“互联网+”延续性护理对经皮冠状动脉介入治疗患者术后服药依从性及生活质量的影响

Effect of “Internet+” Continuous Nursing on Postoperative Medication Compliance and Quality of Life in Patients Undergoing Coronary Stent Surgery

目的:探讨“互联网+”延续性护理对经皮冠状动脉介入治疗(PCI)患者术后服药依从性及生活质量的影响。方法:选取2018年3月—2020年12月郑州大学第一附属医院92例行PCI患者作为研究对象,按随机数表法分为对照组和观察组,每组各46例。对照组实施常规护理,观察组实施“互联网+”的延续性护理。比较两组患者出院时和出院后6个月服药依从性[Morisky服药依从性问卷(MMAS-8)]评分、生活质量[健康调查简表(SF-36)]评分及心血管事件发生率。结果:出院时,两组患者MMAS-8评分比较,差异无统计学意义(t=0.362,P>0.05);出院后6个月,观察组MMAS-8评分高于对照组,差异有统计学意义(t=7.621,P<0.05)。出院时,两组患者SF-36评分比较,差异无统计学意义(t=1.171、0.310、0.171,P>0.05);出院后6个月,观察组总体健康、心理健康、躯体功能3个维度评分高于对照组,差异有统计学意义(t=7.703、8.119、8.463,P<0.05)。出院后6个月内,观察组心血管事件发生率为4.35%,明显低于对照组的19.57%,差异有统计学意义(χ^(2)=5.060,P<0.05)。结论:“互联网+”延续性护理可有效改善PCI患者术后服药依从性,提高生活质量,降低心血管事件的发生率。

Objective:To explore the effect of “Internet+” continuous nursing on postoperative medication compliance and quality of life in patients undergoing coronary stent surgery.Methods:A total of 92 patients undergoing coronary stent surgery in the hospital from March 2018 to December 2020 were selected as the research subjects, and divided into the control group and the observation group according to the random number table method, with 46 cases in each group. The control group was given routine nursing and the observation group was given“Internet + ” continuous nursing. The scores of medication compliance(Morisky Medication Compliance Questionnaire [MMAS-8]), quality of life(Short Form of Health Survey [SF-36]) and the incidence of cardiovascular events were compared between the two groups at the time of discharge and 6 months after discharge.Results:At discharge, there was no statistically significant difference in MMAS-8 scores between the two groups(t=0.362, P>0.05). 6 months after discharge, the MMAS-8 score of the observation group was higher than that of the control group, and the difference was statistically significant(t=7.621, P<0.05). At discharge, there was no statistically significant difference in SF-36 scores between the two groups(t=1.171, 0.310, 0.171, P>0.05). 6 months after discharge, the overall health, mental health, and physical function scores of the observation group were higher than those of the control group, and the difference was statistically significant(t=7.703,8.119, 8.463, P<0.05). Within 6 months after discharge, the incidence of cardiovascular events in the observation group was4.35%, which was significantly lower than 19.57% in the control group, and the difference was statistically significant(χ^(2)=5.060,P<0.05).Conclusion:The continuous nursing of “Internet +” can effectively improve the postoperative medication compliance of patients undergoing coronary stent surgery, improve the quality of life, and reduce the incidence of cardiovascular events.