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基于智慧云随访平台的远程居家管理模式在老年心脏起搏器植入患者中的应用
引用本文:白井双,王颖,蔡立柏,黄峥,吴磊明,申泱泱,袁媛. 基于智慧云随访平台的远程居家管理模式在老年心脏起搏器植入患者中的应用[J]. 中华现代护理杂志, 2021, 0(8): 988-993
作者姓名:白井双  王颖  蔡立柏  黄峥  吴磊明  申泱泱  袁媛
作者单位:郑州大学第一附属医院心血管内科;郑州大学第一附属医院护理部;郑州大学第一附属医院内科医学部
基金项目:河南省高等学校重点科研项目(20B320052)。
摘    要:目的:探讨智慧云随访平台在老年心脏起搏器植入患者居家护理中的应用效果。方法:采用便利抽样法选取2018年8月—2019年8月在河南省某三级甲等医院安装心脏起搏器的120例老年患者为研究对象,2018年8月—2019年2月收治的60例患者为对照组,2019年3—8月收治的60例患者为试验组。试验组依托智慧云随访平台进行居...

关 键 词:老年人  心脏起搏器  居家管理  延续性护理  智慧护理

Application of remote home management model based on smart cloud follow-up platform in elderly patients with pacemakers
Bai Jingshuang,Wang Ying,Cai Libai,Huang Zheng,Wu Leiming,Shen Yangyang,Yuan Yuan. Application of remote home management model based on smart cloud follow-up platform in elderly patients with pacemakers[J]. Modern Nursing, 2021, 0(8): 988-993
Authors:Bai Jingshuang  Wang Ying  Cai Libai  Huang Zheng  Wu Leiming  Shen Yangyang  Yuan Yuan
Affiliation:(Department of Vasculocardiology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Nursing,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Internal Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)
Abstract:Objective To explore the effects of smart cloud follow-up platform in home care for elderly patients with pacemakers.Methods Totally 120 elderly patients who received pacemaker implantation in a ClassⅢGrade A hospital in Henan province between August 2018 and August 2019 were selected by convenient sampling.The 60 patients admitted from August 2018 to February 2019 were included into the control group,while the 60 patients admitted from March to August 2019 were selected into the experimental group.Patients in the experimental group received home care based on the cloud follow-up platform,while patients in the control group received routine continuing care at home.After 3 months of intervention,the complication rate,functional exercise compliance and quality of life were compared between the two groups usingχ2 test and t test.Results Totally 59 patients in the experimental group and 58 patients in the control group completed the study.After intervention,the complication rate in the experimental group was 32.2%(19/59),lower than 89.7%(52/58)in the control group,and the difference was statistically significant(χ2=9.307,P<0.05);the scores of physical exercise compliance after pacemaker implantation,postoperative precautions compliance and compliance of initiative advice seeking in the experimental group were(26.05±3.07),(15.42±1.24)and(11.85±1.96),higher than those in the control group(18.53±2.93),(9.66±2.40)and(6.05±1.58)in the control group,and the differences were statistically significant(t=13.548,16.331,17.558;P<0.01);the total quality of life score in the experimental group was(161.12±9.94),higher than(132.50±9.20)in the control group,and the difference was statistically significant(t=16.149,P<0.01).Conclusions The home management model based on the smart cloud follow-up platform improves home follow-up experience of elderly patients with pacemaker,the compliance of home functional exercises,and their quality of life.
Keywords:Aged  Pacemaker  Home management  Continuing care  Smart care
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