1 解放军总医院第六医学中心干部呼吸科，北京 100048
2 解放军总医院第六医学中心护理部，北京 100048
3 解放军总医院护理部，北京 100853
目的：探讨中期照护服务平台在急性心肌梗死(acute myocardial infarction，AMI)患者经皮冠状动脉介入治疗(percutaneous coronary intervention，PCI)术后的应用效果。方法：采用便利抽样法选取中国人民解放军总医院心内科AMI患者94例，随机分为观察组和对照组。观察组实施中期照护，对照组常规门诊随访。4周后，比较两组心血管疾病危险因素控制情况、运动耐量、生活质量、心理状态及自我护理能力。结果：干预4周后，观察组食盐摄入量、吸烟例数显著低于对照组(P<0.05)；观察组运动耐量、自我护理能力各维度、生活质量评分显著高于对照组(P<0.05)；观察组焦虑、抑郁评分均显著低于对照组(P<0.05)。结论：基于网络平台的中期照护能够有效控制AMI患者术后危险因素、提高其运动耐力、生活质量及自我护理能力，减轻其焦虑、抑郁心理。关键词： 急性心肌梗死；经皮冠状动脉介入；中期照护
Application of home-based intermediate care network service platform in patients with acute myocardial infarction after percutaneous coronary intervention
CorrespondingAuthor:PI Hongying Email: email@example.com
Foundation: This work was supported by Capital Health Development Special Project Foundation, China (2014-2-5011).
Objective: To investigate the application effect of home-based intermediate care network service platform in patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI). Methods: Ninety-four patients with AMI in cardiology department of a top three hospital in Beijing were selected by convenient sampling method, and these patients were randomly divided into an observation group and a control group. Patients in the observation group were intervened in home-based intermediate care based on internet service platform, and patients in the control group were followed up routinely. After 4 weeks, the control of cardiovascular risk factors, exercise tolerance, living quality, psychological status and self-care ability were compared between the two groups. Results: After intervention for 4 weeks, salt intake, smoking cases of patients in the observation group were significantly lower than the control group (P<0.05); the scores of exercise tolerance, self-care ability and living quality of patients in the observation group were significantly higher than those in the control group (P<0.05); the anxiety and depression scores in the observation group were significantly lower than those in the control group (P<0.05). Conclusion: Home-based intermediate care network service platform can effectively control postoperative AMI risk factors, improve their exercise tolerance, living quality and self-care ability, and reduce their anxiety and depression.Keywords： acute myocardial infarction; percutaneous coronary intervention; intermediate care