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基于互联网移动终端监测的社区-家庭管理模式对老年稳定型冠心病患者疗效的初步探索。

Primary Exploration of Efficacy of Community-Family Management Mode under Internet-Based Mobile Terminal Monitoring in Elderly Patients with Stable Coronary Heart Disease.

机构信息

Department of Cardiology, Luzhou People's Hospital, Luzhou City 646000, Sichuan Province, China.

Department of Cardiology, The Affiliated Hospital of Southwest Medical University, Luzhou City 030699, Sichuan Province, China.

出版信息

J Healthc Eng. 2022 Jan 25;2022:7043928. doi: 10.1155/2022/7043928. eCollection 2022.

Abstract

OBJECTIVE

To explore the efficacy of community-family management mode under Internet-based mobile terminal (MT) monitoring in stable coronary heart disease (CHD) in the elderly.

METHODS

A total of 86 patients with stable CHD treated in our hospital from May 2018 to May 2021 were selected as the study objects for the retrospective study and were divided into the control group (routine intervention) and the research group (community-family management mode intervention under Internet MT monitoring) according to the health management modes, with 43 cases each, and the health behaviors and control of CHD were compared between the two groups.

RESULTS

No statistical between-group differences in general information were observed ( > 0.05); 6 months after intervention, the control of laboratory indexes including blood pressure, blood glucose, triglyceride, and total cholesterol in patients was obviously better in the research group than in the control group ( > 0.05); after intervention, the scores on rehabilitation knowledge level and secondary prevention behavior were obviously higher in the research group than in the control group ( > 0.05); 6 months after intervention, the scores on physical limitation, anginal stabilization, anginal frequency, disease perception, and treatment satisfaction were obviously higher in the research group than in the control group ( > 0.05); compared with the control group within 1 year of intervention, the readmission rate of the research group was significantly lower ( > 0.05); and compared with the control group, the total score of CQQC and scores on physical strength, condition, general life, and social mentality were significantly better in the research group ( > 0.05).

CONCLUSION

Community-family management mode under Internet-based MT monitoring is the valid continuation of clinical nursing for elderly patients with stable CHD, which plays an effective role in terms of daily monitoring indexes, stabilizing condition, improving disease cognition, reducing the readmission rate, and improving the prognostic quality of life of patients.

摘要

目的

探讨基于互联网移动终端(MT)监测的社区-家庭管理模式对老年稳定性冠心病(CHD)的疗效。

方法

选取 2018 年 5 月至 2021 年 5 月在我院治疗的 86 例稳定性 CHD 患者为研究对象,回顾性研究,按健康管理模式分为对照组(常规干预)和观察组(基于互联网 MT 监测的社区-家庭管理模式干预),每组 43 例,比较两组患者的健康行为和 CHD 控制情况。

结果

两组一般资料比较差异无统计学意义(>0.05);干预 6 个月后,观察组患者血压、血糖、甘油三酯、总胆固醇等实验室指标控制明显优于对照组(>0.05);干预后观察组康复知识水平和二级预防行为评分明显高于对照组(>0.05);干预 6 个月后观察组患者的身体受限、心绞痛稳定、心绞痛发作频率、疾病感知和治疗满意度评分明显高于对照组(>0.05);干预 1 年内观察组的再入院率明显低于对照组(>0.05);干预后观察组 CQQC 总分及体力、病情、一般生活和社会心理评分均明显优于对照组(>0.05)。

结论

基于互联网 MT 监测的社区-家庭管理模式是老年稳定性 CHD 患者临床护理的有效延续,在日常监测指标、稳定病情、提高疾病认知、降低再入院率、改善患者预后生活质量方面发挥了积极作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46e4/8808194/d3d44608664b/JHE2022-7043928.001.jpg

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