基于“互联网+”的二级预防管理模式在冠心病患者中的应用效果  

Application effect of secondary prevention management mode based on"Internet+"in patients with coronary heart disease

作　　者：李玉玲[1] 陈海红[1] 蹇祥玉[2] LI Yuling;CHEN Haihong;JIAN Xiangyu(The First Department of Cardiology,Foshan Second People's Hospital,Guangdong Province,Foshan 528000,China;Coronary Care Unit,Foshan Second People's Hospital,Guangdong Province,Foshan 528000,China)

机构地区：[1]广东省佛山市第二人民医院心内一科,广东佛山528000 [2]广东省佛山市第二人民医院心内科重症监护室,广东佛山528000

出　　处：《中国当代医药》2022年第8期185-188,共4页China Modern Medicine

基　　金：广东省佛山市卫生健康局医学科研课题(20200115)。

摘　　要：目的探讨基于“互联网+”的二级预防管理模式在冠心病患者中的应用效果。方法选取2019年8月至2021年3月在佛山市第二人民医院就诊的120例冠心病患者作为研究对象,采用随机数字表法分为对照组(60例)和观察组(60例)。对照组采用常规随访管理方案进行干预,观察组采用基于“互联网+”的二级预防随访管理模式。比较两组患者干预前后的疾病自我管理能力(CSMS)、生活质量(SAQ)、心血管不良事件发生率和再住院率。结果两组患者干预前的CSMS、SAQ评分比较,差异无统计学意义(P>0.05);观察组干预后的CSMS、SAQ评分均高于对照组,差异有统计学意义(P<0.05)。观察组心血管不良事件发生率和再住院率均低于对照组,差异有统计学意义(P<0.05)。结论基于“互联网+”的二级预防管理模式可提高冠心病患者居家疾病自我管理能力和生活质量,降低心血管不良事件的发生率和疾病复发再住院率。Objective To explore the effect of secondary prevention management mode based on"Internet+"in patients with coronary heart disease.Methods A total of 120 patients with coronary heart disease treated in Foshan Second People's Hospital from August 2019 to March 2021 were selected as the research subjects,and were divided into control group(60 cases)and observation group(60 cases)by random number table method.The control group received routine follow-up management plan,while the observation group adopted the secondary prevention management mode based on"Internet+".The disease self-management ability(CSMs),quality of life(SAQ)before and after intervention,incidence of adverse cardiovascular events and rehospitalization rate were compared between the two groups.Results There were no significant differences between the two groups in the scores of CSMS and SAQ before intervention(P>0.05).The scores of CSMS and SAQ in the observation group were higher than those in the control group after intervention,the differences were statistically significant(P<0.05).The incidence of adverse cardiovascular events and rehospitalization rate in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion The secondary prevention management mode based on"Internet+"can improve the self-management ability and quality of life of patients with coronary heart disease,reduce the incidence of cardiovascular adverse events and relapse rate.

关 键 词：“互联网+” 二级预防 冠心病 经皮冠状动脉介入治疗 生活质量 

分 类 号：R543.3[医药卫生—心血管疾病]