移动医疗App+微信群在冠心病PCI术后患者延续护理中的应用  

Application of mhealth App and group in continuing care for PCI postoperative Coronary Heart Disease(CHD)patients

作　　者：胡永琼[1] 邓云霞[1] 

机构地区：[1]湖北江汉油田总医院护理部,湖北省潜江市433124

出　　处：《中国护理管理》2016年第3期394-397,共4页Chinese Nursing Management

摘　　要：目的 :调查应用移动医疗同心管家App+微信群,对冠心病经皮冠状动脉介入治疗(PCI)术后患者进行延续护理的效果。方法 :选取我院2015年1-3月60例冠心病PCI术后患者,分为干预组和对照组,每组30例。对照组进行常规出院宣教及出院后的电话回访,干预组在此基础上应用移动医疗App+微信群进行延续护理。比较两组患者出院时及出院后3个月对冠心病PCI治疗相关知识认知、服药依从性、焦虑、抑郁程度等方面的差异。结果 :出院3个月后,干预组对冠心病PCI治疗相关知识认知及服药依从性评分高于对照组,干预组焦虑自评量表(SAS)和抑郁自评量表(SDS)评分低于对照组,差异均有统计学意义(P<0.05)。结论 :应用移动医疗App+微信群对冠心病PCI术后患者进行延续护理的效果较好,值得推广和借鉴。Objective： To evaluate the effect of mhealth Apps（Tongxin Assist） ＋PCI Group on continuing care for CHD patients after Percutaneous Coronary Intervention（PCI） operation. Methods： We divided 60 CHD patients who had PCI operations from January to March 2015 into two groups evenly. The patients in both groups received regular discharge education and telephone visits. The patients in the treatment group received further continuing care via mhealth Apps（Tongxin Assist） ＋PCI Group for three months. We compared the two groups carefully at patients＇ knowledge of disease, level of anxiety and depression, and medicine compliance at the time of discharge as well as three months after discharge respectively. Results： After three months＇ intervention, the patients＇ knowledge of their disease and medicine compliance in the treatment group were statistically higher than those in the control group（P〈0.05）; the patients＇ level of anxiety（SAS） and depression（SDS） in the treatment group were significantly lower than those in the control group（P〈0.05）. Conclusion： The mhealth Apps（Tongxin Assist） ＋PCI group could be very effective for the continuing care for CHD patients after PCI operations.

关 键 词：移动医疗App 微信群 经皮冠状动脉介入治疗 PCI术后 延续护理 

分 类 号：R47[医药卫生—护理学]