Zhou Sheng-Huo, Huang Shu-Ting, Xu Ning, Chen Liang-Wang, Chen Qiang
Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian, China (mainland).
Med Sci Monit. 2020 Dec 29;26:e925444. doi: 10.12659/MSM.925444.
BACKGROUND Percutaneous coronary intervention (PCI) is an effective treatment for coronary heart disease. However, a lack of cardiac rehabilitation and continuous nursing management leads to repeated patient hospitalizations. Long-term systematic rehabilitation and nursing management after discharge are key to ensuring quality of treatment and patient quality of life. This study aimed to explore the application of the WeChat platform in continuous nursing after PCI. MATERIAL AND METHODS This was a retrospective case-control study. The clinical data of 63 patients in our cardiac center who underwent PCI between June 2017 and January 2018 were recorded. Patients were divided into 2 groups: the continuous nursing through the WeChat platform (intervention) group and the conventional nursing (control) group. The Self-Rating Depression Scale (SDS), Self-Rating Anxiety Scale (SAS), and Seattle Angina Questionnaire (SAQ) were used as the evaluation tools. RESULTS The SAQ scores in all 5 SAQ dimensions in the continuous nursing group were significantly higher than those of the control group at the 1-year follow-up. Scores on the SAS and SDS scales at 1-year follow-up were significantly better in the intervention group than in the control group. The SAS and SDS scores in both groups were better at the 1-year follow-up, but the difference was statistically significant in the continuous nursing group and not in the control group. CONCLUSIONS Using the WeChat platform can make continuous nursing more convenient and effective for patients after PCI. It may reduce the occurrence of complications, relieve patient depression and anxiety, and improve patient quality of life.
背景 经皮冠状动脉介入治疗（PCI）是冠心病的一种有效治疗方法。然而，缺乏心脏康复和持续护理管理会导致患者反复住院。出院后的长期系统康复和护理管理是确保治疗质量和患者生活质量的关键。本研究旨在探讨微信平台在PCI术后持续护理中的应用。
材料与方法 这是一项回顾性病例对照研究。记录了2017年6月至2018年1月在我院心脏中心接受PCI治疗的63例患者的临床资料。将患者分为2组：通过微信平台进行持续护理（干预）组和常规护理（对照）组。采用自评抑郁量表（SDS）、自评焦虑量表（SAS）和西雅图心绞痛问卷（SAQ）作为评估工具。
结果 在1年随访时，持续护理组SAQ所有5个维度的得分均显著高于对照组。干预组1年随访时SAS和SDS量表得分显著优于对照组。两组在1年随访时SAS和SDS得分均有所改善，但持续护理组差异有统计学意义，对照组差异无统计学意义。
结论 使用微信平台可使PCI术后患者的持续护理更便捷、有效。它可能减少并发症的发生，缓解患者的抑郁和焦虑，提高患者生活质量。
