| Objective:Discuss the current status and influencing factors of the health management of patients after PCI,and analyze the application methods and intervention effects of mobile medicine in the health management of patients after PCI.Methods: Include 80 patients with coronary heart disease who were hospitalized in the cardiology department of a tertiary A hospital from September 2019 to November 2020 and underwent PCI.This study is a randomized controlled trial.After strict screening of inclusion and exclusion criteria and signing of informed consent,the random number table method was used to randomly group the research subjects that meet the requirements of the trial.Patients in the control group received routine cardiology discharge guidance and once a month for 6 months of telephone follow-up,and patients in the test group received routine cardiology discharge guidance and once a month,and implemented medical APP based on the 6-month telephone follow-up("Medical Health" APP,"Zhixinxing" APP)and We Chat to implement health management.The researchers collected data on coronary heart disease risk factors(BMI index,smoking,blood pressure,blood glucose,blood lipids,etc.)at the time of admission and 3 months and 6 months after discharge,and used self-designed general information questionnaires,Self-management behavior scale,coronary heart disease knowledge and cognition questionnaire,coronary heart disease self-efficacy scale,etc.to collect and evaluate baseline data and follow-up data,and evaluate the health management status of patients for 3 months and 6 months after intervention.Results: 1.The status of coronary heart disease knowledge and cognition and self-efficacy: The score obtained by patients in answering questions about coronary heart disease-related knowledge is(7.28±3.24)points,and the correct rate is 36.4%;the score obtained by this indicator of self-efficacy is(26.35±8.47)points,correct53.67%,the function maintenance item score is(6.63±4.36)points,the highest score is 22 points,the lowest score is 8 points,the correct rate is 52.62%,the symptom maintenance item scores The score is(19.72±5.43),the lowest score is 46 points,the lowest score is 16 points,and the score index is 46.35%.2.Current status of coronary heart disease self-management behavior: In this study,after PCI surgery,patients with coronary heart disease still lack self-management.The score for this item is(68.53±9.74)points,and the score index is 50.76%.From the perspective of dimensions,the highest score is management of bad habits,the lowest score is management of treatment compliance,and the others from low to high are symptom management,disease knowledge management,first aid management,general life management,and emotional cognitive management..3.Comparison of coronary heart disease knowledge and self-efficacy at different intervention times: 1)Comparison between groups: After 3 months and 6months after intervention,the total scores of the two groups of patients ’ disease knowledge cognitive questionnaire,self-efficacy and 2 The difference in dimensional scores was statistically significant(p<0.05).The total scores of the disease knowledge cognitive questionnaire,self-efficacy and the scores of the two dimensions of the test group were higher than those of the control group after 3 months of intervention and 6months.(2)Comparison within the group: After the intervention of the patient,compared with the pre-intervention,whether it was intervention for 6 months or 3months,the patient’s sense of self-efficacy and knowledge of disease were improved.The differences in disease knowledge and self-efficacy of patients before intervention,intervention for 3 months and intervention for 6 months were statistically significant(p<0.05);after intervention for 3 or 6 months,their self-efficacy The scores of efficacy and knowledge of disease are statistically significant(p<0.05).Comparing 3 months after intervention and 6 months after intervention,the difference in self-efficacy and knowledge of coronary heart disease is not statistically significant(p>0.05)Comparison of coronary heart disease knowledge and self-efficacy at different intervention times: 1)Comparison between groups: After 3 months and 6 months after intervention,the total scores of the two groups of patients ’ disease knowledge cognitive questionnaire,self-efficacy and 2 The difference in dimensional scores was statistically significant(p<0.05).The total scores of the disease knowledge cognitive questionnaire,self-efficacy and the scores of the two dimensions of the test group were higher than those of the control group after 3 months of intervention and 6 months.(2)Comparison within the group: After the intervention of the patient,compared with the pre-intervention,whether it was intervention for 6 months or 3 months,the patient’s sense of self-efficacy and knowledge of disease were improved.The differences in disease knowledge and self-efficacy of patients before intervention,intervention for 3months and intervention for 6 months were statistically significant(p<0.05);after intervention for 3 or 6 months,their self-efficacy The scores of efficacy and knowledge of disease are statistically significant(p<0.05).Comparing 3 months after intervention and 6 months after intervention,the differences in self-efficacy and knowledge of coronary heart disease are not statistically significant(p>0.05).4.Comparison of self-management ability of coronary heart disease at different intervention time:(1)Comparison between groups: After 3 months of intervention,patients in the experimental group and the control group were in 5dimensions(emotional cognitive management,disease knowledge management,symptom management,general life management,and general life management).Bad habits management and self-management Points,p<0.05,indicating that there is a significant difference,the scores of the three dimensions(emotional cognitive management,emergency management,treatment compliance management)of the two groups of patients,p>0.05,indicating that there is no significant difference,and the control group In contrast,in the 7 dimensions and total scores,the scores of patients in the test group were higher.Intervention measures were taken for 6 months to compare the total scores of the test group and the control group in 7 dimensions and self-management,p<0.05,indicating that there is a significant difference between the groups.Compared with the control group,in the seven dimensions and the total score,the test group has higher scores.(2)Intra-group comparison: The total scores of the seven dimensions and self-management behavior of the experimental group and the control group were improved after the intervention for 3 months and the intervention for 6 months.The control group was after the intervention for 6 months.The scores and total scores in 4 dimensions(emotional cognitive management,treatment compliance management,general life management,and bad habits management)were lower than those of the intervention for 3 months.Comparing the scores and total scores in 7dimensions of the patients in the trial group at 3 and 6 months and before the intervention,p<0.05,indicating that there is a significant difference in the group.Comparing the scores and total scores in 7 dimensions of the subjects in the control group for 3 and 6 months and before the intervention,p<0.05,indicating that there are significant differences in the group.Comparing the intervention for 3 and 6 months,the patients in the control group had 4 dimensions(bad habits,general life management,treatment compliance,emotional cognitive management)and total scores,p>0.05,indicating that there is no significant in the group Sexual difference.In addition,the total score increase of the experimental group during the 3 months of intervention and the 6 months of intervention was higher than that of the control group.5.Comparison of physiological indicators between the two groups of patients at different intervention times: 3 and 6 months after the intervention in the experimental group,compared with before the intervention,the patients’ total cholesterol,triglycerides,low-density lipoprotein,blood pressure,fasting blood glucose and other physiological indicators decreased,High-density lipoprotein increased,after statistical analysis,P<0.05,the difference was statistically significant.Comparing 6 months after intervention and 3 months after intervention,statistical analysis of various physiological indicators showed that P<0.05,the difference was statistically significant.In the control group 3 and 6 months after the intervention,the triglyceride and fasting blood glucose levels of the patients were compared with those before the intervention.After statistical analysis,P<0.05,the difference was statistically significant.Blood pressure,total cholesterol and other indicators,P>0.05,the difference was not statistically significant;6 months after the intervention and 3 months after the intervention,the physiological indicators were statistically analyzed,P>0.05,the difference was not statistically significant.Conclusion:1.The status of health management of patients after PCI is not optimistic,and the scores of self-management ability,disease knowledge cognition level and self-efficacy are low.Urgent improvement is needed.2.Through mobile medical care,after PCI surgery,patients can effectively improve their knowledge and cognition level,self-efficacy,self-management behavior,etc.,which can help reduce the current smoking rate and can be promoted in clinical practice. |
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