基于微信的延续性护理对冠心病合并焦虑、抑郁患者的影响  

Effect of Continuous Nursing Based on WeChat on Anxiety and Depression in Patients with Coronary Heart Disease

作　　者：陈锁芹[1] 叶然[2] 宋玉磊[2] 殷海燕[2] 李金銮[1] 李丹丹[1] 

机构地区：[1]南京市胸科医院,江苏南京210029 [2]南京中医药大学

出　　处：《齐鲁护理杂志》2017年第17期1-3,共3页Journal of Qilu Nursing

基　　金：江苏省护理学优势学科二期项目指令性课题(编号:YSHL2016-020)

摘　　要：目的:探讨基于微信的延续性护理对冠心病合并焦虑、抑郁患者的影响。方法:选择住院的冠心病合并焦虑、抑郁患者64例为研究对象,随机分为对照组和实验组各32例,实验组采用基于微信的延续性护理方案,对照组采用常规延续性护理方案;于出院前和出院后3个月复查时,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、冠心病自我管理行为量表(CSMS)、西雅图心绞痛生存质量测量量表(SAQ)比较两组焦虑、抑郁、冠心病自我管理行为、生存质量情况。结果:复查时,两组SAS、SDS评分明显低于出院前(P<0.01),且实验组低于对照组复查时(P<0.01);复查时,两组CSMS评分明显高于出院前(P<0.01),且实验组高于对照组复查时(P<0.01);复查时,两组SAQ中除身体活动受限程度外其余各项评分明显优于出院前(P<0.01,P<0.05),且实验组SAQ中治疗满意度和疾病认知情况评分高于对照组复查时(P<0.01)。结论:对冠心病合并焦虑、抑郁患者采用基于用微信的延续性护理,能改善患者的心理状态,提高患者的自我管理行为和生存质量,值得临床推广。Objective： To explore effect of continuous nursing based on WeChat on anxiety and depression in patients with coronary heart disease. Methods ：64 patients with coronary heart disease combined with anxiety and depression were selected as the research object, and were randomly divided into the control group and the experimental group with 32 cases in each group. The experimental group was giv- en continuous nursing based on WeChat,while the control group was given conventional continuous nursing. Before the discharging and the I third month after discharging,the conditions of anxiety and depression, self-management behavior and the quality of life were compared be- tween two groups by using the Self-rating Anxiety Scale （SAS）, Self-rating Depression Scale （SDS）and coronary heart disease self manage- ment behavior scale （CSMS） and Seattle angina scale of quality of life （ SAQ-）. Results ： At the time of rechecking, two groups＇ SAS score and SDS score were significantly lower than those before discharging（ P 〈 0.01 ）, and the experimental group＇s were significantly lower than the control group＇s （P 〈 0.01 ）. Furthermore, two groups＇ C SMS scores were significantly higher than those before discharging（ P 〈 0.01 ）, and the experimental group＇s was significantly higher than the control group＇s（ P 〈 0. 01 ）. Finally, two groups＇ SAQ scores in addition to the limited degree of physical activity were significantly better than those before discharging（ P 〈 0. 01 ,P 〈 0.05 ）. The score of treatment sat- isfaction and disease cognition of SAQ in the experimental group was significantly higher than that in the control group （P 〈 0.01 ）. Conclu- sion：For patients with coronary heart disease complicated with anxiety and depression,the continuous care based on WeChat can improve the psychological status of patients,improve the self-management behavior and quality of life of patients,and is worthy of clinical promotion.

关 键 词：冠心病 抑郁 延续性护理 微信 

分 类 号：R473.54[医药卫生—护理学]