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经皮冠状动脉介入治疗后双心医学模式下“互联网 +”延续性护理的研究

Research on Internet plus continuing nursing under dual heart medical model after percutaneous coronary intervention.

作者信息

Fu HongXiang, Zhou GuangYu, Wang MangLi, Chen YunXing

机构信息

Department of Cardiovascular Medicine, The People's Hospital of Wanning, Hainan Province, China.

出版信息

Medicine (Baltimore). 2025 Jun 13;104(24):e42778. doi: 10.1097/MD.0000000000042778.

Abstract

Coronary heart disease (CHD) remains a prevalent and chronic cardiovascular disorder with a persistently rising global incidence and mortality rate. This study evaluates the clinical outcomes of an internet-based continuous nursing intervention for CHD patients following percutaneous coronary intervention. A cohort of 60 CHD patients admitted to our hospital between June 2023 and April 2024 were enrolled as study subjects. Using a randomized number table method, they were allocated into a control group and an observation group, with 30 patients in each. The control group received standard care, whereas the observation group underwent an integrated dual-medical model combining internet-based support with structured continuous nursing. Comparison metrics included anxiety scores (e.g., Hospital Anxiety and Depression Scale), depression scores, SF-36 quality-of-life assessments, medication adherence, cardiac function parameters (left ventricular ejection fraction, left ventricular diastolic dysfunction), and rates of cardiovascular adverse events. Post-intervention, exhibited significant reductions in anxiety and depression scores, with the observation group demonstrating markedly lower scores than the control group (P < .05). The observation group also achieved superior SF-36 scores across all domains: physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health (P < .05). While medication adherence at 1 month showed no statistical difference between groups (P > .05), the observation group displayed significantly higher compliance at 2 and 4 months (P < .05). Cardiac function improved in both groups, with the observation group achieving greater enhancements in left ventricular ejection fraction and left ventricular diastolic dysfunction (P < .05). The dual-medical model integrating internet-based continuous nursing significantly enhances cardiac rehabilitation, optimizes medication adherence, elevates quality of life, alleviates psychological distress, and reduces cardiovascular complications in post-percutaneous coronary intervention patients.

摘要

冠心病(CHD)仍然是一种普遍存在的慢性心血管疾病,全球发病率和死亡率持续上升。本研究评估了基于互联网的持续护理干预对经皮冠状动脉介入治疗后的冠心病患者的临床疗效。选取2023年6月至2024年4月期间我院收治的60例冠心病患者作为研究对象。采用随机数字表法将他们分为对照组和观察组,每组30例。对照组接受标准护理,而观察组采用基于互联网支持与结构化持续护理相结合的综合双医疗模式。比较指标包括焦虑评分(如医院焦虑抑郁量表)、抑郁评分、SF-36生活质量评估、用药依从性、心功能参数(左心室射血分数、左心室舒张功能障碍)以及心血管不良事件发生率。干预后,焦虑和抑郁评分显著降低,观察组评分明显低于对照组(P<0.05)。观察组在所有领域的SF-36评分也更高:身体功能、角色-身体、身体疼痛、总体健康、活力、社会功能、角色-情感和心理健康(P<0.05)。虽然1个月时两组用药依从性无统计学差异(P>0.05),但观察组在2个月和4个月时的依从性显著更高(P<0.05)。两组心功能均有改善,观察组左心室射血分数和左心室舒张功能障碍改善更明显(P<?0.05)。基于互联网的持续护理综合双医疗模式显著增强了经皮冠状动脉介入治疗后患者的心脏康复效果,优化了用药依从性,提高了生活质量,减轻了心理困扰,并减少了心血管并发症。

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本文引用的文献

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Clinical Significance of Coronary Arterial Dominance: A Review of the Literature.冠状动脉优势的临床意义:文献综述。
J Am Heart Assoc. 2024 May 7;13(9):e032851. doi: 10.1161/JAHA.123.032851. Epub 2024 Apr 19.

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