“互联网+”护理全链条管理对ACS患者介入治疗后的应用效果

Application effect of“Internet+”nursing full chain management on ACS patients after interventional therapy

目的:研究“互联网+”管理模式在急性冠脉综合征(ACS)患者介入治疗后院外管理中的应用效果。方法:于我院行介入治疗的206例ACS患者被随机分为常规指导组(104例,接受常规出院指导)和联合指导组(102例,在常规指导组基础上接受“互联网+”管理),两组均随访1年,比较两组干预前后服药依从性得分、收缩压、舒张压、血脂:LDL-C、HDL-C、TC、TG水平、空腹血糖(FBG)水平及冠脉支架植入数量。结果:与常规指导组比较,联合指导组干预半年后服药依从性评分[(6.70±1.28)分比(8.24±1.47)分]显著升高、干预1年后收缩压[(134.32±9.28)mmHg比(126.44±8.33)mmHg]、舒张压[(80.78±7.95)mmHg比(76.49±8.88)mmHg]、血清LDL-C[(1.97±0.90)mmol/L比(1.53±0.57)mmol/L]、TC[(4.17±0.71)mmol/L比(3.68±0.56)mmol/L]、FBG[(5.83±1.05)mmol/L比(5.24±0.52)mmol/L]、TG水平[1.46(1.08,2.10)mmol/L比1.21(1.00,1.55)mmol/L]、冠脉支架植入数量[(2.93±1.78)个比(2.48±1.33)个]均显著降低(P<0.05或<0.01)。结论:“互联网+”管理模式能够显著提高急性冠脉综合征患者介入治疗后自我管理能力,提高治疗依从性,改善预后。

Objective:To study application effect of“Internet+”management model in out-of-hospital management on patients with acute coronary syndrome(ACS)after interventional therapy.Methods:A total of 206 ACS patients undergoing interventional therapy in our hospital were randomly divided into routine guidance group(n=104,received routine discharge guidance)and combined guidance group(n=102,received“Internet+”management based on routine guidance group),both groups were followed up for one year.Administration compliance scores,systolic blood pressure(SBP),diastolic blood pressure(DBP),levels of blood lipids:LDL-C,HDL-C,TC,TG and fasting blood glucose(FBG)and number of implanted stents were compared between two groups before and after intervention.Results:Compared with routine guidance group,there was significant rise in administration compliance score[(6.70±1.28)scores vs.(8.24±1.47)scores]in six months after intervention,and significant reductions in SBP[(134.32±9.28)mmHg vs.(126.44±8.33)mmHg],DBP[(80.78±7.95)mmHg vs.(76.49±8.88)mmHg],serum levels of LDL-C[(1.97±0.90)mmol/L vs.(1.53±0.57)mmol/L],TC[(4.17±0.71)mmol/L vs.(3.68±0.56)mmol/L],FBG[(5.83±1.05)mmol/L vs.(5.24±0.52)mmol/L]and TG[1.46(1.08,2.10)mmol/L vs.1.21(1.00,1.55)mmol/L]and number of implanted stents[(2.93±1.78)vs.(2.48±1.33)]in one year after intervention in combined guidance group(P<0.05 or<0.01).Conclusion:“Internet+”management model can significantly improve self-management ability,improve therapeutic compliance and prognosis in patients with acute coronary syndrome after interventional treatment.