Application Of Mobile Medical APP In Self-management Of Young And Middle-aged PCI Patients

Objective:(1)To understand the level of self-management behavior,the knowledge of coronary heart disease,and drug compliance in patients with coronary heart disease after percutaneous coronary intervention;(2)To explore the effect of the mobile app APP in patients with coronary heart disease by self-management behavior,coronary heart disease knowledge and medication adherence scores after coronary intervention;(3)To promote the recovery of coronary heart disease in young patients after percutaneous coronary intervention and provide a theoretical basis of health education.Methods: A total of 146 patients with coronary artery disease who underwent PCI from October 2016 to October 2017 were grouped according to ward area.Among them,73 were in the intervention group and 73 in the control group.After the control group was discharged from the hospital,the research team was followed up by telephone.The intervention group applied not only telephone follow-up but also the mobile medical app to perform self-management behavioral intervention on the patient.The patients received the research team's health guidance on diet,medication status,self-care ability,and exercise.The research team instructed patients to download and teached patients to use the “M-health” App within 48 hours after undergoing PCI.Register an account and bind with the research team members.Focus on teaching patients to receive and view information,interact with questions and answers,take medications,reminder setting and upload physiological index.From the date of the patient's installing the “M-health”,App began to provide specific health guidance for patients.The scores of coronary heart disease self-management,coronary heart disease knowledge,medication compliance,Smoking cessation and movement rate difference were compared before intervention,at the end of the intervention,and 3 months after the intervention.Results:1.In the follow-up of 146 patients,17 cases were lost to follow-up,and the loss rate was 11.64%.129 cases were eventually included in the study.2.Before the intervention,there was no significant difference in self-administration behavior,knowledge of coronary heart disease,and medication adherence between the two groups(P>0.05).Baseline data of the two groups were consistent and comparable.3.In terms of self-management behavioral scores,at the end of the intervention,the total scores and the scores of emergency management,treatment compliance management,bad taste management,emotional cognition management,disease knowledge management,general life management,and symptom management in the intervention group were higher than the scores in the control group(P<0.05).Three months after the intervention,the total scores and the scores of emergency management,treatment compliance management,bad habit management,emotional cognition management,disease knowledge management,general life management,and symptom management in the intervention group were higher than the scores in the control group(P<0.05).4.In the score of coronary heart disease knowledge control,when the intervention ended,the total scores and the scores of risk factors,clinical manifestations,examination methods,treatment methods,drug knowledge,and secondary prevention in the intervention group were higher than the scores in the control group(P<0.05).Three months after the intervention,the total scores and the scores of concept,risk factors,predisposing factors,clinical manifestations,examination methods,treatment methods,drug knowledge,and secondary prevention scores in the intervention group were higher than the scores in the control group(P<0.05).5.In terms of self-behavior management,compared with pre-intervention,total scores and emergency management,treatment compliance management,bad taste management,emotional cognition management,disease knowledge management,general life management,and symptom management of the two groups were significantly higher at the end of the intervention and 3 months after the intervention(P<0.05).And the total score increase(mean difference)of the intervention group at the end of the intervention and after 3 months of intervention was higher than control group.6.Compared with pre-intervention scores of coronary heart disease knowledge,the total score and the scores of concept,risk factors,predisposing factors,clinical manifestations,examination methods,treatment methods,drug knowledge,and secondary prevention in the intervention group increased significantly at the end of the intervention(P<0.05).The total scores and the scores of concept,risk factors,clinical manifestations,examination methods,treatment methods,drug knowledge,and secondary prevention in the intervention group increased significantly after 3 months of intervention(P<0.05).7.Comparing the medication adherence score of two groups at the end of the intervention and at 3 months after the intervention,it was found that the patients in the intervention group had higher medication adherence scores at the end of the intervention and 3 months after the intervention than control group(P<0.05).8.In the three months after the intervention,both groups of patients had improved smoking cessation and exercise,and the difference was statistically significant compared to before intervention.(P<0.05).Conclusion:1.Before the intervention,the level of self-management behavior and the knowledge scores of CHD were not ideal in the PCI patients,with poor symptom management and drug knowledge.2.The use of mobile medical APP to perform post-hospital self-management intervention in patients with coronary heart disease after percutaneous coronary intervention can improve the self-management behavior,coronary heart disease knowledge,medication compliance score,Quit smoking and exercise.It is significant and worth popularizing and applying.