"互联网+"背景下移动健康管理模式在急性心肌梗死PCI术后患者中的应用  

Effects of mobile health management model in patients with acute myocardial infarction after PCI under the background of"Internet+"

作　　者：赵红霞[1] 袁媛[2] 郑鑫[3] 常立霞 唐俊楠 Zhao Hongxia;Yuan Yuan;Zheng Xin;Chang Lixia;Tang Junnan(Department of Cardiovascular,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Internal Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Endocrinology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院心血管内科,郑州450052 [2]郑州大学第一附属医院内科医学部,郑州450052 [3]郑州大学第一附属医院内分泌科,郑州450052

出　　处：《中华现代护理杂志》2022年第18期2486-2489,共4页Chinese Journal of Modern Nursing

基　　金：河南医学科技攻关计划项目(2018020002)。

摘　　要：目的探讨"互联网+"背景下移动健康管理模式在急性心肌梗死PCI术后患者中的应用效果。方法采用便利抽样法,选取2018年7月—2020年3月郑州大学第一附属医院收治的行PCI成功的124例急性心肌梗死患者为研究对象,按照随机数字表法将患者分为观察组与对照组,各62例。对照组术后采用常规护理,观察组在对照组的基础上采用"互联网+"背景下移动健康管理模式。采用冠脉支架植入患者自我管理能力自评量表、汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)、护理满意度问卷评估干预的效果。结果干预6个月后,观察组患者自我管理能力自评量表各维度评分均高于对照组,差异有统计学意义(P<0.05)。干预6个月后,观察组患者HAMD、HAMA评分低于对照组,差异有统计学意义(P<0.05)。干预6个月后,观察组患者护理满意度高于对照组,差异有统计学意义(P<0.05)。结论"互联网+"背景下移动健康管理模式有利于提高急性心肌梗死患者PCI术后的自我管理能力,减轻患者的抑郁与焦虑情绪,提高患者对护理的满意度。Objective To explore the effect of mobile health management model in patients with acute myocardial infarction after percutaneous coronary intervention(PCI)under the background of"Internet+".Methods From July 2018 to March 2020,convenience sampling was used to select 124 patients with acute myocardial infarction who underwent PCI successfully in the First Affiliated Hospital of Zhengzhou University as the research object.According to the random number table method,the patients were divided into the observation group and the control group,62 cases in each group.The control group received routine nursing after surgery,and the observation group was given the mobile health management model under the background of"Internet+"on the basis of the control group.Self-management Scale for Patients Undergone Coronary Artery Stent Implantation,Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA),and Nursing Satisfaction Questionnaire were used to evaluate the effect of the intervention.Results After six months of intervention,the scores of each dimension of the Self-management Scale for Patients Undergone Coronary Artery Stent Implantation in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After six months of intervention,the HAMD and HAMA scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After six months of intervention,the nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions The mobile health management model under the background of"Internet+"is conducive to improving the self-management ability of patients with acute myocardial infarction after PCI,reducing patients'depression and anxiety,and increasing patients'satisfaction with nursing.

关 键 词：心肌梗死 "互联网+" 移动健康管理模式 经皮冠状动脉介入术 自我管理 

分 类 号：R473.5[医药卫生—护理学]