移动医疗APP+微信群在心脏瓣膜置换术后患者延续抗凝指导中的应用  

Application of Mobile Medical APP and WeChat Group in Patients of Continuous Anticoagulation after Cardiac Valve Replacement

作　　者：王晶晶[1] 李罗兰[1] 鲍士青 王蓓[1] Wang Jingjing Li Luolan Bao Shiqing(Changzheng Hospital Affiliated to Second Military Medical University, Shanghai 200003, Chin)

机构地区：[1]第二军医大学附属长征医院,上海市200003

出　　处：《齐鲁护理杂志》2017年第10期1-3,共3页Journal of Qilu Nursing

摘　　要：目的:探讨移动医疗APP+微信群在心脏瓣膜置换术后患者延续抗凝指导中的应用方法及效果。方法:将100例行心脏瓣膜置换手术患者按出院顺序分为对照组和干预组各50例,对照组给予常规电话随访,干预组在此基础上应用移动医疗APP+微信群进行延续抗凝指导,比较两组干预效果。结果:两组抗凝相关知识掌握情况、抗凝依从性、复诊情况、INR达标率及并发症发生率比较差异均有统计学意义(P<0.05)。结论:应用移动医疗APP+微信群对心脏瓣膜置换术后患者进行延续抗凝指导有利于提高患者抗凝依从性,改善抗凝效果,减少并发症。Objective：To investigate the application effects of mobile medical APP and WeChat group in patients with continuous antico- agulation after cardiac valve replacement. Methods：A total of 100 patients received cardiac valve replacement operation according to the discharge order divided into the control group and the intervention group with 50 cases in each group. The control group was given conven- tional telephone follow-up, while the intervention group based on the conventional telephone follow - up was given the mobile medical APP and WeChat group to continue anticoagulation guidance. The effects between the two groups were compared. Results：There were significant differences between the two groups in the knowledge of anticoagulation, anticoagulation compliance, referral, INR compliance rate and com- plication rate （ P 〈 0.05 ）. Conclusion ： The application of mobile medical APP ＋ WeChat group in patients after cardiac valve replacement with continuous antieoagulation guidance is helpful to improve the patientg anticoagulant compliance ,improve anticoagulant effect, and re- duce complications.

关 键 词：移动医疗APP 微信群 心脏瓣膜置换术 延续抗凝指导 

分 类 号：R473.6[医药卫生—护理学]