基于微信平台的自我管理模式对冠心病患者依从性和生活质量的影响

目的：探讨基于微信平台的自我管理模式对冠心病患者依从性及生活质量的影响。方法采用便利抽样法，抽取120冠心病患者为研究对象，随机分为观察组和对照组，每组各60例，对照组给予常规护理管理模式，观察组行基于微信平台的自我管理模式，两组患者观察随访3个月，比较两组患者生活方式、生活质量及服药依从性。结果干预后，观察组患者服药、门诊随访等依从性评分明显高于对照组患者，差异有统计学意义(P<0.05)，两组患者生活方式依从性评分无明显差异(P>0.05)，观察组患者生理因素、心理因素等维度评分明显高于对照组患者(P<0.05)，两组患者社会关系、环境影响等维度评分无明显差异(P>0.05)。结论基于微信平台的自我管理模式能显著提高患者服药依从性和门诊随访的依从性，改善冠心病患者生活质量。

The influence of WeChat platform-based self-management model on the compliance and life quality of patients with coronary heart disease

Objective To explore the influence of WeChat platform-based self-management model on the com-pliance and life quality of patients with coronary heart disease. Methods A total of 120 patients with coronary heart disease were selected as the research objects by convenient sampling method and were randomly divided into observation group and control group, 60 cases in each group. The patients of the control group were given conventional nursing management model, while the patients of the observation group were given WeChat platform-based self-management model. Patients of the two groups were observed and followed up for 3 months, and meanwhile the way of life, the quality of life and the compliance of medication of the two groups were compared. Results After intervention, the scores of the compliance of medication and clinical follow-up of patients in the observation group were significantly higher than that of the patients in control group, and the differences were statistically significant (P<0. 05), but there were no significant differences for the scores of the compliance of lifestyle of the two groups ( P>0. 05 ) . The dimension scores of the physiological factors and psychological factors of the patients in observation group were significantly higher than that of the control group ( P<0. 05 ) , but there were no significant differences for the dimension scores of the social relations and environmental impact of the patients of the two groups ( P>0. 05 ) . Conclusion WeChat platform-based self-management model can significantly improve the patients' compliance of medication and clinical follow-up, and im-prove the life quality of patients with coronary heart disease.