基于移动互联网的居家照护平台在急性心肌梗死患者出院后延续护理中的应用

目的探讨互联网居家照护平台在急性心肌梗死(AMI)患者出院后延续护理中的应用效果。方法500例AMI患者随机分为对照组和观察组,每组各250例,对照组患者出院后给予常规院外护理,观察组患者出院后基于移动互联网的居家照护平台给予上门护理、反馈服务等个性化延续护理干预,两组均护理干预半年。比较干预前后两组患者的抑郁自评量表(SDS)、焦虑自评量表(SAS)、生活质量量表(SF-36)的得分水平,观察护理干预对两组患者遵医行为、一年内复发入院率和护理满意度的影响。结果干预后,观察组患者的SDS、SAS得分均显著低于对照组(P<0.05);SF-36量表各维度得分及总分均显著高于对照组(P<0.05);按时服药、合理饮食、适量运动、戒烟、限酒、定期复查的遵医行为率均高于对照组(P<0.05);一年内再入院率低于对照组(P<0.05);对护理技术、护患沟通、服务及健康宣教的满意度均高于对照组(P<0.05)。结论将互联网居家照护平台应用于AMI患者出院后的延续护理中,可改善患者心理状态与生活质量,提高患者依从性,进而减少疾病复发,提高患者满意度。

Objective To explore the application effect of the Internet home care platform in the continuous care of patients with acute myocardial infarction(AMI)after discharge from the hospital.Methods 500 AMI patients were randomly divided into a control group and an observation group,each group with 250 cases.The patients in the control group were given routine out-of-hospital care after they were discharged from the hospital,and the patients in the observation group were given out-of-hospital care and personalized feedback services based on the mobile Internet-based home care platform after discharge.The nursing intervention was continued,and both groups had nursing intervention for half a year.Compare the score levek of the selfrating depression scale(SDS),the self-rating anxiety scale(SAS),and the quality of life scale(SF-36)of the two groups of patients before and after the intervention.The impact of recurrence admission rate and nursing satisfaction during the year.Results After the intervention,the SDS and SAS scores of the observation group were significantly lower than those of the control group(P<0.05),the scores and total scores of all dimensions of the SF-36 scale were significantly higher than those of the control group(P<0.05),the rate of compliance with medications,reasonable diet,moderate exercise,smoking cessation,alcohol restriction,and regular review were all higher than those of the control group(P<0.05),the rate of readmission within one year was lower than that of the control group(P<0.05),satisfaction with service,health promotion and education was higher than that of the control group(P<0.05).Conclusion The application of Internet home care platform in the continuous nursing of AMI patients after discharge can improve their psychological state and quality of life,improve their compliance,reduce disease recurrence and improve patients*satisfaction.