摘要
目的基于健康即服务(HaaS)理念,建立心房颤动(AF)健康管理平台,并对其应用价值进行研究。方法选取2022年1月至2023年3月华中科技大学同济医学院附属武汉中心医院收治的344例AF患者作为研究对象,根据随机数字表法分为观察组和对照组,每组172例。对照组采取常规管理模式,观察组在对照组的基础上,应用HaaS理念建立AF健康管理平台。比较两组管理前、管理6个月后AF患者自我管理能力量表评分、Morisky服药依从性量表评分、脑卒中风险情况、美国纽约心脏病协会(NYHA)心功能分级情况、凝血功能指标[凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、国际标准化比值(INR)达标率]、焦虑自评量表(SAS)评分及抑郁自评量表(SDS)评分。结果管理6个月后两组AF患者自我管理能力量表、Morisky服药依从性量表评分、PT、APTT、INR达标率高于管理前,脑卒中风险、心功能分级、SAS、SDS评分均低于管理前,差异均有统计学意义(P<0.05)。管理6个月后,观察组的AF患者自我管理能力量表评分、Morisky服药依从性量表评分、PT、APTT、INR达标率均显著高于对照组,脑卒中风险、NYHA心功能分级、SAS、SDS评分均低于对照组,差异均有统计学意义(P<0.05)。结论基于HaaS理念建立AF健康管理平台,可显著提高病情管理质量,促进患者身心健康。
Objective Based on the concept of health as a service(HaaS),a health management platform for atrial fibrillation(AF)was established,and its application value was studied.Methods A total of 344 AF patients admitted to Wuhan Central Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology from January 2022 to March 2023 were selected as the research objects.According to the random number table method,they were divided into the observation group and the control group,with 172 cases in each group.The control group adopted conventional management mode,and the observation group applied HaaS concept to establish AF health management platform on the basis of control group.The self-management ability scale scores,Morisky medication adherence scale scores,stroke risk profiles,New York Heart Association(NYHA)cardiac function classification profiles,coagulation function indexes[prothrombin time(PT),activated partial thromboplastin time(APTT),international normalized ratio(INR)compliance rate],Self-Depression Scale(SDS)score and Self-Assessment Scale for Anxiety(SAS)score were compared between the two groups before and after 6 months of management.Results After 6 months of management,self-management ability scale,Morisky medication adherence scale scores,PT,APTT and INR compliance rate of AF patients in two groups were higher than before management,and stroke risk,NYHA cardiac function classification profiles,SAS and SDS scores in two groups were lower than before management,and the differences were statistically significant(P<0.05).After 6 months of management,the self-management ability scale score,Morisky medication adherence scale score,PT,APTT and INR compliance rate of AF patients in the observation group were significantly higher than those in the control group,and the stroke risk,NYHA cardiac function classification profiles,SAS and SDS scores in the observation group were lower than those in the control group,with statistical significance(P<0.05).Conclusion Establishing AF health
作者
项菲
于佩佩
杨梦莹
张小娟
程星
XIANG Fei;YU Peipei;YANG Mengying;ZHANG Xiaojuan;CHENG Xing(Department of Cardiovascular Medicine,Wuhan Central Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology,Wuhan,Hubei 430014,China)
出处
《检验医学与临床》
CAS
2024年第18期2766-2770,共5页
Laboratory Medicine and Clinic
基金
武汉市中心医院2021年度学科基金(2021XK099)。
关键词
健康即服务理念
心房颤动
健康管理
脑卒中风险
心功能分级
health as a service concept
atrial fibrillation
health management
stroke risk
cardiac function classification
