基于微信平台的“双心护理”在冠状动脉三支病变患者中的应用

Application of"Bicardiac Nursing"Based on Wechat Platform in Patients with Triple Vessel Lesion of Coronary Artery

目的探讨基于微信平台的“双心护理”在冠状动脉三支病变患者中的应用效果。方法选取2018年4月至2019年3月医院收治的150例冠状动脉三支病变患者,按随机数字表法分为对照组和观察组,各75例。对照组采取常规健康教育,观察组采取基于微信平台的“双心护理”,比较两组护理前和护理8周后的临床相关指标(血糖、血压、血脂)、躯体化症状量表(焦虑、抑郁、焦虑和抑郁及躯体症状)评分、生命质量[西雅图心绞痛调查量表(SAQ)]评分及服药依从性。结果护理前,两组临床相关指标水平、躯体化症状量表各项评分、生命质量评分比较,差异均无统计学意义(P>0.05);护理后,两组血糖、血压和血脂水平均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组焦虑、抑郁、焦虑和抑郁及躯体症状评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组SAQ评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组服药依从性评分高于对照组,差异有统计学意义(P<0.05)。结论基于微信平台的“双心护理”在冠状动脉三支病变患者中的应用效果显著,能有效改善患者的临床相关指标水平、躯体化障碍及生命质量,提高服药依从性。

Objective The application effects of"bicardiac nursing"based on wechat platform in patients with triple vessel lesion of coronary artery were explored.Methods A total of 150 patients with triple vessel lesion of coronary artery admitted to the hospital from April 2018 to March 2019 were selected and divided into a control group and an observation group according to random number table method,with 75 cases in each.The control group was given routine health education,while the observation group was given"bicardiac nursing"based on wechat platform.The clinical related indicators(blood sugar,blood pressure and blood lipid),the scores of somatization disorder scale(anxiety,depression,anxiety&depression and somatization symptoms)and quality of life(Seattle angina questionnaire,SAQ)between the two groups were compared before and after the nursing for 8 weeks,and the compliance of the two groups were compared,too.Results Before nursing,when the levels of clinical related indicators,the scores of somatization disorder scale and SAQ were compared between the two groups,the differences were not statistically significant(P>0.05).The levels of blood sugar,blood pressure and blood lipid in the two groups after nursing were all lower than those before nursing,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05);The scores of anxiety,depression,anxiety&depression and somatization symptoms in the two groups after nursing were all lower than those before nursing,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05);The SAQ scores in the two groups after nursing were higher than before nursing,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05);The compliance scores of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application effects of"bicardiac nursing"based on wechat platform were obvious,with the levels of clinical related indicators,somatization disorder,quality of life and compliance improved.