心血管家庭关护APP对冠心病患者自我管理行为的影响  

Effect of Cardiovascular Family-Care APP on Self-management Behavior of Patients with Coronary Heart Disease

作　　者：郑一梅[1] 叶晶[1] 方晋[1] 王秀英[2] 郁莉芬 陈红雨 蒋捷[1] 霍勇[1] Zheng Yimei;Ye Jing;Fang Jin;Wang Xiuying;Yu Lifen;Chen Hongyu;Jiang Jie;Huo Yong(Department of Cardiology,Peking University First Hospital,Beijing 100034,China;Nursing Department,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院心血管内科,北京100034 [2]北京大学第一医院护理部,北京100034

出　　处：《中华现代护理杂志》2019年第35期4615-4619,共5页Chinese Journal of Modern Nursing

摘　　要：目的 探讨心血管家庭关护APP对冠心病患者自我管理行为的影响.方法 采用非概率抽样的方法,选取2016年5月-2018年5月于北京市某三级甲等医院心血管内科病房住院的冠心病患者为研究对象.采用随机数字表法将其随机分为干预组和对照组,最终干预组143例,对照组147例.两组均进行为期12个月的干预,干预组接受心血管家庭关护APP的健康管理,对照组接受常规的出院指导和门诊随访.在干预前、干预后6个月及12个月分别对两组患者进行冠心病自我管理行为和冠心病危险因素的评价.结果干预后6个月时,干预组患者的冠心病自我管理行为总分和疾病医学管理、情绪认知管理2个维度得分均高于对照组,差异有统计学意义(P<0.05);干预后12个月时,干预组患者的冠心病自我管理行为总分和疾病医学管理维度得分高于对照组,差异有统计学意义(P<0.05).干预后6个月时,干预组的BMI、饮酒情况、血压控制达标情况均优于对照组,差异有统计学意义(P<0.05);干预后12个月时,干预组的血压控制达标情况优于对照组,差异有统计学意义(P<0.05).结论心血管家庭关护APP对冠心病患者建立良好的自我管理行为有促进作用,可在APP中增加吸烟、饮酒、饮食、运动、压力、焦虑、抑郁方面的自我评估,并开展相关研究.Objective To explore the effect of cardiovascular family-care APP on self-management behavior of patients with coronary heart disease. Methods The hospitalized patients with coronary heart disease who were admitted in the department of cardiovascular medicine of a Class Ⅲ Grade A hospital from May 2016 to May 2018 were recruited by non-probability sampling method. All the research subjects were randomly divided into intervention group and control group by random number table. The intervention group consisted of 143 cases and control group consisted of 147 cases. The intervention lasted 12 months. The intervention group received health management of cardiovascular family-care APP, while the control group received routine discharged-guidance and outpatient clinic follow-up. Self-management behavior and risk factors of coronary heart disease were evaluated at baseline and 6 months and 12 months after intervention. Results At 6 months after intervention, the total score of self-management behavior, medical management and emotional management in the intervention group were significantly higher than those in the control group, with statistical significance (P<0.05). At 12 months after intervention, the total score of self-management behavior and medical management in intervention group were significantly higher than those in control group, with statistical significance (P<0.05). After 6 months of intervention, BMI, alcohol consumption, blood pressure control of the intervention group were better than those of the control group, with statistical significance (P<0.05). After 12 months of intervention, the control of blood pressure in the intervention group was better than that in the control group (P< 0.05). Conclusions Cardiovascular family-care APP can promote the establishment of good self-management behavior in patients with coronary heart disease. Self assessment on smoking, drinking, diet, exercise, stress, anxiety and depression can be increased in app,and relevant research can be carried out.

关 键 词：冠心病 移动应用 自我管理 

分 类 号：R47[医药卫生—护理学]