PCI出院病人基于移动App及微信公众平台延续护理的效果观察
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摘要
[目的]探讨基于移动APP及微信公众平台的延续性护理对经皮冠状动脉介入术(PCI)出院病人的应用效果。[方法]将2016年9月—2017年3月在我院心内科行PCI治疗的94例冠心病病人分为试验组和对照组。对照组采用常规出院指导,试验组在常规出院指导的基础上给予移动App及微信公众平台延续性护理;两组病人均在PCI出院6个月时进行复查,比较两组病人出院时和出院后6个月病人的服药依从性及健康状况。[结果]出院当天两组病人的服药依从性、健康状况得分差异无统计学意义(P>0.05);出院后6个月试验组服药依从性、健康状况得分高于对照组,差异有统计学意义(P<0.05)。[结论]基于移动APP及微信公众平台延续性护理可改善PCI出院病人的健康状况,提高病人服药依从性。
Objective: To explore the application effect of continuous nursing based on mobile APP and WeChat public platform on patients discharged from the percutaneous coronary intervention(PCI).Methods: From September 2016 to March 2017,94 patients with coronary heart disease who underwent PCI in our hospital were divided into the experimental group and control group.The patients in control group received routine discharge guidance.The patients in experimental group received continuous follow-up nursing based on the mobile app and the WeChat public platform on the basis of routine discharge guidance.Both groups of patients received the review at 6 months after PCI discharge.The two groups' medication compliance and health status were compared at discharge and 6-month after discharge.Results:There was no statistically significant difference in medication compliance and health status between the two groups on the day of discharge(P>0.05).The scores of medication compliance and the health status of patients in the experimental group were higher than that in control group at 6 months after discharge(P<0.05).Conclusions: Continuous nursing based on mobile APP and WeChat public platform could improve the health status of patients discharged from PCI and improve their medication compliance.
Objective: To explore the application effect of continuous nursing based on mobile APP and WeChat public platform on patients discharged from the percutaneous coronary intervention(PCI).Methods: From September 2016 to March 2017,94 patients with coronary heart disease who underwent PCI in our hospital were divided into the experimental group and control group.The patients in control group received routine discharge guidance.The patients in experimental group received continuous follow-up nursing based on the mobile app and the WeChat public platform on the basis of routine discharge guidance.Both groups of patients received the review at 6 months after PCI discharge.The two groups' medication compliance and health status were compared at discharge and 6-month after discharge.Results:There was no statistically significant difference in medication compliance and health status between the two groups on the day of discharge(P>0.05).The scores of medication compliance and the health status of patients in the experimental group were higher than that in control group at 6 months after discharge(P<0.05).Conclusions: Continuous nursing based on mobile APP and WeChat public platform could improve the health status of patients discharged from PCI and improve their medication compliance.
引文
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[13]胡亚妮,林平,钟远,等.经皮冠状动脉介入术后患者自我管理知识水平调查研究[J].护理学报,2012,19(1A):12-16.
[14]毕春晖,刘素莲,谭霞,等.延续护理对经皮冠状动脉支架植入术后患者自我护理能力和健康行为的影响[J].中华护理杂志,2013,48(6):503-507.
[15]郑淑梅,杨秀兰,吕烨辉,等.延续性自我管理教育在冠心病介入治疗患者心脏康复中的应用[J].中华护理杂志,2012,47(4):297-301.
[16]宋美燕,许丽芳,方舜贞,等.经皮冠状动脉介入治疗术后患者与家属延续性护理需求的调查研究[J].护理学报,2016,23(17):63-65.
[2]林平,高丽红,赵振娟.冠心病病人介入治疗后远期生存质量研究[J].护理学杂志,2009,24(3):27-28.
[3]章秀兰.延续性护理对缓解冠心病介入治疗术后焦虑情绪的效果[J].当代护士,2017(2):44.
[4] DAVIGLUS M L,LLOYD-JONES D M,AMBER P.Preventing cardiovascular disease in the 21century[J]. Am J Cardiovascular Drugs,2006,6(2):87-101.
[5]黄艳芳,孙鸿燕,杨茜,等.老年病人延续护理的研究进展[J].全科护理,2015,13(27):2676-2679.
[6] MORISKY D E,GREEN L W,LEVINE D M.Concurrent and predictive validity of a self-report measure of medication adherence[J].Med Care,1986,24:67-74.
[7]李鲁,王红妹,沈毅.SF-36健康调查量表中文版的研制及其性能测试[J].中华预防医学杂志,2002(2):78.
[8]胡大一,马长生.心脏病学实践[M].北京:人民卫生出版社,2010:204-208.
[9]赵艳群,曾智桓,翁秀红,等.经皮冠状动脉介入治疗术后再狭窄相关护理指标的研究[J].全科护理,2016,14(18):1837-1840.
[10]万小英,周琼,袁芳,等.延续护理干预方案对PCI术后患者遵医行为和生活质量的影响[J].重庆医学,2014(19):101.
[11]杨静.冠脉介入术后患者服药依从性与生活质量的相关性研究及护理干预[D].广州:南方医科大学,2012.
[12]胡永琼,邓云霞.移动医疗APP+微信群在冠心病PCI术后患者延续护理中的应用[J].中国护理管理,2016,16(3):79.
[13]胡亚妮,林平,钟远,等.经皮冠状动脉介入术后患者自我管理知识水平调查研究[J].护理学报,2012,19(1A):12-16.
[14]毕春晖,刘素莲,谭霞,等.延续护理对经皮冠状动脉支架植入术后患者自我护理能力和健康行为的影响[J].中华护理杂志,2013,48(6):503-507.
[15]郑淑梅,杨秀兰,吕烨辉,等.延续性自我管理教育在冠心病介入治疗患者心脏康复中的应用[J].中华护理杂志,2012,47(4):297-301.
[16]宋美燕,许丽芳,方舜贞,等.经皮冠状动脉介入治疗术后患者与家属延续性护理需求的调查研究[J].护理学报,2016,23(17):63-65.