冠心病管理APP对老年冠心病病人PCI术后自我管理与生活质量的效果

Application of coronary heart disease management APP in self-management of the elderly patients receiving percutaneous coronary intervention

目的研究冠心病管理APP在老年冠心病经皮冠状动脉介入术(PCI)后病人中的应用效果。方法选择我院2017年12月至2019年9月收治的100例老年冠心病PCI术后病人作为研究对象,依照随机双盲法分成2组,每组各50例。试验组给予冠心病管理APP指导,对照组给予常规指导,并于出院前1 d、干预后6个月通过手机微信发布问卷星问卷进行调查,比较2组疾病自我管理的效果。结果干预前2组自我管理行为评分、Morisky问卷8条目版本(MMAS 8-item version,MMAS-8)评分、简明36项健康问卷(the MOS 36-item short form health survey,SF-36)评分、情绪状态评分比较,差异均无统计学意义(P>0.05),干预后试验组各项评分均高于对照组(P<0.05)。2组心血管不良事件发生率差异无统计学意义(P>0.05)。结论冠心病管理APP在老年冠心病PCI术后病人中应用效果明显,能提升病人自我管理能力,同时增强病人依从性,改善生存质量与心理状态。

Objective To study the effect of coronary heart disease management application(APP)on self-management ability of the elderly patients receiving percutaneous coronary intervention(PCI).Methods A total of 100 elderly patients undergoing PCI from December 2017 to September 2019 in our hospital were enrolled.According to random double-blind method,the patients were divided into test group(APP-based clinical guidance)and control group(routine guidance),with 50 cases in each group.After six months’intervention,self-management in both groups were assessed by Wenjuanxing via wechat.Results Before intervention,the scores of self-management behaviors,Morisky medication adherence scale(MMAS-8)and the MOS 36-item short form health survey(SF-36)between the two groups were not significantly different(P>0.05);After intervention,related scores in the test group were higher than those in the control group(P<0.05).There was no significant difference in the incidence rate of major adverse cardiovascular events between the two groups(P>0.05).Conclusions APP-based clinical guidance can improve the self-management ability,medication compliance,quality of life of the patients receiving PCI.