基于AISAS模式的"互联网+"的疾病管理在中青年急性心肌梗死PCI术后患者中的应用

The application of "internet+" disease management based on the AISAS model on young and middle-aged patients after PCI therapy

目的探讨基于一种用户决策行为分析模型(AISAS)模式的"互联网+"的疾病管理在中青年急性心肌梗死PCI术后患者中的应用效果。方法选择2018年6月至2019年10月中国科学技术大学附属第一医院(安徽省立医院)心血管内科住院的90例中青年急性心肌梗死PCI术后患者为研究对象,按照随机数字表法分为观察组和对照组各45例。对照组患者出院后由责任护士定期进行电话随访,观察组患者则给予以基于AISAS模式的"互联网+"为基础的疾病管理。比较2组患者干预前后服药依从性、疾病知识掌握情况、生命质量、焦虑抑郁水平以及返岗情况、心血管事件发生率。结果干预后1年观察组患者的服药依从性得分、疾病相关知识得分、生命质量得分、焦虑自评量表(SAS)及抑郁自评量表(SDS)评分分别为(7.55±1.21)、(7.29±1.27)、(701.17±74.86)、(32.55±4.31)、(34.74±4.16)分,对照组患者得分分别为(6.48±1.56)、(6.12±1.94)、(670.58±65.29)、(41.72±4.33)、(40.79±4.17)分,2组比较差异均有统计学意义(t值为2.066~11.203,均P<0.05);2组患者返岗情况和心血管事件发生率比较,差异均有统计学意义(χ^(2)值为5.031、11.275,均P<0.05)。结论基于AISAS模式的"互联网+"为基础的疾病管理模式可增加PCI术后患者疾病知识,提高其生命质量,使得患者更早回归社会,促进延续护理服务质量的改善。

Objective To investigate the effect of the application of"internet+"disease management based on the AISAS model on the young and middle-aged patients after PCI therapy.Method A total of 90 young and middle-aged patients hospitalized in cardiological department of the First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital)were enrolled between June 2018 to October 2019,and they were randomly divided into observation group and control group with 45 cases in each group.Patients in the control group received telephone follow-up while"internet+"disease management based on the AISAS model was applied in the observation group.The drug therapy compliance,acquisition of the disease knowledge,quality of life,anxiety and depression levels,return to workand incidence of cardiovascular events.Results One year after the intervention,the drug therapy compliance score,disease-related knowledge score,quality of life score,SAS and SDS scores of the observation group were 7.55±1.21,7.29±1.27,701.17±74.86,32.55±4.31,34.74±4.16,the scores of patients in the control group were 6.48±1.56,6.12±1.94,670.58±65.29,41.72±4.33,40.79±4.17.The difference was statistically significant(t value was 2.066-11.203,P<0.05).The comparison between the return of the patients and the incidence of cardiovascular events in the two groups was statistically significant(χ^(2)value was 5.031,11.275,P<0.05).Conclusion This management model can increase the knowledge of disease PCI postoperative patients,improve their quality of life,make patients return to society earlier,and promote the improvement of the quality of continuous nursing service.