移动医疗微信群在冠脉支架术后患者健康管理中的应用研究

目的探讨移动医疗微信群在冠脉支架术后患者健康管理中的应用效果。方法选取2017年2月至2017年11月于本院接受PCI(置入至少1枚支架)患者136例作为研究对象,采用随机数字表法分为对照组(n=64)和实验组(n=72)。对照组给予常规途径健康宣教,实验组在常规宣教的基础上采用移动医疗平台宣教。比较两组随访12个月后的干预效果。结果实验组高密度脂蛋白高于对照组,低密度脂蛋白及吸烟率低于对照组(P<0.05);随访12个月,高血压人群中实验组较对照组收缩压下降,糖尿病人群中实验组较对照组血糖下降(P<0.05);实验组服药依从性高于对照组(P<0.05);实验组躯体健康、躯体功能、心理健康等维度评分均高于对照组(P<0.05);两组累积不良心脑血管事件发生率及Kaplan-Meier累积生存率曲线比较差异均无统计学意义;实验组随访满意度高于对照组(P<0.05)。结论借助移动医疗微信群对冠脉支架术后患者进行系统及针对性的康复指导效果显著,可有效控制患者血脂、血压、血糖吸烟情况,提高患者对心血管疾病认知水平、服药依从性,缓解患者的负面情绪,建立良好的医患关系,可推广至其他心血管慢病的随访管理。

Research on the application of mobile medical WeChat group in the health management of patients after coronary stenting

Objective To explore the application effect of mobile medical WeChat group in the health management of patients after coronary stent surgery.Methods 136 patients who received PCI(with at least one stent implanted)in our hospital from February 2017 to November 2017 were selected as the research subjects,and they were divided into the control group(n=64)and the experiment group(n=72)using a random number table method.The control group was given regular health education and education,and the experimental group used the mobile medical platform for education on the basis of routine education.The intervention effects between the two groups after 12 months of follow-up were compared.Results The high-density lipoprotein of the experimental group was higher than that of the control group,and the rate of low-density lipoprotein and smoking was lower than that of the control group(P<0.05);after 12 months of follow-up,the systolic blood pressure of the experimental group was lower than that of the control group in the hypertensive group.The blood sugar of the experimental group was lower than that of the control group(P<0.05);the medication compliance of the experimental group was higher than the control group(P<0.05);the physical health,physical function,and mental health scores of the experimental group were higher than those of the control group(P<0.05);there was no statistically significant difference in the incidence of cumulative adverse cardiovascular and cerebrovascular events and the Kaplan-Meier cumulative survival curve between the two groups;the follow-up satisfaction of the experimental group was higher than that of the control group(P<0.05).Conclusion With the help of the mobile medical WeChat group,the effect of systematic and targeted rehabilitation guidance for patients after coronary stent surgery was significant,which can effectively control the blood lipids,blood pressure,blood sugar and smoking of the patient,and at the same time can improve the awareness of cardiovascular disease related knowledge,medication compliance,ease the negative emotions of patients,and establish good doctor-patient relationship,which can be extended to follow-up management of other chronic cardiovascular diseases.