慢性阻塞性肺疾病患者肺康复健康教育游戏的开发及应用研究

doi:10.3761/j.issn.0254-1769.2025.05.002

摘要/Abstract

摘要：

目的结合慢性阻塞性肺疾病（简称“慢阻肺”）患者身心特性，开发和应用肺康复健康教育游戏，以探索更为有效的健康教育方法。方法基于健康信念模式理论，采用半结构式访谈法、头脑风暴、专家咨询等方法设计游戏内容，并利用微信小程序实现游戏。便利选取泸州市某三级综合医院2023年3月—10月呼吸科收治的慢阻肺患者为研究对象。将2023年7月—10月的40例患者设为试验组，2023年3月—6月的40例患者设为对照组。试验组采用常规健康教育结合肺康复健康教育游戏，对照组则采用常规健康教育。比较两组干预前后的慢阻肺知识问卷得分、肺康复依从性，并调查试验组对肺康复健康教育游戏的满意度。结果无样本脱落。试验组慢阻肺知识问卷得分高于对照组，差异具有统计学意义（Z=5.361，P<0.001）；试验组肺康复依从性良好者占比（85%）高于对照组（25%），差异具有统计学意义（χ²=29.091，P<0.001）；试验组对肺康复健康教育游戏的整体满意度为95%，其中对操作有效性满意度最高（97%）。结论应用肺康复健康教育游戏能提高慢阻肺患者的疾病相关知识，提高其肺康复依从性，患者对该软件的满意度较高。该游戏在一定程度上丰富了肺康复的健康教育方法，可应用于临床。

关键词: 肺疾病，慢性阻塞性, 肺康复, 依从性, 信息化平台, 游戏化教育, 护理

Abstract:

Objective Taking into account the physical and mental characteristics of patients with COPD，we develop and implement a lung rehabilitation education game software，aiming to explore more effective health education practices for COPD. Methods Drawing on the Health Belief Model theory，the game content was developed by semi-structured interviews，brainstorming sessions，and expert consultations，and it was implemented via a WeChat mini program. Patients with COPD from the respiratory department of a tertiary general hospital of Luzhou city between March and October 2023 were conveniently selected as the study subjects. Among them，40 patients from July to October 2023 were designated as an experimental group，and another 40 from March to June 2023 constituted a control group. The experimental group was provided with routine health education combined with pulmonary rehabilitation games，whereas the control group received standard health education. After the intervention，the researchers compared the COPD knowledge questionnaire scores and pulmonary rehabilitation adherence between the 2 groups，and assessed the satisfaction of both patients and nurses with the software. Results No sample detachment. The score of the COPD knowledge questionnaire in the experimental group was higher than that in the control group，and the difference was statistically significant（Z=5.361，P<0.001）. The proportion of patients in the experimental group with good adherence to pulmonary rehabilitation（85%） was significantly higher than it in the control group（25%），（χ²=29.091，P<0.001）. The patients’ overall satisfaction rate with the game was 95%，with operational effectiveness receiving the highest satisfaction rating at 97%. Conclusion The pulmonary rehabilitation education game for patients with COPD can improve their knowledge of COPD，enhance their compliance with pulmonary rehabilitation. Patients have high satisfaction with the software. The software enriches the clinical health education methods，which can be used in clinical practice.

Key words: Pulmonary Disease，Chronic Obstructive, Pulmonary Rehabilitation, Compliance, Information Platform, Gamification Education, Nursing Care

任建兰, 马开利, 张代英, 何雪梅, 黄敏, 熊洪, 陈燕华, 田华菊, 肖璐. 慢性阻塞性肺疾病患者肺康复健康教育游戏的开发及应用研究[J]. 中华护理杂志, 2025, 60(5): 525-531.

REN Jianlan, MA Kaili, ZHANG Daiying, HE Xuemei, HUANG Min, XIONG Hong, CHEN Yanhua, TIAN Huaju, XIAO Lu. Development and application research of a lung rehabilitation education game software for patients with chronic obstructive pulmonary disease based on health belief model[J]. Chinese Journal of Nursing, 2025, 60(5): 525-531.

图/表 3

表1 两组一般资料的比较[例（百分比，%）]

Table 1 Comparisons of general characteristics between the 2 groups[cases（percentage，%）]

表2 两组干预前后慢阻肺患者知识问卷得分比较[分，M（P25，P75）]

Table 2 Comparison of BCKQ scores between the 2 groups during intervention[scores，M（P25，P75）]

表3 试验组对肺康复健康教育游戏的满意度（n=40）

Table 3 Satisfaction of patients with lung rehabilitation health education games in the experimental group（n=40）

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