微信视频随访联合知信行理论在冠心病患者中的应用效果研究  

The Application Effect of WeChat Video Follow-Up with the Knowledge-Action Gap Theory on Patients with Coronary Heart Disease

作　　者：吴文英 杨佳玲[1] 张锦慈[1] WU Wenying;YANG Jialing;ZHANG Jinci(Department of Cardiology,Provincial Hospital in Fujian Province,Fuzhou 350001,China)

机构地区：[1]福建省级机关医院心内科,福建福州350001

出　　处：《中华灾害救援医学》2024年第6期649-652,共4页Chinese Journal of Disaster Medicine

基　　金：福建省卫健委科技计划项目(2023TG023)。

摘　　要：目的探讨微信视频随访联合知信行理论在冠心病患者中的应用价值。方法选取2021年7月至2022年5月福建省级机关医院收治的80例冠心病出院患者作为研究对象,采用随机数字表法分为研究组与对照组,每组各40例;对照组患者接受常规随访,研究组患者接受基于知信行理论的微信视频随访,随访时间均为3个月。比较两组患者用药依从性、冠心病健康管理水平和心脏不良事件发生率(健康结局)。结果末次随访时研究组的用药依从等级和自我管理行为量表得分高于对照组(P<0.05);心脏不良事件发生率(2.50%vs 22.50%)低于对照组(P<0.05)。结论微信视频随访联合知信行理论能够提高冠心病患者健康管理能力及用药依从性,降低心脏不良事件发生率。Objective To explore the application value of WeChat video follow-up combined with the KAP Theory in patients with coronary heart disease.Methods 80 discharged patients with coronary heart disease admitted to provincial government hospitals in Fujian Province from July 2021 to May 2022 were selected as the research subjects.They were divided into the research group and the control group,with 40 cases in each group,using a random number table.The control group received routine follow-up,while the patients in the research group received WeChat video follow-up based on the KAP Theory,both for a period of 3 months.The medication compliance,coronary heart disease health management level,and incidence of cardiac adverse events(health outcomes)were compared between the two groups.Results At the final follow-up,the medication compliance level and self-management behavior scale score of the research group were higher than those of the control group(P<0.05);the incidence of cardiac adverse events of the research group was lower than that of the control group(P<0.05)(2.50%vs 22.50%).Conclusion WeChat video follow-up combined with the KAP can improve the health management ability and medication compliance of patients with coronary heart disease,and reduce the incidence of cardiac adverse events.

关 键 词：冠心病 随访研究 出院后医疗 心脏 

分 类 号：R541[医药卫生—心血管疾病]