Department of Cardiology, The Hospital of 82nd Group Army PLA, Baoding, Hebei Province, China.
Department of Cardiology, Nanjing BenQ Medical Center, The Affiliated BenQ Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China.
Medicine (Baltimore). 2024 Nov 29;103(48):e40807. doi: 10.1097/MD.0000000000040807.
Percutaneous coronary intervention (PCI) is an effective method for the treatment of coronary heart disease. Cardiac rehabilitation and continuous nursing management after discharge are the key to ensure the quality of treatment and the quality of life of patients. This study aimed to explore the significance of WeChat platform in continuous care after PCI. We collected the clinical data of 90 PCI patients in 2 centers from January 2020 to July 2023, and divided the patients into 2 groups: the continuous nursing care group based on the WeChat platform and the control group. Continuous nursing care was implemented immediately after discharge. After 1-year follow-up, we compared the outcomes of the 2 groups, including postoperative complications, lifestyle changes and psychological status. There were no heart-related postoperative complications in either group. The incidence of vagal reflex was significantly decreased in the continuous nursing group (P = .042). The improvement of life style, such as smoking cessation (P = .001) and alcohol withdrawal (P = .003), was significantly better than that of the control group. The continuous nursing group was better than the control group in improving psychological status based on the Hamilton's depression scale. Continuous nursing care based on WeChat platform could reduce the incidence of complications of patients after PCI, alleviate patients' depression, and improve patients' quality of life.
经皮冠状动脉介入治疗（PCI）是治疗冠心病的有效方法。心脏康复和出院后的连续护理管理是保证治疗质量和患者生活质量的关键。本研究旨在探讨微信平台在 PCI 后连续护理中的意义。我们收集了 2020 年 1 月至 2023 年 7 月 2 家中心的 90 例 PCI 患者的临床资料，将患者分为基于微信平台的连续护理组和对照组。出院后立即实施连续护理。随访 1 年后，比较两组患者的术后并发症、生活方式改变和心理状态等结局。两组均无心脏相关术后并发症。连续护理组迷走反射的发生率明显降低（P=0.042）。戒烟（P=0.001）和戒酒（P=0.003）等生活方式的改善明显优于对照组。基于汉密尔顿抑郁量表，连续护理组在改善心理状态方面优于对照组。基于微信平台的连续护理可以降低 PCI 后患者并发症的发生率，减轻患者的抑郁程度，提高患者的生活质量。
