Division of Cardiology, The First Affiliated Hospital of Soochow University, Suzhou 215000, Jiangsu, China.
J Healthc Eng. 2021 Nov 29;2021:5034269. doi: 10.1155/2021/5034269. eCollection 2021.
The purpose was to explore the effect of the WeChat platform health management and refined continuous nursing model on life quality of patients with acute myocardial infarction (AMI) after PCI. 100 AMI patients treated in the cardiovascular medicine of the First Affiliated Hospital of Soochow University from June 2018 to June 2019 were selected as the study subjects and randomly divided into research group and reference group, with 50 cases in each group. The reference group received routine nursing after PCI, while the research group received WeChat platform health management and continuous refined nursing. There were no significant differences in sex ratio, age, BMI, complications, education level, and residence between the two groups of patients ( > 0.05). The MPR values of patients in the two groups after intervention were significantly higher than those before intervention ( < 0.05), and the MPR value in the research group after intervention was significantly higher than that in the reference group ( < 0.05). The SF-36 scores of patients in the two groups after intervention were significantly higher than those before intervention ( < 0.001), and the SF-36 score in the research group after intervention was higher than that in the reference group ( < 0.001). The emotional, physical, and economic dimensions of patients in the research group after intervention were significantly lower than those in the reference group ( < 0.001). The HAMA and HAMD scores of patients in the research group after intervention were significantly lower than those in the reference group ( < 0.001). The nursing satisfaction score of patients in the research group was significantly higher than that in the reference group ( < 0.001). The total incidence of complications of patients in the research group after intervention was significantly lower than that in the reference group ( < 0.05). The WeChat platform health management and refined continuous nursing model can effectively improve the medication compliance of patients after PCI, improve the life quality, alleviate depression and anxiety, and reduce postoperative complications, with a definite effect, which is worthy of promotion and application.
探讨微信平台健康管理联合精细化延续护理模式对经皮冠状动脉介入治疗（PCI）后急性心肌梗死（AMI）患者生活质量的影响。
选取 2018 年 6 月至 2019 年 6 月于苏州大学附属第一医院心血管内科治疗的 100 例 AMI 患者为研究对象，随机分为研究组和对照组，各 50 例。对照组患者 PCI 后接受常规护理，研究组患者在对照组基础上接受微信平台健康管理联合精细化延续护理。两组患者的性别比、年龄、BMI、并发症、文化程度、居住情况比较，差异均无统计学意义（>0.05）。干预后两组患者的 MPR 值均明显高于干预前（<0.05），且研究组明显高于对照组（<0.05）。干预后两组患者的 SF-36 评分均明显高于干预前（<0.001），且研究组明显高于对照组（<0.001）。干预后研究组患者的情绪、躯体、经济维度评分均明显低于对照组（<0.001）。干预后研究组患者的 HAMA、HAMD 评分均明显低于对照组（<0.001）。研究组患者的护理满意度评分明显高于对照组（<0.001）。干预后研究组患者的并发症总发生率明显低于对照组（<0.05）。
微信平台健康管理联合精细化延续护理模式可有效提高 PCI 后患者的服药依从性，改善其生活质量，缓解抑郁和焦虑情绪，降低术后并发症发生率，效果确切，值得推广应用。
