基于微信平台的延续性护理在老年急性心肌梗死患者中的应用效果

Effects of continuous nursing based on WeChat platform on elderly patients with acute myocardial infarction

目的:观察基于微信平台的延续性护理在老年急性心肌梗死(AMI)患者中的应用效果。方法:选取2019年4月至2022年4月该院收治的80例老年AMI患者进行前瞻性研究,按照随机数字表法分为研究组与对照组各40例。对照组采用常规护理,研究组在对照组基础上采用基于微信平台的延续性护理,比较两组再入院率、汉密尔顿焦虑量表(HAMA)评分、简易应对方式问卷(SCSQ)评分、健康调查简表(SF-36)评分、自护质量评分和护理满意度。结果:研究组再入院率为5.00%,明显低于对照组的20.00%,差异有统计学意义(P<0.05);护理后,研究组SCSQ积极应对评分、SF-36各维度评分高于对照组,HAMA评分、SCSQ消极应对评分低于对照组,差异均有统计学意义(P<0.05);研究组出院后自护质量评分高于对照组,差异有统计学意义(P<0.05);研究组护理满意度为95.00%,明显高于对照组的77.50%,差异有统计学意义(P<0.05)。结论:常规护理基础上采用基于微信平台的延续性护理可提高老年AMI患者SF-36评分、自护质量评分和护理满意度,改善SCSQ评分,以及降低再入院率和HAMA评分,效果优于单纯常规护理。

Objective:To observe effects of continuous nursing based on WeChat platform on elderly patients with acute myocardial infarction(AMI).Methods:A prospective study was conducted on 80 elderly patients with AMI admitted to the hospital from April 2019 to April 2022.According to the random number table method,they were divided into study group and control group,40 cases in each group.The control group was given routine nursing,while the study group was given the continuous nursing based on WeChat platform on the basis of the control group.The readmission rate,the Hamilton anxiety scale(HAMA)score,the simplified coping style questionnaire(SCSQ)score,the the MOS 36-item short form health survey(SF-36)score,the self-care quality score,and the nursing satisfaction were compared between the two groups.Results:The readmission rate of the study group was 5.00%,which was significantly lower than 20.00%of the control group,and the difference was statistically significant(P<0.05).After the nursing,the scores of SCSQ positive coping and SF-36 in the study group were higher than those in the control group,the scores of HAMA and SCSQ negative coping were lower than those in the control group,and the differences were statistically significant(P<0.05).The selfcare quality score of the study group after discharge was higher than that of the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the study group was 95.00%,which was significantly higher than 77.50%of the control group,the difference was statistically significant(P<0.05).Conclusions:The continuous nursing based on WeChat platform on the basis of the routine nursing can improve the SF-36 scores,the self-care quality scores and the nursing satisfaction of the elderly patients with AMI,improve the SCSQ scores,and reduce the readmission rate and the HAMA scores.Moreover,it is superior to simple routine nursing.