基于移动平台的延续性护理对冠心病患者治疗依从性及生活质量的影响

Effects of transitional nursing based on mobile platform on treatment compliance and quality of life of patients with coronary heart disease

目的探讨基于移动平台的延续性护理对冠心病患者治疗依从性及生活质量的影响。方法采用便利抽样法,选择2019年3月—2020年3月于焦作市人民医院心血管内科住院治疗的120例冠心病患者为研究对象,根据随机数字表法分为干预组与对照组,每组均为60例。对照组患者给予常规护理,干预组则在对照组的基础上应用基于移动平台的延续性护理。比较两组患者的生活质量、治疗依从性以及主要心脏不良事件发生率。结果干预后干预组患者的健康调查简表各项评分均高于对照组,差异有统计学意义(P<0.01)。干预后干预组患者治疗依从性各方面评分均高于对照组,差异有统计学意义(P<0.01)。干预组患者的主要心脏不良事件发生率为1.67%(1/60),低于对照组的11.67%(7/60),差异有统计学意义(χ2=4.821,P=0.028)。结论基于移动平台的延续性护理可以有效改善冠心病患者的生活质量,提升其治疗依从性,降低主要心脏不良事件发生率,值得临床应用。

Objective To explore effects of transitional nursing based on mobile platform on treatment compliance and quality of life of patients with coronary heart disease.Methods Using the convenient sampling method, 120 patients with coronary heart disease who were hospitalized in Department of Cardiovascular Medicine in Jiaozuo People's Hospital from March 2019 to March 2020 were selected as research objects.According to the random number table method, they were divided into the intervention group and the control group, with 60 cases in each group. Patients in the control group were given routine nursing, while patients in the intervention group were given transitional nursing based on mobile platform on the basis of the control group. The quality of life, treatment compliance and incidence of major cardiac adverse events were compared between the two groups.Results After intervention, all scores of MOS Item Short From Health Survey (SF-36) of the intervention group were significantly higher than those of the control group, and the differences were statistically significant (P<0.01) . After the intervention, the treatment compliance scores of the intervention group were higher than those of the control group, and the differences were statistically significant (P<0.01) . The incidence of major adverse cardiac events in the intervention group was 1.67% (1/60) , which was lower than the 11.67% (7/60) in the control group, and the differences were statistically significant (χ2=4.821, P=0.028) .Conclusions Transitional nursing based on mobile platform can effectively improve quality of life of patients with coronary heart disease, improve their treatment compliance and reduce the incidence of major cardiac adverse events, which is worthy of clinical application.