移动式云端健康管理对首次经皮冠状动脉介入术后患者出院后用药依从性及自我管理水平的影响  

Effects of mobile cloud health management on medication compliance and self-management level of primary PCI patients post discharge

作　　者：黄晓莉[1] 秦呈婷[1] 俞菀琦 洪雯[1] 马健[1] HUANG Xiao-li;QIN Cheng-ting;YU Wan-qi(Heart Center,Shanghai Sixth People's Hospital,Shanghai 200233,China;不详)

机构地区：[1]上海市第六人民医院心脏中心,上海200233

出　　处：《中国医学装备》2020年第11期102-106,共5页China Medical Equipment

摘　　要：目的:探讨移动式云端健康管理对首次经皮冠状动脉介入(PCI)术后患者出院后用药依从性及自我管理水平的影响。方法:选取医院收治的150例首次PCI术后患者,按随机数表法将其分为观察组和对照组,每组75例。观察组实施移动式云端健康管理,对照组实施一般健康管理。采用Morisky用药依从性量表(MMAS)-8、自我护理能力测定量表(ESCA)、健康促进生活方式量表Ⅱ(HPLP-Ⅱ)和西雅图心绞痛量表(SAQ),对比分析两组患者的用药依从性、自我管理水平、健康行为和生活质量。结果:观察组患者出院6个月后用药依从性优于对照组,差异有统计学意义(Z=3.723,P<0.05);观察组自我护理能力ESCA的4个方面评分比较,差异有统计学意义(t=3.263,t=4.786,t=4.282,t=4.184;P<0.05);观察组健康行为HPLP-Ⅱ的6个维度评分升幅高于对照组,差异有统计学意义(t=4.662,t=3.889,t=2.888,t=4.751,t=5.487,t=5.187;P<0.05);观察组SAQ的5个维度评分及总分均高于对照组,差异有统计学意义(t=4.279,t=4.814,t=6.596,t=3.402,t=5.954,t=5.099;P<0.05)。结论:移动式云端健康管理有助于提升首次PCI术后患者出院后用药依从性和自我管理水平,调整患者健康行为,改善患者生活质量。Objective:To explore the effects of mobile cloud health management on medication compliance and self-management level of patients with primary percutaneous coronary intervention(PCI)post discharge.Methods:150 post-operative patients with primary PCI who admitted to hospital were selected and were randomly divided into mobile cloud health management group(observation group,n=75)and routine health management group(control group,n=75)according to the random number table method.Morisky medication adherence scale-8(MMAS-8),exercise of self-care agency scale(ESCA),health-promoting lifestyle profile II(HPLP-II)and Seattle angina questionnaire(SAQ)were adopted to compare and analyze the medication compliance,self-management level,health behavior and quality of life between two groups.Results:After 6 months of discharge,the medication compliance in observation group was significantly better than that in control group(Z=3.723,P<0.05).Also,the differences of the scores among 4 aspects of ESCA in observation group were significant(t=3.263,t=4.786,t=4.282,t=4.184,P<0.05).The amplifications of the 6 dimensionalities scores of health behavior HPLP-II of observation group were significantly higher than those of control group(t=4.662,t=3.889,t=2.888,t=4.751,t=5.487,t=5.187,P<0.05).Both the scores of 5 dimensionalities of SAQ and the total score of SAQ of observation group were significantly higher than those of control group(t=4.279,t=4.814,t=6.596,t=3.402,t=5.954,t=5.099,P<0.05).Conclusion:Mobile cloud health management contribute to improve the medication compliance and self-management level of patients with primary PCI post discharge,and to modulate the health behaviors,and to improve the quality of life.

关 键 词：经皮冠状动脉介入(PCI) 移动式云端健康管理 出院后用药依从性 自我管理水平 Morisky用药依从性量表-8 

分 类 号：R-058[医药卫生]