老年冠心病患者移动健康管理模式的构建与实证

目的:观察老年冠心病患者移动健康管理模式的构建，并进行实证研究。方法:选取2019年1月至2021年1月于河南省人民医院接受治疗的86例老年冠心病患者，随机数字表法分为两组，每组各43例，对照组实施常规干预，观察组在常规干预基础上应用移动健康管理模式进行干预，两组均干预3个月，评估患者心绞痛情况、再入院危险因素控制评价...

Construction and demonstration of mobile health management model for elderly patients with coronary heart disease

Objective To observe the construction of mobile health management model forelderly patients with coronary heart disease,and to conduct empirical research.Methods A total of86 elderly patients with coronary heart disease treated in Henan Provincial People's Hospital fromJanuary 2019 to January 2021 were selected.They were randomly divided into 2 groups:the controlgroup receiving routine intervention(n=43),and the observation group receiving mobile healthmanagement mode as an add-on to routine interventions(n=43).After 3 months of intervention incontrol versus observation groups,angina,readmission risk factors were assessed,and status of targetcriteria for low-density lipoprotein cholesterol(LDL-C),resting heart rate,systolic,and diastolic bloodpressure as readmission risk factors were evaluated.Before and 3 months after intervention,the self-care ability of patients was evaluated.Results Number of angina pectoris attacks was less inobservation(0.53±0.18)than in control group(0.64±0.15)(t=3.079,P=0.003).Duration of theangina pectoris was shorter in observation(2.72±0.40)min than in control group(3.06±0.55)min,(t=3.278,P=0.002).Rate of achieving effectiveness of indicators for the risk factors of readmissionwas higher in observation group than in control group as following data;LDL-C(90.7%and 72.1%,χ²=4.914,P=0.027),resting heart rate(95.4%and 81.4%,χ²=4.074,P=0.044),systolic bloodpressure(86.1%and 60.5%,χ²=7.182,P=0.007)and diastolic blood pressure(88.4%and 67.4%,χ²=5.472,P=0.019).The scores of self responsibility,health knowledge,self-care skills and self-concept were higher in the observation group than in the control group,with a statistical significantdifference(all P<0.05).Conclusions The construction of mobile health management model and itsapplication in elderly patients with coronary heart disease are beneficial to improve the symptoms ofangina pectoris,reduce the risk factors of readmission and improve the ability of self-care of patients.