基于手机应用程序的延续性护理对心脏机械瓣膜置换术后患者的干预效果：一项随机对照试验

Intervention Effect of the Mobile Phone APP Based Continuous Care on Patients after Mechanical Heart Valve Replacement: A Randomised Controlled Trials.

作者信息

Ding Nana, Luo Xian, Zhou Jiamei, Jiang Xue, Wang Xiaohua

机构信息

Vascular Surgery Department, The Affiliated Hospital of Guizhou Medical University, 550004 Guiyang, Guizhou, China.

The First Ward of the Neurosurgery Department, Affiliated Hospital of Zunyi Medical University, 563099 Zunyi, Guizhou, China.

出版信息

Rev Cardiovasc Med. 2024 Sep 5;25(9):314. doi: 10.31083/j.rcm2509314. eCollection 2024 Sep.

DOI:10.31083/j.rcm2509314

PMID:39355573

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11440390/

Abstract

BACKGROUND

To determine the effect of continuous care based on mobile application on patients' quality of life and self-care ability after mechanical heart valve replacement.

METHODS

Ninety patients who underwent cardiac mechanical valve replacement in the cardiovascular surgery department of a tertiary general hospital in Guizhou Province from September 2020 to January 2022 were selected for the study. The subjects were randomly divided into a control group and an intervention group using the SPSS25.0 software, with 45 patients in the two groups. The control group received routine nursing care during hospitalization, health education the day before discharge, and regular telephone and outpatient follow-up 6 months after discharge. Based on the control group's care, the intervention group received Mobile APP continuous care for 6 months. The effectiveness of patient's quality of life, medication adherence, international normalized ratio (INR) value compliance rates and self-care ability following mechanical heart valve replacement were evaluated the day before discharge and at the 1, 3 and 6 months after discharge.

RESULTS

Scores of quality of life, warfarin medication adherence, and self-care ability rose considerably in the intervention group compared to the control group, and the differences were statistically significant.

CONCLUSION

The mobile phone application (APP) 's continuity of care could improve patients' quality of life, medication adherence, INR value compliance rates, and self-care ability.

CLINICAL TRIAL REGISTRATION

No: ChiCTR2400081250. Registered 27 February, 2024, https://www.chictr.org.cn.

摘要

背景

探讨基于移动应用程序的延续性护理对心脏机械瓣膜置换术后患者生活质量及自我护理能力的影响。

方法

选取2020年9月至2022年1月在贵州省某三级甲等综合医院心血管外科行心脏机械瓣膜置换术的90例患者为研究对象，采用SPSS25.0软件将其随机分为对照组和干预组，每组45例。对照组患者住院期间接受常规护理，出院前1天进行健康教育，出院后6个月进行定期电话及门诊随访。干预组在对照组护理的基础上，接受为期6个月的移动应用程序（Mobile APP）延续性护理。分别于出院前及出院后1、3、6个月评估患者心脏机械瓣膜置换术后生活质量、服药依从性、国际标准化比值（INR）达标率及自我护理能力。