The Research Of Influence For Chronic Heart Failure Discharged Patients By Telephone Follow-up Combined With Wechat Platform

ObjectiveTo analyze exercise tolerance evaluation?cardiac function evaluation?NT-pro BNP?self-efficacy score?life quality score?self-management score and the readmission rate in 1 year ? death rate before implement and after implement telephone follow-up combined with wechat platform.To approach influence for chronic heart failure discharged patients by telephone follow-up combined with wechat platform,the reliable theory evidence were provided for using effective nursing mode.MethodsThe chronic heart failure discharged patients from Oct 2015 to Sep 2016 in cardiology of the center hospital in Jinzhou city were selected as investigated subject,which was to be divided into groups by randomization method,control group(alone telephone follow-up)101 cases and detection group(telephone follow-up combined with wechat platform)98 cases.General data of patients were detected by self-made general situation questionnaire,exercise tolerance evaluation was detected by 6MWT,the LVEF was detected by 2d-echo,NT-pro BNP was detected by DG5031 microplate reader,the self-efficacy score?life quality score?self-management score were detected by general self-efficacy scale?minnesota living with heart failure questionnaire?self-management scale.The measurement dataarrange was arranged and questionnaire was collected,database was builded by SPSS 20.0,General information were description research,Continuous variable of normal distribution were express by x ± s,measurement data of skewness distribution were express by median?four quantile spacing,which was to be t test,enumeration data was to be?2 test,measurement data of the same observation index before intervening and after intervening were repeated measures,ordered qualitative data were rank sum test,subjective cognition score respectively with objective indicator were two variables correlation analyzed,related factors of patients LVEF changing by multivariate stepwise regression were analyzedResults1.The sex?age?BMI?pathogenesis?marital status?education degree?occupational distribution pattern difference of two group patients were no statistical significance(P>0.05).2.The exercise tolerance evaluation?cardiac function classification?LVEF?NT-pro BNP?self-efficacy score?life quality score?self-management score difference of two group patients before intervention were no statistical significance(P>0.05).3.The difference of exercise tolerance evaluation?LVEF?NT-pro BNP?self-efficacy score?life quality score?self-management score before intervene and after intervene were statistical significance(P<0.05),the before intervene?after intervene and intervene method were certain interaction.4.The cardiac function classification difference of two group patients were no statistical significance,the cardiac function classification difference of control group before Intervention and after Intervention were no statistical significance(P>0.05),the cardiac function classification of detection group after Intervention were better than before Intervention,the cardiac function classification of detection group after Intervention were better than control group after Intervention,the difference were statistical significance(P<0.05).5.The self-efficacy score and exercise tolerance evaluation ? LVEF ?self-management score of chronic heart failure discharged patients were significant positive correlation,and NT-pro BNP ? life quality score were significant negative correlation,the difference were statistical significance(P<0.05).6.The self-management score and exercise tolerance evaluation?LVEF?self-efficacy score of patients were significant positive correlation,and NT-pro BNP?life quality score were significant negative correlation,the difference were statistical significance(P<0.05).7.The difference value before Intervention and after Intervention were dependent variable,difference value of exercise tolerance evaluation(X1)?NT-pro BNP(X2)? self-efficacy score(X3)? life quality score(X4)?self-management score(X5)were independent variable,to multiple linear regression analysis,results show,exercise tolerance evaluation? NT-pro BNP?self-efficacy score?life quality score?self-management score were enter regression equation,standard regression coefficient,influence of LVEF for 5 independent variable,from small to large,in turn were self-management score?exercise tolerance evaluation? NT-pro BNP?self-efficacy score?life quality score.Y=1.924+0.033X1-0.003X2-0.064X3+0.006X4+0.187X5,stepwise regression equation significance(P<0.05).8.The readmission rate in 1 year?death rate of detection group were lower than control group,the difference were statistical significance(P<0.05).ConclusionsThe application of hronic heart failure discharged patients by telephone follow-up combined with wechat platform.1.The heart function and exercise tolerance could improve,the self-efficacy?life quality?self-management level of patients could increase,Recurrence rate and death rate could decrease.2.The subjective cognitive level improvement and cardiac function recovery?life quality of chronic heart failure discharged patients are certain correlation.3.The self-management score?exercise tolerance evaluation? NT-pro BNP?self-efficacy score?life quality score in turn are certain influence for heart failure from small to large.