基于“养心一点通”微信小程序的PCI术后延续性护理
Continuous Care after PCI Based on “Yangxin Yidiantong” Micro Program on Wechat
DOI: 10.12677/NS.2022.113057, PDF,    科研立项经费支持
作者: 韦怡然, 谭文倩, 张 庆, 张爱华*：山东第一医科大学，山东 泰安；张兰华：山东第一医科大学第二附属医院，山东 泰安
关键词: 延续性护理；经皮冠状动脉介入治疗；冠心病；微信； Continuity of Care； Percutaneous Coronary Intervention； Coronary Heart Disease (CHD)； WeChat
摘要: 目的：探讨基于微信平台的延续性护理在经皮冠状动脉介入治疗(PCI)术后患者中的应用效果。方法：利用便利抽样方法，选取2021年11月~2022年1月在山东第一医科大学第二附属医院心内科进行PCI的冠心病患者84例作为研究对象，将患者分为试验组和对照组，每组42例。对照组采取常规的延续性护理，试验组在对照组基础上采用基于微信的延续性干预护理。比较两组患者术前和术后一个月、三个月自我管理行为、生活质量的差异。结果：干预后，试验组西雅图心绞痛量表评分中的身体活动受限程度、心绞痛发作频率、治疗满意度、疾病认知程度的评分均高于干预前，差异有统计学意义(P < 0.05)；对照组西雅图心绞痛量表评分在身体活动受限上有统计学意义，其余评分无统计学意义(P > 0.05)。干预后，试验组冠心病自我管理行为量表、不良嗜好管理、情绪认知管理、治疗依从性管理得分均有统计学意义(P < 0.05)。结论：基于微信的延续性干预护理应用效果较好，对于改善PCI患者治疗依从性，提高患者生活质量及降低不良心血管事件发生率均有重要意义。
Abstract: Objective: To explore the application effect of continuous care based on wechat platform in patients after percutaneous coronary intervention (PCI). Methods: A total of 84 patients with coronary heart disease who underwent PCI in the Department of Cardiology, The Second Affiliated Hospital of Shandong First Medical University from November 2021 to January 2022 were selected as the study subjects and divided into observation group and control group, with 42 patients in each group. The control group was given routine continuous care, and the observation group was given continuous intervention strategy based on wechat. The self-management behavior and quality of life of the two groups were statistically compared before surgery, one month and three months after surgery. Results: After intervention, the SAQ scores of physical activity limitation, angina attack frequency, treatment satisfaction and disease cognition in the observation group were higher than those before intervention, with statistical significance (P < 0.05). SAQ scores of the control group before and after intervention had no statistical significance except physical activity limitation (P > 0.05). After intervention, the scores of CHD self-management behavior scale, bad hobby management, emotional cognitive management and treatment compliance management in the observation group were statistically significant (P < 0.05). Conclusions: The application of continuous intervention strategies based on wechat has a good effect, which is of great significance for improving the treatment compliance with PCI, improving the quality of life of patients and reducing the incidence of adverse cardiovascular events.
文章引用：韦怡然, 谭文倩, 张庆, 张兰华, 张爱华. 基于“养心一点通”微信小程序的PCI术后延续性护理[J]. 护理学, 2022, 11(3): 339-346. https://doi.org/10.12677/NS.2022.113057

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