基于微信平台的健康教育可改善稳定性冠心病患者的健康结局。

The WeChat platform-based health education improves health outcomes among patients with stable coronary artery disease.

机构信息

Department of Cardiology, Bin Hai Wan Central Hospital of Dongguan, The Dongguan Affiliated Hospital of Jinan University (also called The Fifth People's Hospital of Dongguan, Taiping People's Hospital of Dongguan), Dongguan, Guangdong, China.

Department of Clinical Pharmacy, Bin Hai Wan Central Hospital of Dongguan, The Dongguan Affiliated Hospital of Jinan University (also called The Fifth People's Hospital of Dongguan, Taiping People's Hospital of Dongguan), Dongguan, Guangdong, China.

出版信息

Patient Educ Couns. 2023 Jun;111:107704. doi: 10.1016/j.pec.2023.107704. Epub 2023 Mar 7.

DOI:10.1016/j.pec.2023.107704

PMID:36906932

Abstract

OBJECTIVE

The aim of this study was to evaluate the effect of the WeChat platform-based health education on patients with stable coronary artery disease (CAD) compared with usual care.

METHODS

We conducted a randomized controlled trial that included patients with stable CAD who were admitted to the Bin Hai Wan Central Hospital of Dongguan between January 2020 and December 2020. Participants in the control group received a standard regimen of care. In the WeChat group, the patients were provided with the WeChat platform-based health education by multidisciplinary team members in addition to usual care. The coprimary outcome of the study was the blood pressure, lipid profile, fasting blood glucose, Hamilton Anxiety Scale (HAMA) scores, Hamilton Depression Scale (HAMD) scores and Seattle Angina Questionnaire (SAQ) scores at 12 months, relative to baseline levels.

RESULTS

Between January 2020 and December 2020, 200 eligible CAD patients were randomly assigned to WeChat group (n = 100) or usual care group (n = 100). After 12 months, the number of participants who knew the risk factors, symptoms, diagnostic criteria, management methods and treating target of CAD was significantly larger in the WeChat group than at baseline (P < 0.05) and also larger than the post-intervention level of the control group (P < 0.05). The systolic blood pressure after intervention of the WeChat group significantly decreased compared to those of the control group (132.06 ± 8.87 mmHg vs 140.32 ± 9.42 mmHg; P < 0.05). After intervention, the triglycerides, total cholesterol, and low-density lipoprotein cholesterol of the WeChat group significantly decreased compared to those at baseline and significantly decreased than those in the control group (all P < 0.05). After the intervention, scores of HAMA and HAMD both significantly decreased in the two groups. Moreover, the decreases were more significant in the WeChat group than in the control group (5.78 ± 0.98 vs 8.54 ± 1.24; 6.27 ± 1.03 vs 8.63 ± 1.66; P < 0.05). The SAQ scores of WeChat group were significantly higher than those of the control group in all 5 dimensions at the 1-year follow-up (72.71 ± 10.83 vs 59.32 ± 9.86; 80.01 ± 11.56 vs 61.98 ± 11.02; 76.76 ± 12.64 vs 65.22 ± 10.72; 83.17 ± 13.06 vs 67.01 ± 12.86; 71.82 ± 12.78 vs 55.79 ± 11.90; all P < 0.05).

CONCLUSION

This study showed the high efficacy of the WeChat platform-based health education in improving health outcomes in patients with CAD.

PRACTICE IMPLICATIONS

This study highlighted the potential of social media as a helpful tool for health education among patients with CAD.

摘要

目的

本研究旨在评估与常规护理相比，基于微信平台的健康教育对稳定性冠心病（CAD）患者的影响。

方法

我们进行了一项随机对照试验，纳入了 2020 年 1 月至 2020 年 12 月期间在东莞滨海湾中心医院就诊的稳定性 CAD 患者。对照组患者接受标准护理方案，微信组患者在常规护理的基础上，由多学科团队成员提供基于微信平台的健康教育。研究的主要结局是与基线相比，12 个月时的血压、血脂谱、空腹血糖、汉密尔顿焦虑量表（HAMA）评分、汉密尔顿抑郁量表（HAMD）评分和西雅图心绞痛问卷（SAQ）评分。

结果

2020 年 1 月至 12 月期间，200 名符合条件的 CAD 患者被随机分配至微信组（n=100）或常规护理组（n=100）。12 个月后，微信组中知道 CAD 的危险因素、症状、诊断标准、管理方法和治疗目标的参与者人数明显多于基线时（P<0.05），也多于对照组的干预后水平（P<0.05）。与对照组相比，微信组的收缩压在干预后明显下降（132.06±8.87mmHg 与 140.32±9.42mmHg；P<0.05）。干预后，微信组的甘油三酯、总胆固醇和低密度脂蛋白胆固醇水平均较基线显著降低，且显著低于对照组（均 P<0.05）。干预后，两组的 HAMA 和 HAMD 评分均显著下降，且微信组的下降幅度明显大于对照组（5.78±0.98 与 8.54±1.24；6.27±1.03 与 8.63±1.66；P<0.05）。在 1 年随访时，微信组在所有 5 个维度的 SAQ 评分均明显高于对照组（72.71±10.83 与 59.32±9.86；80.01±11.56 与 61.98±11.02；76.76±12.64 与 65.22±10.72；83.17±13.06 与 67.01±12.86；71.82±12.78 与 55.79±11.90；均 P<0.05）。