基于微信平台的“1+1+X”协同干预在PCI患者延续性护理中的应用  

Application of"1+1+X"collaborative intervention based on WeChat platform in continuous nursing care of PCI patients

作　　者：李玉玲[1] 陈海红[1] 蹇祥玉[1] 陈小娜[1] 张红晓 Li Yuling;Chen Haihong;Jian Xiangyu;Chen Xiaona;Zhang Hongxiao(Department of Cardiology,Foshan Second People's Hospital,Foshan 528000,China)

机构地区：[1]佛山市第二人民医院心内科,528000

出　　处：《国际医药卫生导报》2021年第5期686-689,共4页International Medicine and Health Guidance News

基　　金：2020年度佛山市卫生健康局医学科研课题(20200115)。

摘　　要：目的探讨基于微信平台的“1+1+X”协同干预在PCI患者延续性护理中的应用效果。方法选取2019年5月至2020年4月入住本院行PCI的72例冠心病患者为研究对象,运用随机数字表法分为观察组和对照组,各36例。观察组实行基于微信平台的“1+1+X”协同式延续性护理方案,对照组实行常规的延续性护理方案。比较两组疾病自护能力、生活质量以及心血管不良事件发生率。结果干预后,观察组自护能力量表中的自我责任感、自我概念、自我护理技能、健康知识水平4个维度的评分分别为(29.08±4.22)分、(26.92±3.28)分、(38.36±3.83)分、(41.83±5.03)分,均高于对照组的(23.14±3.78)分、(23.08±3.17)分、(32.14±4.30)分、(33.75±5.13)分,差异均具有统计学意义(均P<0.05)。干预后,观察组生活质量量表中的躯体活动受限程度、心绞痛发作情况、心绞痛稳定状态、疾病认知程度、治疗满意程度5个维度的评分分别为(80.08±7.11)分、(80.72±5.52)分、(83.83±5.66)分、(84.17±6.25)分、(89.33±5.67)分,均高于对照组的(69.94±7.51)分、(72.33±6.01)分、(72.64±6.15)分、(72.08±6.17)分、(79.25±8.85)分,差异均具有统计学意义(均P<0.05)。干预后,观察组心血管不良事件的发生率为5.56%(2/36),明显低于对照组的22.22%(8/36),差异有统计学意义(P<0.05)。结论基于微信平台的“1+1+X”协同式延续性护理可提高PCI患者的自护能力和生活质量,降低心血管不良事件发生率。Objective To explore the application effect of"1+1+X"collaborative intervention based on WeChat platform in continuity nursing care of PCI patients.Methods Seventy-two patients with coronary heart disease admitted to our hospital from May,2019 to April,2020 were selected and randomly divided into an observation group and a control group,with 36 cases in each group.The observation group was given the"1+1+X"collaborative continuous nursing scheme based on WeChat platform,while the control group the conventional continuous nursing scheme.The disease self-care ability,quality of life,and incidences of cardiovascular adverse events were compared between the two groups.Results After the intervention,the scores of self-responsibility,self-concept,self-care skills,health knowledge,physical activity limitation,angina pectoris attack,angina stable state,disease cognition,and treatment satisfaction were higher and the incidence of cardiovascular adverse events was lower in the observation group than in the control group[(29.08±4.22)vs.(23.14±3.78),(26.92±3.28)vs.(23.08±3.17),(38.36±3.83)vs.(32.14±4.30),(41.83±5.03)vs.(33.75±5.13),(80.08±7.11)vs.(69.94±7.51),(80.72±5.52)vs.(72.33±6.01),(83.83±5.66)vs.(72.64±6.15),(84.17±6.25)vs.(72.08±6.17),(89.33±5.67)vs.(79.25±8.85),and 5.56%(2/36)vs.22.22%(8/36);all P<0.05].Conclusion"1+1+X"collaborative continuous nursing based on WeChat platform can improve the self-care ability and quality of life of PCI patients,and reduce the incidence of cardiovascular adverse events.

关 键 词：经皮冠状动脉介入治疗 延续性护理 微信 协同干预 自护能力 

分 类 号：R473.5[医药卫生—护理学]