摘要
目的探讨基于微信主导的顺口溜教育在老年心房颤动射频消融术后患者抗凝治疗中的应用效果。方法选择2017年1月至2018年6月解放军联勤保障部队第九〇四医院收治的老年心房颤动射频消融术患者91例,根据治疗时间分为观察组(47例)、对照组(44例)。两组均进行老年心房颤动射频消融术,术后使用相同的抗凝治疗方法及健康教育内容。对照组给予常规健康教育,观察组联合应用基于微信主导的顺口溜健康教育。比较两组华法林抗凝认知水平、抗凝治疗依从行为及并发症的发生情况。结果随访3个月,两组抗凝治疗认知评分高于同组干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。随访3个月,观察组国际标准化比值定期监测、生活方式、抗凝治疗依从行为总分高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论基于微信主导的顺口溜教育有助于增强老年心房颤动射频消融术后患者抗凝治疗认知水平,促进抗凝治疗依从行为的养成,减少并发症的发生。
Objective To explore the effect of WeChat-led jingle education in anticoagulation therapy after radiofrequency ablation for geriatric patients with atrial fibrillation.Methods A total of 91 geriatric patients with atrial fibrillation undergoing radiofrequency ablation admitted 904th Hospital of the People’s Liberation Army Joint Logistic Support Force from January 2017 to June 2018 were selected,they were divided into observation group(47 cases)and control group(44 cases),according to the treatment time.Geriatric patient with atrial fibrillation undergoing radiofrequency ablation was performed in both groups,and the same anticoagulation therapy and health education were used after surgery.The control group was given regular health education,and the observation group was combined with WeChat-led jingle education.The cognition level of Warfarin anticoagulation,compliance behavior of anticoagulation therapy and the occurrence of complications were compared between two groups.Results After three months of follow-up,the cognitive score of anticoagulation therapy in both groups were higher than those before intervention,and observation group was higher than control group,and the differences were statistically significant(P<0.05).After three months of follow-up,international normalized ratio regular monitoring,lifestyle,and compliance of anticoagulant therapy total score in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).The incidence of complications in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion WeChat-led jingle education can help to enhance the cognitive level of anticoagulation therapy in geriatric patients after radiofrequency ablation of atrial fibrillation,promote the development of anticoagulation therapy compliance behavior,and reduce the occurrence of complications.
作者
朱玲
诸琳
ZHU Ling;ZHU Lin(Ward One,Department of Cardiology,904th Hospital of the People’s Liberation Army Joint Logistic Support Force,Jiangsu Province,Wuxi,214000,China;Cadre Ward,904th Hospital of the People’s Liberation Army Joint Logistic Support Force,Jiangsu Province,Wuxi,214000,China)
出处
《中国医药导报》
CAS
2021年第32期175-178,共4页
China Medical Herald
基金
江苏省自然科学基金资助项目(BK20161078)。
关键词
心房颤动
射频消融术
抗凝治疗
微信
顺口溜
依从行为
Atrial fibrillation
Radiofrequency ablation
Anticoagulation therapy
WeChat
Jingle
Compliance behavior
