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微信式延续性护理对冠心病介入治疗患者康复护理效果的影响

Impacts of WeChat type transitional nursing care on the effects of rehabilitation in patients with coronary heart disease intervention treatment

摘要:

目的 探究微信对冠心病介入治疗患者延续护理效果的影响.方法 2013年8月—2014年8月选取接受治疗的80例冠心病介入治疗患者,按照随机数字法分为观察组和对照组,每组各40例.对照组给予常规健康教育,观察组在对照组的基础上利用公众号及微信群给予延续护理.在患者回院3个月复查时比较两组患者的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分结果、服药及康复锻炼依从性量表得分、日常生活能力量表(ADL)得分.结果 复查时观察组患者的SAS、SDS及ADL评分分别为(42.50±5.08),(40.71±5.85),(85.33±11.12)分,均优于对照组,差异有统计学意义(t值分别为2.342,2.593,2.456;P值分别为0.019,0.009,0.016).复查时观察组患者服药依从性及康复锻炼依从性评分分别为(17.69±3.03),(51.30±1.28)分,均优于对照组,差异有统计学意义(t值分别为2.325,3.028;P值分别为0.021,0.003).结论 微信对冠心病介入治疗患者延续护理效果较好,能提高患者自理能力,降低负性情绪,并提高患者的服药和康复锻炼的依从性,值得推广.

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abstracts:

Objective To explore the impacts of WeChat on transitional nursing in patients with coronary heart disease and interventional therapy. Methods A total of 80 coronary heart disease patients received interventional therapy were selected and randomly divided into observation group and control group, with each group 40 cases. The patients of control group were given routine health education, while the patients of observation group were given transitional nursing by WeChat public account and chat group. We compared the results of SAS and SDS, compliance of taking medicine and rehabilitation, and ADL scores between two groups when patients came back hospital for reexamination at three months after discharge. Results At reexamination, the scores of SAS, SDS and ADL in observation group were (42. 50 ± 5. 08), (40. 71 ± 5. 85), (85. 33 ± 11. 12) better than those of the control group (t=2. 342, 2. 593, 2. 456;P=0. 019, 0. 009, 0. 016); the compliance oftaking medication and rehabilitation excises were (17. 69 ± 3. 03), (51. 30 ± 1. 28) which were statistical significant better than scores of the control group (t=2. 325, 3. 028;P=0. 021, 0. 003). Conclusions WeChat has positive impacts on transitional nursing in patients with coronary heart disease and interventional therapy. It can improve patient′s self-care ability, reduce negative emotion, and improve the compliance of taking medicine and physical exercise rehabilitation, which is worthy of promotion.

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