微信健康教育对中青年经皮冠状动脉介入治疗术后患者治疗依从性及二级预防的影响
| 作者: |
1宋贝贝,
1张静,
1杨静
1 哈尔滨医科大学附属第四医院心内科，哈尔滨 150001 |
| 通讯: |
宋贝贝
Email: beilin8782704@126.com |
| DOI: | 10.3978/j.issn.2095-6959.2020.05.033 |
| 基金: | 黑龙江省护理学会威高科研基金(201951041009)。 |
摘要
目的：探讨微信健康教育对中青年经皮冠状动脉介入治疗(percutaneous coronary intervention，PCI)术后患者治疗依从性及二级预防的影响。方法：选取2019年1月至2019年3月在哈尔滨医科大学附属第四医院行PCI手术的冠心病中青年患者152例作为研究对象，按手术顺序单双号分为对照组(n=76，传统健康教育)和观察组(n=76，微信健康教育)。观察对比患者二级预防知识及行为执行情况，术前、术后3个月的空腹血糖(fasting plasma glucose，FPG)、收缩压(systolic blood pressure，SBP)及舒张压(diastolic blood pressure，DBP)、三酰甘油(triglyceride，TG)、总胆固醇(total cholesterol，TC)，术后3个月的主要心脏事件，术前及术后3个月的左室射血分数(left ventricular ejection fractions，LVEF)，术前、术后3个月的焦虑自评量表(Self-rating Anxiety Scale，SAS)、抑郁自评量表(Self-rating Depression Scale，SDS)评分。结果：术后3个月观察组患者的二级预防知识及行为执行情况评分均显著高于对照组(P<0.05)；术后3个月，观察组的FPG，SBP及DBP，TG，TC均显著优于术前(P<0.05)；观察组术后3个月的FPG，SBP及DBP，TG，TC均显著优于对照组(P<0.05)；观察组患者的LVEF[(48.32±11.20)%]显著高于对照组[(44.36±11.14)%，P<0.05]，且观察组的心脏事件发生率(2.63%)显著低于对照组(9.21%；P<0.05)，同时观察组的SAS，SDS评分显著优于对照组(P<0.05)。结论：微信健康教育可有效提高中青年PCI术后患者的治疗依从性，对术后二级预防具有积极的影响，从而有效控制患者血糖、血压、血脂等危险因素，降低心脏事件发生率，同时改善患者的负性情绪，值得推广使用。
关键词：
微信；健康教育；中青年；经皮冠状动脉介入治疗；二级预防
Effect of WeChat health education on treatment compliance and Secondary prevention of young and middle-aged patients after percutaneous coronary intervention
CorrespondingAuthor: SONG Beibei Email: beilin8782704@126.com
DOI: 10.3978/j.issn.2095-6959.2020.05.033
Foundation: This work was supported by the Weigao Research Fund of Heilongjiang Nursing Association, China (201951041009).
Abstract
Objective: To explore the effect of WeChat health education on treatment compliance and secondary prevention of young and middle-aged patients after percutaneous coronary intervention (PCI). Methods: A total of
152 young and middle-aged patients with coronary heart disease who underwent PCI in our hospital from January 2019 to March 2019 were selected as the study subjects. They were divided into control group (n=76, traditional health education) and observation group (n=76, WeChat health education) according to the operation sequence. To observe and compare the patients’ knowledge and behavior of secondary prevention, fasting plasma glucose (FPG), systolic blood pressure (SBP), diastolic blood pressure (DBP), triglyceride (TG), total cholesterol (TC), major cardiac events, preoperative and postoperative three months. The left ventricular ejection fraction (LVEF), self-rating Anxiety Scale (SAS) and self-rating Depression Scale (SDS) were measured before and 3 months after operation. Results: The scores of secondary prevention knowledge and behavior in the observation group were significantly higher than those in the control group at 3 months after operation (P<0.05); FPG, SBP, DBP, TG and TC in the observation group were significantly better than those before operation at 3 months after operation (P<0.05); FPG, SBP, DBP, TG and TC in the observation group at 3 months after operation were significantly better than those in the control group (P<0.05). The LVEF[(48.32±11.20)%] in the observation group was significantly higher than that in the control group[(44.36±11.14)%] (P<0.05), and the incidence of cardiac events in the observation group (2.63%) was significantly lower than that in the control group (9.21%) (P<0.05), and the SAS and SDS scores in the observation group were significantly better than those in the control group (P<0.05). Conclusion: WeChat health education can effectively improve the treatment compliance of young and middle-aged patients after PCI, and has a positive impact on secondary prevention after PCI, so as to effectively control blood sugar, blood pressure, blood lipid and other risk factors, reduce the incidence of heart events, and improve the negative emotions of patients. It is worth promoting.
Keywords：
WeChat; health education; young and middle-aged people; percutaneous coronary intervention; secondary prevention
152 young and middle-aged patients with coronary heart disease who underwent PCI in our hospital from January 2019 to March 2019 were selected as the study subjects. They were divided into control group (n=76, traditional health education) and observation group (n=76, WeChat health education) according to the operation sequence. To observe and compare the patients’ knowledge and behavior of secondary prevention, fasting plasma glucose (FPG), systolic blood pressure (SBP), diastolic blood pressure (DBP), triglyceride (TG), total cholesterol (TC), major cardiac events, preoperative and postoperative three months. The left ventricular ejection fraction (LVEF), self-rating Anxiety Scale (SAS) and self-rating Depression Scale (SDS) were measured before and 3 months after operation. Results: The scores of secondary prevention knowledge and behavior in the observation group were significantly higher than those in the control group at 3 months after operation (P<0.05); FPG, SBP, DBP, TG and TC in the observation group were significantly better than those before operation at 3 months after operation (P<0.05); FPG, SBP, DBP, TG and TC in the observation group at 3 months after operation were significantly better than those in the control group (P<0.05). The LVEF[(48.32±11.20)%] in the observation group was significantly higher than that in the control group[(44.36±11.14)%] (P<0.05), and the incidence of cardiac events in the observation group (2.63%) was significantly lower than that in the control group (9.21%) (P<0.05), and the SAS and SDS scores in the observation group were significantly better than those in the control group (P<0.05). Conclusion: WeChat health education can effectively improve the treatment compliance of young and middle-aged patients after PCI, and has a positive impact on secondary prevention after PCI, so as to effectively control blood sugar, blood pressure, blood lipid and other risk factors, reduce the incidence of heart events, and improve the negative emotions of patients. It is worth promoting.