| BackgroundCoronary Heart Disease (CHD) is a serious illness to human health and the incidence is increasing in recent years in China. Coronary heart disease has brought a heavy burden of medical expenses to the society and the family. How to prevention and control this kind of disease has been an important issue in the field of health management.The secondary prevention of coronary heart disease is one of the basic strategies of disease prevention and control and two specific measures can be attributed to it. One is optimized drug treatment and the second is improving heslthy lifestyle (smoking cessation, healthy diet, proper physical exercise, weight control, regulated blood lipids, blood pressure control). The oral drugs includs aspirin, beta-blockers, lipid regulating drugs (statins) and ACEIs/ARB. However, a number of patients with coronary heart disease has a poor of drug compliance in CHD’s secondary prevention, which reduced the effectiveness of drug treatment.Chinese medicine has a systematic theoretical about coronary heart disease and a long-term clinical practice confirmed the advantages in treatmenting coronary heart disease. Some of Chinese medicine’s theories such as "treating potential risks" and "health lifestyles" has an important influence on the prevention and treatment of coronary heart disease.Health management has been recognized as an effective measure on chronic non-communicable diseases control, however there is a lot of deficiency in the management of coronary heart disease with integrative medicine.ObjectivesFirstly, generating a needs analysis report on how to construct a excellent health management system about patients after PCI sugery. The secondly, developing a electronic management software which characterized with traditional Chinese medicine and intergrated a bundle of function such as prevention, diagnosis and treatment disease, follow-up mission.As a platform to achieve the coronary heart disease patients after PCI comprehensive, continuous, active, positive health management in order to strengthen self-management skills of patients with coronary heart disease after PCI, the control of risk factorsdatabase data statistics accumulated by this study improve compliance after PCI with coronary heart disease secondary prevention of drug use, in order to promote health, to delay disease progression and reduce complications, reduce the rate of disability, prolong life, improve quality of life;analysis, to explore in patients with coronary heart disease after PCI in the clinical features of Western medicine, rich connotation of Western theory to provide a basis; valid for clinical, economic, reasonable preventive measures to make some decisions in this field of clinical and community healthhealth workers to provide a meaningful reference and research ideas.Des ignCombination of theoretical and empirical research, this study of three parts:First the theory related to health management of coronary heart disease after PCI. Surgical treatment of coronary heart disease and PCI after secondary prevention and health of Chinese and Western management theory literature, and present various health management system to explore.The second part of the expert research, seminars and other forms, completed after PCI with coronary heart disease and health management system needs analysis research, given the demand for the report, set the system functions developed goals, performance objectives, and to explore its feasibility. The assistance of software engineers Integrative Medicine health management system mainly relying on the platform to the database system.The third part is to establish a system platform empirical research, to explore its usefulness, found insufficient, in order to further improve in the future.ResultLiterature, the literature and found that coronary heart disease prevention and control in China face great pressure, squeeze out a huge amount of health care resources, a serious impact on China’s social, economic and sustainable development strategies. Although interventional treatment become an important means of revascularization of coronary heart disease, but the postoperative health management deficiencies, lack of postoperative secondary prevention of drug use, compliance is not enough. Ignored patients to improve the importance of lifestyle, health education is not enough, not pay enough attention to the psychological changes of patients. In addition, by summarizing the literature of Chinese medicine, to recognize that the theory of Chinese medicine system for the understanding of coronary heart disease has long-term clinical practice confirmed the great advantages for the treatment of coronary heart disease. Chinese medicine,"treating disease" ideological, spiritual, physiological and nursed back to health and try mode of thinking, the emphasis on emotional, environmental, and lifestyle factors such as disease, development and prognosis with regard to the role of prevention and treatment of coronary heart disease is extremely important the impact. Finally, the health management literature, the present, although there are some similar chronic disease management platform, but there are a lot of obvious inadequacies, it is to build a more scientific and reasonable integrative medicine after PCI for coronary heart disease health management system is particularly necessary.System research and development, through research, clinical care, research, software development engineers, the risk of side, and many other practitioners discussion, the formation of the system build needs analysis to develop a functional goals and performance objectives of the system development and demonstrated its feasibility. In accordance with the above requirements, system development with software development engineers. The health management system are maded up by the medical records system, outpatient follow-up system, health education, mass media platform and impact assessment system and supported by health education seminars, blog, microblogging platforms such as health education, popularization of coronary heart disease prevention and treatment of common sense.System empirical aspects to empirical test operation of the system by selecting the standard in patients with coronary heart disease, the results show that we have developed coronary heart disease after PCI health management system functions basically reached the target set by the needs analysis, through operating system, the data collected for statistical analysis, got some valuable information. The experimental group is better than the control group in Medication adherence, psychological rating, self-efficacy score, the Seattle Angina Scale scores. The result showed that our health management system is effective.Conclusion(1) coronary heart disease prevention and control in China and tasks, to build integrative medicine after PCI for coronary heart disease health management system is necessary to urgency.(2)Coronary heart disease after PCI of integrative medicine and health management system strengthening disease health management, collection, compilation of relevant data have an important place to improve the prognosis.(3) In this study, the system has the characteristics of traditional Chinese medicine, with integrated patient information, data analysis, network, intelligent features, and capable of binding to flying letters, blog, microblogging and other mass media to strengthen coronary heart disease the postoperative patient health management system is a useful exploration in the field of prevention of coronary heart disease and Innovation.(4) due to limited conditions, the research will inevitably have a certain inadequacies, such as the research object is limited to the Guangdong Provincial Hospital, the views collected inevitably have a little bias, should further improve in the future. |
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