基于微信平台的延续康复护理在心肌梗死患者护理中的应用  

Application of Continuous Rehabilitation Nursing Based on Wechat Platform in Nursing of Myocardial Infarction

作　　者：王杨慧 刘能[1] Wang Yang-hui;Liu Neng

机构地区：[1]中南大学湘雅医院老年心血管内科50病室,湖南长沙410008

出　　处：《医学食疗与健康》2019年第8期197-199,共3页Medical Diet and Health

摘　　要：目的:研究探讨基于微信平台的延续康复护理在心肌梗死患者护理中的应用效果.方法:选取2016年6月~2018年6月在本院进行治疗的心肌梗死患者108例为研究对象,按随机数字表法分为观察组和对照组,每组各54例.对照组给予延续性康复护理,观察组在此基础上给予基于微信平台的延续康复护理干预,连续护理干预6个月.对两组患者服药依从性、心肌梗死复发率、生活质量评分、不良心血管事件发生率等指标进行统计比较.结果:观察组患者服药依从性、心肌梗死复发率分别为92.59%(50/54)、9.26%(5/54),对照组分别为77.78%(42/54)、24.07%(13/54),组间比较有统计学差异(P<0.05).观察组SF-36生活质量各项评分均高于对照组,组间比较有统计学差异(P<0.05).观察组不良心血管事件发生率为11.11%(6/54),对照组患者为25.93%(14/54),组间比较有统计学差异(P<0.05).结论:基于微信平台的延续康复护理在心肌梗死患者护理中的应用效果良好,能够提高患者的服药依从性,降低心肌梗死的复发率,提高患者的生活质量,降低心血管不良事件的发生率,值得临床推荐.Objective: To study the effect of continuous rehabilitation nursing based on Wechat platform in the nursing of patients with myocardial infarction. Methods: 108 patients with myocardial infarction who were treated in our hospital from June 2016 to June 2018 were selected as the research subjects. They were divided into observation group and control group according to random number table method, 54 cases in each group. The control group was given continuous rehabilitation nursing, while the observation group was given continuous rehabilitation nursing intervention based on Wechat platform for 6 months. Statistical comparison was made between the two groups on drug compliance, recurrence rate of myocardial infarction, quality of life score and incidence of adverse cardiovascular events. Result: The drug compliance and recurrence rate of myocardial infarction were 92.59%(50/54) and 9.26%(5/54) in the observation group, 77.78%(42/54) and 24.07%(13/54) in the control group, respectively. There were significant differences between the two groups (P < 0.05). The SF-36 quality of life scores in the observation group were higher than those in the control group, and there were significant differences between the two groups (P < 0.05). The incidence of adverse cardiovascular events was 11.11%(6/54) in the observation group and 25.93%(14/54) in the control group. There was significant difference between the two groups (P < 0.05). Conclusions: Continuous rehabilitation nursing based on Wechat platform has a good effect in the nursing of patients with myocardial infarction. It can improve the compliance of patients with medication, reduce the recurrence rate of myocardial infarction, improve the quality of life of patients, and reduce the incidence of cardiovascular adverse events. It is worthy of clinical recommendation.

关 键 词：心肌梗死 延续性康复护理 微信平台 服药依从性 生活质量 

分 类 号：R473.5[医药卫生—护理学]