,FEV1/FVC and 6MWD were compared.Results The compliance rate and improvement rate of the 24 COPD related KAP contents in the strengthening group were significantly higher than those in the control group before and after the intervention of health education (P ＜ 0.01,P ＜ 0.05).In the strengthening group,6MWD significantly improved after the intervention (t =2.276,P ＜ 0.05),but FEV1 ％ pred and FEV1/FVC had no obvious improvement (t =0.616,t =1.011,respectively;P ＞ 0.05).In the control group,FEV1 ％ pred,FEV1/FVC and 6MWD had no obvious improvement after the intervention (t =0.479,t =0.601,t =O.371,respectively;P ＞ 0.05).Conclusion The use of mobile phone new media as the carrier of the new model of health education can improve the level of KAP of community patients with COPD and exercise endurance,delay the decline of lung function.%目的 探讨基于手机新媒体为载体的健康教育对社区慢阻肺患者知识-态度-行为(KAP)水平、肺功能及运动耐力的影响.方法 将100例慢阻肺稳定期患者随机分为强化组50例和对照组50例,对照组给予传统健康教育,强化组加用经手机新媒体(微信为主,辅以短信)强化的健康教育方式,比较两组干预9个月前后慢阻肺相关KAP水平的变化,比较强化组干预前后FEV1％ pred、FEV1/FVC及6MWD的变化.结果 健康教育干预前后比较,强化组对24项慢阻肺相关KAP内容的达标率及改善率均明显高于对照组(P＜0.01,P＜0.05).强化组干预后6MWD有明显增加,差异有统计学意义(P＜0.05),但FEV1％ pred、FEV1/FVC的改善无统计学意义(P＞0.05).对照组FEV1％ pred、FEV1/FVC、6MWD干预前后的变化差异无统计学意义(P＞0.05).结论 使用手机新媒体为载体的健康教育新模式,可以提高社区慢阻肺患者的KAP水平和运动耐力,延缓肺功能的下降.
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