应用移动互联网平台对急性冠脉综合征治疗后负性情绪干预的效果观察  

作　　者：吴国华[1] 孙秀华[1] 

机构地区：[1]浙江省人民医院(杭州医学院附属人民医院),310014

出　　处：《浙江临床医学》2022年第7期1087-1089,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省中医药科技计划项目(2022ZA022)。

摘　　要：目的探讨应用移动互联网随访平台在急性冠脉综合征治疗后居家患者负性情绪干预中的效果.方法采用方便抽样,选取2020年1月至12月急性冠脉综合征治疗后患者112例,按照随机数字表法分为对照组(48例)与观察组(64例).对照组给予常规门诊面对面随访、电话访谈、邮寄问卷资料等方式进行随访,观察组在此基础上应用移动互联网平台,建立患者信息资料,实施定期与不定期咨询、患者健康教育、问题解答等干预,比较两组患者出院当天和出院后3个月汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)及焦虑自评量表(SAS)和抑郁自评量表(SDS)的差异.结果干预后,两组HAMD和HAMA评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05).干预后,两组患者SAS及SDS评分均有所改善,且观察组低于对照组,差异有统计学意义(P<0.05).结论应用移动互联网平台随访可以缓解急性冠脉综合征患者术后负性情绪,减少不良情绪发生.Objective To explore the effect of mobile Internet follow-up platform in the intervention of negative emotions in home patients with acute coronary syndrome after treatment.Methods A total of 112 patients with acute coronary syndrome(ACS)after treatment in a grade A hospital of Zhejiang Province from January 1,2020 to December 31,2020 were selected by convenient sampling,and were divided into control group and observation group according to random number table method,with 48 cases in control group and 64 cases in observation group.The control group was followed up by conventional outpatient face-to-face follow-up,telephone interview,mailing questionnaire data,etc.On this basis,the observation group used mobile Internet platform to establish patient information,and implemented regular and irregular consultation,patient health education,problem solving and other interventions.The changes of Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)on discharge day and 3 months after discharge were compared.Results The HAMD and HAMA scores in the observation group were lower than those before intervention(P<0.05),and the HAMD and HAMA scores in the observation group were lower than those in the control group after intervention,with statistical significance(P<0.05).After the intervention,the two scores of the two groups were improved,and the scores of the observation group were lower than those of the control group,with statistical significance(P<0.05).Conclusion The application of mobile Internet platform can relieve the negative emotions and reduce the occurrence of adverse emotions in patients with ACS after PCI.

关 键 词：移动互联网平台 急性冠脉综合征 负性情绪 延续护理 

分 类 号：R541.4[医药卫生—心血管疾病]