摘要
目的比较“新媒体”综合健康干预模式与传统电话随访模式对PCI术后患者自我管理能力的影响，探讨可以提高PCI术后患者自我管理能力的“新媒体”综合干预措施。方法采用方便抽样法，选取2016年8-12月在南京地区某三甲医院就诊的冠心病且行PCI术患者130例，采用随机数字表法将患者分为试验组64例和对照组66例，对照组采用传统电话随访模式，试验组采用“新媒体”综合健康干预模式，采用冠心病自我管理行为量表（CSMS）评价干预前后患者自我管理能力得分情况，记录心血管不良事件发生情况、急诊再人院率、门诊定期复诊人数。结果干预后，试验组患者自我管理能力的各个维度均高于对照组，两组比较差异有统计学意义（P〈0．05）；试验组患者急诊再人院率低于对照组，差异有统计学意义（X2=4．997，P=0．044）；按时门诊复诊人数多于对照组，差异有统计学意义（X2=7．897，P=0．007）。结论“新媒体”综合健康干预模式可以提高患者的自我管理能力，降低急诊再入院率，提高定期门诊复诊率。
Objective To compare the effects of the comprehensive health intervention by new media and the conventional telephone follow-up on patients＇ self-management ability after percutaneous coronary intervention （PCI）, and to explore the comprehensive health interventions by new media which can improve the self-management ability of patients after PCI. Methods A total of 130 patients with coronary heart disease who received PCI in a Class m Grade A hospital in Nanjing between August and December 2016 were selected by convenient sampling and divided into the treatment group （n=64） and the control group （n=66） according to the random number table. Patients in the control group received the conventional telephone follow-up, while patients in the treatment group received the comprehensive health intervention by new media. The self- management ability was compared before and after intervention using the Coronary Disease Self-Management Scale （CSMS）. The incidence of adverse cardiovascular events, readmission rate at emergency service and the number of patients with regular subsequent visits to outpatient service were recorded. Results The treatment group scored higher in all dimensions of the self-management ability than the control group （P 〈 0.05） after intervention; the readmission rate was lower in the treatment group than in the control group （ X2=4-997, P=0.044） ; and more patients with regular subsequent visits to outpatient patients were found in the treatment group （ X2=7.897, P=0.007）. Conclusions The comprehensive health intervention by new media can improve the self-management ability of patients, reduce the readmission rate at emergency service and increase the rate of regular subsequent visits to outpatient service.
作者
李林
季梅丽
陈玉红
Li Lin; Ji Meili; Chen Yuhong(Department of Geriatric Medicine, Nanfing First Hospital, Nanjing Medical University, Nanfing 210006, China ; Department of Nursing, Nanjing First Hospital, Nanfing Medical University, Nanfing 210006, China)
出处
《中华现代护理杂志》
2018年第27期3296-3299,共4页
Chinese Journal of Modern Nursing
基金
南京医科大学科技发展基金项目（2016NJMU070）
关键词
护理
自我管理
冠心病
健康干预
Nursing care
Self-management
Coronary heart disease
Health intervention
