云平台管理模式在老年PCI术后病人心脏康复中的应用

Application of cloud platform management mode in the cardiac rehabilitation in elderly patients after PCI

目的探讨云平台管理模式在老年经皮冠状动脉介入术(PCI)后病人心脏康复中的应用效果。方法选取2020~2021年在南京医科大学第一附属医院老年心血管内科3病区行PCI的冠心病病人60例,按照入院时间的单双号将病人分为对照组和观察组,每组各30例。对照组采用常规治疗和护理干预,观察组在对照组基础上实施云平台管理模式,2组均随访6个月。比较2组病人干预前和干预6个月后的西雅图心绞痛量表(SAQ)、生活质量量表(SF-36)、心脏病病人运动恐惧量表(TSK-SV Heart)评分以及服药依从性(MMAS-8)评分。结果干预6个月后,观察组的SAQ、SF-36、MMAS-8评分均高于对照组,差异有统计学意义(P<0.05);观察组的TSK-SV Heart评分显著低于对照组,差异有统计学意义(P<0.05)。2组SAQ、SF-36以及TSK-SV Heart评分均较干预前改善。结论云平台管理模式可维持病人良好的服药依从性,缓解负性情绪,提高生活质量,一定程度上可改善心功能。

Objective To explore the effect of cloud platform management mode used in cardiac rehabilitation in the elderly patients after percutaneous coronary intervention(PCI).Methods A total of 60 elderly patients with coronary heart disease who underwent PCI in the 3rd ward of the Department of Geriatric Cardiology,the First Affiliated Hospital of Nanjing Medical University from 2020 to 2021 were randomly divided into the control group and the observation group,with 30 patients in each group.The control group received routine treatment and nursing intervention,and the observation group received cloud platform management mode on the basis of the control group.Both groups were followed up for 6 months.The scores of Seattle Angina Pectoris Scale(SAQ),Quality of Life Scale(SF-36),Exercise Fear scale for patients with heart disease(TSK-SV heart),Medication Compliance(MMAS-8)1 and 6 months after intervention were recorded and analyzed.Results After 6 months of intervention,the scores of SAQ,SF-36 and MMAS-8 in the observation group were higher than those in the control group(P<0.05),and the TSK-SV heart score was lower than that in the control group(P<0.05).The scores of SAQ,SF-36 and TSK-SV heart in the both groups were improved than those before intervention.Conclusions Cloud platform management mode could effectively improve the medication compliance,alleviate anxiety,and improve quality of life and the heart function in the elderly patients undergoing PCI.