二级预防对经皮冠状动脉内支架植入术后患者的效果研究

Effects of WeChat follow-up services in patients underwent coronary artery stent implantation on secondary prevention

目的 探讨通过微信随访对经皮冠状动脉内支架植入术患者二级预防的效果。方法 选择2013年1-8月住院经皮冠状动脉内支架植入术患者180例进行出院后随访,根据有无条件接收微信,分为实验组和对照组。干预组采用微信随访;对照组采用普通健康教育随访。评价出院前及随访1年后患者对冠心病二级预防知识的知晓情况、执行情况及效果分析。结果 随访1年后,干预组对冠心病危险因素的知晓率及冠心病二级预防措施的执行率,除戒烟外都较干预前及同期对照组明显提高,差异有统计学意义（P〈0.05）;干预组冠状动脉再狭窄及再发心绞痛比率较对照组降低,差异有统计学意义（P〈0.05）。结论 应用微信随访可以有效地提高患者对冠心病危险因素的认识,提高患者对冠心病二级预防措施的执行情况,减少冠心病不良事件的发生。

Objective To explore the effects of WeChat follow-up services on secondary prevention in patients underwent coronary artery stent implantation（CASI）. Methods Follow-up services were applied to 180 inpatients underwent CASI after discharge from January to August,2013. According to access to WeChat messages,the intervention group received WeChat follow-up services,and the control group received general health education follow-up services. Patients＇ knowledge,implementation and effectiveness of secondary prevention of coronary, heart disease were evaluated at discharge and 1 year after follow-up. Results Knowledge of risk factors and implementation rate of secondary prevention of coronary heart disease in the intervention group significantly improved after intervention （except smoking cessation）,and were significantly higher than those of control group（P〈0.05）; restenosis and recurrent angina rates were lower in the intervention group ,and the results were statistically significant （P〈0.05）. Conclusion The application of WeChat follow-up services can effectively improve patients＇ understanding of risk factors of coronary heart disease,improve the implementation of secondary prevention of coronary heart disease ,and reduce the occurrence of adverse events of coronary heart disease.