微信平台健康教育对心房颤动患者治疗依从性、自我效能及生活质量的干预效果

EFFECTS OF HEALTH EDUCATION IN WECHAT PLATFORM ON TREATMENT COMPLIANCE, SELF-EFFICACY AND QUALITY OF LIFE IN PATIENTS WITH ATRIAL FIBRILLATION

目的:探讨微信平台健康教育对心房颤动患者治疗依从性、自我效能及生活质量的干预效果。方法:选择2018年7月至2019年7月于佛山市禅城中心医院接受治疗的心房颤动患者200例,性别不限,年龄45~80岁。按照出院时间的先后顺序将患者依次列入对照组与观察组,每组100例。对照组给予常规出院指导,观察组在常规出院指导的基础上实施微信平台健康教育。采用Morisky治疗依从性问卷(MMAS-8)、一般自我效能感量表(GSES)和生活质量核心问卷(EORTCQLQ-C30)对比分析两组患者出院后6个月的干预效果,并观察心房颤动的复发率、出血情况及栓塞等不良事件。结果:观察组MMAS-8评分、GSES评分以及QLQ-C30评分均高于对照组(5.4±1.8比4.2±1.5,30.4±5.9比20.4±4.6,80.7±8.8比62.7±7.1,P均<0.05)。观察组心房颤动复发率为7.0%,低于对照组的16.0%;观察组出血率为4.0%,低于对照组的13.0%;观察组栓塞发生率为6.0%,低于对照组的15.0%(P均<0.05)。结论:通过微信平台对心房颤动患者进行健康教育,有助于患者学会自我管理,提高患者的治疗依从性,增强自我效能,提高生活质量,降低出血、栓塞等并发症。

Objective: To explore the effects of health education in WeChat platform on treatment compliance,self-efficacy and quality of life in patients with atrial fibrillation.Methods: A total of 200 patients with atrial fibrillation who were treated in the Foshan Chancheng Central Hospital from July 2018 to July 2019,both sexes,45-80 years old,were divided into control group and observation group according to the order of discharge time,100 cases in each group.The patients was given conventional discharge guidance in control group,health education in Wechat platform on the basis of conventional discharge guidance in observation group.The intervention effects were compared and analyzed in the two groups at 6 months after discharge by MMAS-8,GSES and EORTC QLQ-C30,and the recurrence rate of atrial fibrillation,hemorrhage and embolism were observed and recorded. Results: The MMAS-8 score,GSES score and QLQ-C30 score were higher in observation group than those in control group (5.4±1.8 vs.4.2±1.5,30.4±5.9 vs.20.4±4.6,80.7±8.8 vs.62.7±7.1,P <0.05).The recurrence rate,hemorrhage rate and embolism rate of atrial fibrillation in observation group were lower than those in control group (7.0% vs.16.0%,4.0% vs.13.0%,6.0% vs.15.0%,P <0.05).Conclusion: Health education for patients with atrial fibrillation through Wechat platform can help patients learn self-management,improve treatment compliance, enhance self-efficacy,improve quality of life,and reduce complications such as bleeding and embolism.