实用老年医学

实用老年医学 ›› 2022, Vol. 36 ›› Issue (1): 100-103.doi: 10.3969/j.issn.1003-9198.2022.01.026

• 护理园地 • 上一篇    下一篇

冠心病管理APP对老年冠心病病人PCI术后自我管理与生活质量的效果

袁雨涵, 高春红, 汤一帆, 胡晓琳, 杜文洁, 张雨露   

  1. 210029 江苏省南京市,江苏省人民医院内镜中心(袁雨涵);老年心脏科(高春红,汤一帆,胡晓琳,杜文洁,张雨露)
  • 收稿日期:2020-12-18 出版日期:2022-01-20 发布日期:2022-01-25
  • 通讯作者: 高春红,Email:gao22095@163.com
  • 基金资助:
    江苏省卫生计生委科研课题(BJ17013);江苏省创新团队(苏卫科教2017[1号])

Application of coronary heart disease management APP in self-management of the elderly patients receiving percutaneous coronary intervention

YUAN Yu-han, GAO Chun-hong, TANG Yi-fan, HU Xiao-lin, DU Wen-jie, ZHANG Yu-lu   

  1. YUAN Yu-han. Department of Endoscopy; GAO Chun-hong, TANG Yi-fan, HU Xiao-lin, DU Wen-jie, ZHANG Yu-lu. Department of Geriatric Cardiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
  • Received:2020-12-18 Online:2022-01-20 Published:2022-01-25

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摘要： 目的 研究冠心病管理APP在老年冠心病经皮冠状动脉介入术(PCI)后病人中的应用效果。方法 选择我院2017年12月至2019年9月收治的100例老年冠心病PCI术后病人作为研究对象,依照随机双盲法分成2组,每组各50例。试验组给予冠心病管理APP指导,对照组给予常规指导,并于出院前1 d、干预后6个月通过手机微信发布问卷星问卷进行调查,比较2组疾病自我管理的效果。 结果 干预前2组自我管理行为评分、Morisky问卷8条目版本(MMAS 8-item version, MMAS-8)评分、简明36项健康问卷(the MOS 36-item short form health survey, SF-36)评分、情绪状态评分比较,差异均无统计学意义(P＞0.05),干预后试验组各项评分均高于对照组(P＜0.05)。2组心血管不良事件发生率差异无统计学意义(P>0.05)。 结论 冠心病管理APP在老年冠心病PCI术后病人中应用效果明显,能提升病人自我管理能力,同时增强病人依从性,改善生存质量与心理状态。

关键词: 自我管理, 冠心病, 干预效果, 老年人

Abstract: Objective To study the effect of coronary heart disease management application (APP) on self-management ability of the elderly patients receiving percutaneous coronary intervention(PCI). Methods A total of 100 elderly patients undergoing PCI from December 2017 to September 2019 in our hospital were enrolled. According to random double-blind method, the patients were divided into test group (APP-based clinical guidance) and control group (routine guidance), with 50 cases in each group. After six months’ intervention, self-management in both groups were assessed by Wenjuanxing via wechat. Results Before intervention, the scores of self-management behaviors, Morisky medication adherence scale (MMAS-8) and the MOS 36-item short form health survey (SF-36) between the two groups were not significantly different (P＞0.05); After intervention, related scores in the test group were higher than those in the control group (P＜0.05). There was no significant difference in the incidence rate of major adverse cardiovascular events between the two groups(P＞0.05). Conclusions APP-based clinical guidance can improve the self-management ability, medication compliance, quality of life of the patients receiving PCI.

Key words: self-management, coronary heart disease, intervention effect, aged

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