Boszko Maria, Krzowski Bartosz, Peller Michał, Hoffman Paulina, Żurawska Natalia, Skoczylas Kamila, Osak Gabriela, Kołtowski Łukasz, Grabowski Marcin, Opolski Grzegorz, Balsam Paweł
1st Chair and Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland.
Life (Basel). 2023 Oct 5;13(10):2015. doi: 10.3390/life13102015.
mHealth solutions optimize cardiovascular risk factor control in coronary artery disease. The aim of this study was to investigate the influence of mobile app AfterAMI on quality of life in patients after myocardial infarction. 100 participants were randomized (1:1 ratio) into groups: (1) with a rehabilitation program and access to afterAMI or (2) standard rehabilitation alone (control group, CG). 3 questionnaires (MacNew, DASS21 and EQ-5D-5L) were used at baseline, 1 month and 6 months after discharge. Median age was 61 years; 35% of patients were female. At 1 month follow up patients using AfterAMI had higher general quality of life scores both in MacNew [5.78 vs. 5.5 in CG, = 0.037] and EQ-5D-5L [80 vs. 70 in CG, = 0.007]. At 6 months, according to MacNew, the app group had significantly higher scores in emotional [6.09 vs. 5.45 in CG, = 0.017] and physical [6.2 vs. 6 in CG, = 0.027] aspects. The general MacNew quality of life score was also higher in the AfterAMI group [6.11 vs. 5.7 in CG, = 0.015], but differences in EQ-5D-5L were not significant. There were no differences between groups in the DASS21 questionnaire. mHealth interventions may improve quality of care in secondary prevention, however further studies are warranted.
移动健康解决方案可优化冠状动脉疾病中心血管危险因素的控制。本研究的目的是调查移动应用程序AfterAMI对心肌梗死后患者生活质量的影响。100名参与者按1:1比例随机分为两组：（1）接受康复计划并可使用AfterAMI的组，或（2）仅接受标准康复的组（对照组，CG）。在出院后基线、1个月和6个月时使用了3份问卷（MacNew、DASS21和EQ-5D-5L）。中位年龄为61岁；35%的患者为女性。在1个月的随访中，使用AfterAMI的患者在MacNew量表中的总体生活质量得分更高[5.78 vs. 对照组的5.5，P = 0.037]，在EQ-5D-5L量表中也是如此[80 vs. 对照组的70，P = 0.007]。在6个月时，根据MacNew量表，应用程序组在情感方面[6.09 vs. 对照组的5.45，P = 0.017]和身体方面[6.2 vs. 对照组的6，P = 0.027]的得分显著更高。AfterAMI组的MacNew总体生活质量得分也更高[6.11 vs. 对照组的5.7，P = 0.015]，但EQ-5D-5L量表中的差异不显著。两组在DASS21问卷中的得分没有差异。移动健康干预可能会改善二级预防中的医疗质量，然而仍需进一步研究。
