中期照护服务平台在急性心肌梗死患者经皮冠状动脉介入治疗术后的应用

Application of home-based intermediate care network service platform in patients with acute myocardial infarction after percutaneous coronary intervention

目的:探讨中期照护服务平台在急性心肌梗死(acute myocardial infarction,AMI)患者经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后的应用效果。方法:采用便利抽样法选取中国人民解放军总医院心内科AMI患者94例,随机分为观察组和对照组。观察组实施中期照护,对照组常规门诊随访。4周后,比较两组心血管疾病危险因素控制情况、运动耐量、生活质量、心理状态及自我护理能力。结果:干预4周后,观察组食盐摄入量、吸烟例数显著低于对照组(P<0.05);观察组运动耐量、自我护理能力各维度、生活质量评分显著高于对照组(P<0.05);观察组焦虑、抑郁评分均显著低于对照组(P<0.05)。结论:基于网络平台的中期照护能够有效控制AMI患者术后危险因素、提高其运动耐力、生活质量及自我护理能力,减轻其焦虑、抑郁心理。

Objective:To investigate the application effect of home-based intermediate care network service platform in patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods:Ninety-four patients with AMI in cardiology department of a top three hospital in Beijing were selected by convenient sampling method,and these patients were randomly divided into an observation group and a control group.Patients in the observation group were intervened in home-based intermediate care based on internet service platform,and patients in the control group were followed up routinely.After 4 weeks,the control of cardiovascular risk factors,exercise tolerance,living quality,psychological status and self-care ability were compared between the two groups.Results:After intervention for 4 weeks,salt intake,smoking cases of patients in the observation group were significantly lower than the control group(P<0.05);the scores of exercise tolerance,self-care ability and living quality of patients in the observation group were significantly higher than those in the control group(P<0.05);the anxiety and depression scores in the observation group were significantly lower than those in the control group(P<0.05).Conclusion:Home-based intermediate care network service platform can effectively control postoperative AMI risk factors,improve their exercise tolerance,living quality and self-care ability,and reduce their anxiety and depression.