移动健康干预在慢性心力衰竭患者居家容量管理中的应用

Application of mHealth intervention in volume management of home-dwelling patients with chronic heart failure

目的探讨基于心力衰竭自我护理理论的移动健康干预在慢性心力衰竭患者居家容量管理中的应用效果。方法将264例经治疗出院的慢性心力衰竭稳定期患者随机分为对照组与试验组各132例,对照组实施常规随访管理,试验组在对照组基础上实施基于心力衰竭自我护理理论的移动健康干预。结果对照组120例、试验组123例完成研究,干预6个月后,试验组干体质量达标率优于对照组(P<0.05),两组患者自我管理能力时间效应、组间效应及交互效应差异有统计学意义(均P<0.05),试验组再入院率低于对照组(P<0.05)。结论基于心力衰竭自我护理理论的移动健康干预有利于提高慢性心力衰竭患者干体质量达标率和自我管理能力,降低再入院率。

Objective To explore the application effect of mHealth intervention based on the Situation-Specific Theory of Heart Failure Self-Care in volume management of home-dwelling patients with chronic heart failure.Methods A total of 264 discharged patients with stable chronic heart failure were randomized into a control group and an experimental group,with 132 patients in each group.The control group received routine follow-up management,while the experimental group additionally received mHealth intervention based on the Situation-Specific Theory of Heart Failure Self-Care.The intervention effect was compared between the two groups.Results A total of 120 patients in the control group and 123 patients in the experimental group completed the study.Six months after the intervention,the qualified rate of dry body mass in the experimental group was higher than that in the control group(P<0.05);the time effect,intervention effect,and time×intervention interaction effect in self-management ability between the two groups were significant(all P<0.05);and the readmission rate of the experimental group was lower than that of the control group(P<0.05).Conclusion Application of mHealth intervention based on the Situation-Specific Theory of Heart Failure Self-Care in volume management can improve the qualified rate of dry body mass and self-care ability,and reduce the readmission rate of patients with chronic heart failure.