文章摘要

跟进式电话随访在出院心肌梗死患者中的应用

作者: 1沙明选, 1龚磊, 1任法新
1 滨州医学院烟台附属医院ICU,山东 烟台 264100
通讯: 沙明选 Email: ffjiangxi@sina.com
DOI: 10.3978/j.issn.2095-6959.2017.06.022
基金: 烟台市科技发展计划, 2015WS022,2015WS031

摘要

目的:探讨跟进式电话随访在出院心肌梗死(myocardial infarction,MI)患者中的应用价值。方法:选取2015年1月至2016年5月滨州医学院烟台附属医院收治的MI患者128例。采用随机数字表法将患者分为观察组和对照组,每组64例。对照组只进行出院健康教育,观察组接受为期6个月的跟进式电话随访。结果:干预前,两组健康调查简表(short from health survey,SF-36)量表各维度得分比较差异均无统计学意义(P>0.05)。干预6个月后,观察组生活质量显著上升,差异有统计学意义(P<0.05),对照组无明显变化,差异无统计学意义(P>0.05)。干预前,两组自护能力测定量表(exercise of self-care agency scale,ESCA)各维度得分比较差异均无统计学意义(P>0.05)。干预6个月后,观察组自护能力显著上升,差异有统计学意义(P<0.05),对照组无明显变化(P>0.05)。干预前,两组焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-depression anxiety scale,SDS)得分比较差异均无统计学意义(P>0.05)。干预6个月后,观察组焦虑、抑郁状况显著改善(P<0.05),对照组无明显变化(P>0.05)。结论:跟进式电话随访有助于提高MI出院患者的生活质量和自护能力,改善心理健康状况,值得临床推荐。
关键词: 跟进式电话随访 心肌梗死 生活质量 自护能力

Application of continuous telephone follow-up in patients with myocardial infarction

Authors: 1SHA Mingxuan,, 1GONG Lei, 1REN Faxin
1 ICU, Binzhou Affiliated Hospital of Binzhou Medical College, Yantai Shandong 264100, China

CorrespondingAuthor: SHA Mingxuan, Email: ffjiangxi@sina.com

DOI: 10.3978/j.issn.2095-6959.2017.06.022

Abstract

Objective: To evaluate the effect of continuous telephone follow-up in patients with myocardial infarction. Methods: A total of 128 patients with myocardial infarction admitted to our hospital from January 2015 to May 2016 were selected. The patients were divided into an observation group and a control group by random number table method, 64 cases in each group. The control group was only discharged health education, and the observation group received a continuous telephone follow-up for 6 months. Results: Before intervention, there were no significant differences in SF-36 scores between the two groups (P>0.05). Six months after the intervention, the quality of life of the observation group increased significantly (P<0.05), but there was no significant change in the control group (P>0.05). Before the intervention, there were no significant differences in the scores of the ESCA scale between the 2 groups (P>0.05). The self-care ability of the observation group increased significantly (P<0.05) 6 months after the intervention, but no significant change in the control group (P>0.05). There was no significant difference in SAS and SDS scores between two groups before intervention (P>0.05). Six months after the intervention, the anxiety and depression of the observation group improved significantly (P<0.05), but there was no significant change in the control group (P>0.05). Conclusion: Continuous telephone follow-up can improve the quality of life and self-care of patients with myocardial infarction and improve their mental health status, which is worthy of clinical recommendation.

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