生命网健康管理对冠脉事件二级预防的影响

Effects of Heart care Network Health Management on Compliance with Secondary Prevention of Patients with Coronary Artery Events

目的 探析生命网健康管理对冠脉血栓事件患者二级预防遵守依从性及生活观念的影响。方法 选取我院2013年1月~2015年6月收治的104例急性冠脉血栓事件住院患者作为研究对象。2组入院后均予以常规药物治疗并进行健康教育,观察组在此基础上予以生命网健康管理。比较2组入组前、出院6个月后的血脂指标（TG、TC、LDL-C、HDL-C）、FBS、BMI、自我效能评分,比较2组随访半年期间冠脉血栓事件再发率及死亡率与用药依从性。结果 2组入组前各项血脂指标、FBS、BMI及自我效能评分的差异均无统计学意义（P〉0.05）;出院6个月后2组TG、TC、LDLC、FBS、BMI均降低,HDL-C、自我效能评分升高,组内前后差异有统计学意义（P〈0.05）;同时观察组出院6个月后的TG、TC、LDL-C、FBS、BMI低于对照组、HDL-C、自我效能评分高于对照组（P〈0.05）。观察组用药依从率为85.19%,高于对照组;冠脉血栓事件再发率为3.70%,低于对照组（P〈0.05）;2组死亡率的差异无统计学意义（P〉0.05）。结论“生命网”健康管理可提高冠脉血栓事件患者二级预防遵守依从性,利于血脂、血糖及体重控制,预防冠脉血栓事件再发。

Objective To explore effects of Heart care network health management on compliance with secondary prevention of patients with coronary artery thrombosis events and life idea. Methods 104 cases of inpatients with acute coronary artery thrombosis events of our hospital from January 2013 to June 2015 were selected as the research objects. The 2 groups were given routine medication and health education after admission,the observation group was given heart care network health management on this basis. Blood lipid indexes（ TG,TC,LDL-C,HDL-C）,FBS,BMI,self efficacy scores were compared between the 2 groups before and 6 months after discharge. The recurrence rate of coronary artery thrombosis events,mortality and medication compliance were compared between the 2 groups. Results There was no significant difference in blood lipid indexes,FBS,BMI and self efficacy scores between the 2 groups at the beginning（ P〉0. 05）; 6months after discharge,TG,TC,LDL-C,FBS,BMI were significantly lower than before,HDL-C,self-efficacy scores significantly higher than before in the 2 groups（ P〈0. 05）. 6 months after discharge,TG,TC,LDL-C,FBS,BMI in the observation group was significantly lower than the control group,while HDL-C,self efficacy scores in the observation group was significantly higher than the control group（ P〈0. 05）. The medication compliance rate of the observation group was 85. 19%,which was significantly higher than that of the control group; the recurrence rate of coronary artery thrombosis events was 3. 70%（ P〈0. 05）; there was no significant difference in mortality（ P〉0. 05）. Conclusion Heart care network health management can improve compliance with secondary prevention of patients with coronary artery thrombosis events,favour blood lipid,blood glucose and weight control,prevent recurrence rate of coronary artery thrombosis events.