基于手机App急性心肌梗死患者中期照护模式的实施
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摘要
目的探讨基于手机App的中期照护模式对急性心肌梗死患者经皮冠状动脉介入手术(PCI)后自我护理能力及生活质量的影响。方法将82例急性心肌梗死患者随机分为对照组和干预组各41例。对照组采用传统的出院宣教指导和电话随访,干预组利用构建的急性心肌梗死中期照护移动信息平台进行为期4周的中期照护服务干预。比较干预前后两组自我护理能力和生活质量。结果干预后干预组自我护理能力和生活质量评分显著高于对照组(P<0.05,P<0.01)。结论基于手机App的中期照护模式能有效提高急性心肌梗死患者PCI术后的自我护理能力,改善患者生活质量。
Objective To explore the effects of mobile App supported intermediate care on self-care agency and quality of life of patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods Totally,82 AMI patients after PCI were randomized into two group,with 41 in each group.The control group was given traditional discharge guidance and telephone follow-up,while their counterparts in the intervention group received mobile App supported intermediate care for 4 weeks.Self-care agency and quality of life were compared between the two groups before and after the intervention.Results Selfcare agency and quality of life were significantly higher in the intervention group than those in the control group after the intervention(P<0.05,P<0.01).Conclusion Mobile App supported intermediate care can improve self-care agency and quality of life of patients with AMI acute PCI.
Objective To explore the effects of mobile App supported intermediate care on self-care agency and quality of life of patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods Totally,82 AMI patients after PCI were randomized into two group,with 41 in each group.The control group was given traditional discharge guidance and telephone follow-up,while their counterparts in the intervention group received mobile App supported intermediate care for 4 weeks.Self-care agency and quality of life were compared between the two groups before and after the intervention.Results Selfcare agency and quality of life were significantly higher in the intervention group than those in the control group after the intervention(P<0.05,P<0.01).Conclusion Mobile App supported intermediate care can improve self-care agency and quality of life of patients with AMI acute PCI.
引文
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[14]张杨,田竟,张红梅.智能手机应用程序在经皮冠状动脉介入治疗患者术后随访管理中的应用[J].护理学杂志,2017,32(17):93-96.
[15]吴丹妮,王兆霞,倪伟伟.冠心病PCI术后患者的信息化延续护理[J].护理学杂志,2018,33(1):15-17,24.
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[18]江琳,孙青,张雅丽.基于微信平台的延续护理在冠心病介入术后患者中的应用[J].护理管理杂志,2017,17(2):140-142.
[2]Lenzi J,Rucci P,Castaldini I,et al.Does age modify the relationship between adherence to secondary prevention medications and mortality after acute myocardial infarction?A nested case-control study[J].Eur J Clin Pharmacol,2015,71(2):243-250.
[3]Yasuhara Y,Kobayashi H,Tanioka T,et al.Sleep conditions and quality of life among patients with ischemic heart disease after elective percutaneous coronary intervention[J].Health,2013,5(3A):532-537.
[4]Aragam K G,Dai D,Neely M L,et al.Gaps in referral to cardiac rehabilitation of patients undergoing percutaneous coronary intervention in the United States[J].JAm Coll Cardiol,2015,65(19):2079-2088.
[5]李时乐.冠心病患者PCI术后二级预防现况及其预后的调查研究[D].天津:天津医科大学,2014.
[6]刘奕婷,王巍,时景璞.PCI术后急性心肌梗死患者再发影响因素分析[J].中国公共卫生,2016,32(4):558-562.
[7]Goossens L M,Utens C M,Smeenk F W,et al.Should I stay or should I go home?A latent class analysis of a discrete choice experiment on hospital-at-home[J].Value Health,2014,17(5):588-596.
[8]Wunsch H,Harrison D A,Jones A,et al.The impact of the organization of high-dependency care on acute hospital mortality and patient flow for critically ill patients[J].Am J Respir Crit Care Med,2015,191(2):186-193.
[9]Capuzzo M,Volta C A,Tassinati T,et al.Hospital mortality of adults admitted to intensive care units in hospitals with and without intermediate care units:a multicentre European cohort study[J].Crit Care,2014,18(5):1-15.
[10]Jneid H,Anderson J L,Wright R S,et al.2012ACCF/AHA focused update of the guideline for the management of patients with unstable angina/non-ST-elevation myocardial infarction(updating the 2007guideline and replacing the 2011focused update):a report of the A-merican College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines[J].J Am Coll Cardiol,2012,60(7):645-681.
[11]Wang H H,Laffrey S C.Preliminary development and testing of instruments to measure self-care agency and social support of women in Taiwan[J].Kaohsiung J Med Sci,2000,16(9):459-467.
[12]刘江生,马琛明,涂良珍,等.“中国心血管病人生活质量评定问卷”常模的测定[J].心血管康复医学杂志,2012,21(2):105-112.
[13]黄晓莉,庄国红.慢性心力衰竭患者自我护理能力的现状调查[J].上海护理,2017,17(6):37-39.
[14]张杨,田竟,张红梅.智能手机应用程序在经皮冠状动脉介入治疗患者术后随访管理中的应用[J].护理学杂志,2017,32(17):93-96.
[15]吴丹妮,王兆霞,倪伟伟.冠心病PCI术后患者的信息化延续护理[J].护理学杂志,2018,33(1):15-17,24.
[16]Orem D E.Nursing:Concepts of Practice[M].2nd ed.New York:McGraw-Hill,1980:230-232.
[17]赵恒,郑燕,方珍娟,等.社区老年慢性病患者自我护理能力与生命质量的相关性[J].中国老年学杂志,2017,37(14):3597-3599.
[18]江琳,孙青,张雅丽.基于微信平台的延续护理在冠心病介入术后患者中的应用[J].护理管理杂志,2017,17(2):140-142.