| Objective:The aim of this study was to explore a more effective and feasible strategy on cardiac rehabilitation education and to improve the mental health of patients with coronary heart disease(CHD)by comparing two kinds of education either based on We Chat platform or traditional way.Methods:100 CHD patients who met the inclusion and exclusion criteria were recruited in this study,during two months period from October to December in 2017.They were randomly assigned to experimental and control group.45 CHD patients were in control group,and 55 were in control group.CHD patients in control group received traditional health education,which included patients were given health guidance on diet,exercise,medication,review and mood,remind patients to review one month and two months after discharge by Wechat.The outpatient doctor provided guidance on medication and diet,such as discomfort at any time.The charge nurse followed up by telephone,asking for medication,diet,and giving guidance when the patient discharged from the hospital within the first week.CHD patients in experiment group received cardiac rehabilitation education through Wechat platform.The research built Wechat public number “dual heart health home” and Wechat group “dual heart health home”.The research,cardiologist,nursing and members of the cardiac rehabilitation team were included in Wechat group.The content of cardiac rehabilitation education included:(1)cardiac rehabilitation five prescriptions related information were delivered three time a week through Wechat public number,Wechat group and Wechat friends circles;(2)the research have one-to-one communication with patients at least once a week,to understand the health status and behaviors of patients,and whether tension,anxiety,depression or not;the research provided psychological support for patients who have negative emotion after discharge;(3)the research remind patients take mediaction regulatly through Wechat assistant and remind them to read the health education content in Wechat public number;(4)professionals gave answer and guadiance on action in Wechat group according patients' question;(5)the research set uo keyword reply system,and bind keyword related to health education materials.Before and 8 weeks after the intervention,patients' lige quality,somatization,medication adherence,blood pressure,blood glucose and blood lipid were assed,in order to compare the change between experimental and control group.SPSS 20.0 were used to analyse data.The independent sample t test was used to analyse measurement data.The chi-square test was used to analyse enumeration data.P < 0.05 was statistically significantResult:During research,5 cases in the control group and 1 case in the experimental groupwere lost.Finally there were 40 cases in the control group and 54 cases in the experimental group.1.Before intervention,there were no significant differences in social demographic data,quality of life score,somatization symptom score,medication adherence score,blood pressure,blood glucose and blood lipids between the two groups(P > 0.05).2.Somatic symptom score: the total scores of somatization symptoms of the control group and the experimental group were 35.81 + 9.58 and 32.64 + 9.63 respectively,t=3.125,P < 0.05,the difference between both groups was statistically significant.There were significant differences in anxiety,depression,anxiety and depression.The patients in the experimental group were superior to the patients in the control group in all measures.3.Quality of life: after intervention,the average score of quality of life of the experimental group and the control group were 119.37 ±12.16 and 99.56 ±11.19 respectively.There was significant difference in physical strength,illness,general life and psychosocial status between the two groups,and the experimental group was betterthan the control group.4.Medication adherence: the total score of the patients in the control group and the experimental group were 6.24 + 1.31 and 7.54 + 1.36 respectively,t=3.946,P < 0.05,and the differences between the two groups were statistically significant.The patients in the experimental group were better than the control group.5.The change of objective indexes: after intervention,the objective indexes of the two groups were detected,and the blood pressure,blood glucose and blood lipid were improved compared with before,but there was no significant difference between the two groups in all Indicators.(P > 0.05)Conclusion:Compared with the traditional health education,the heart rehabilitation education based on We Chat platform can effectively improve the patients' mental health and drugcompliance and improve their quality of life.Because the platform is convenient,cheap,meticulous and easy to accept,the heart rehabilitation education based on We Chat platform will play an important role in promoting cardiac rehabilitation effectively in the practice of patients outside hospital.The “We Chat dual heart health home” can provide effective strategies to improve the dual-heart health of patients with coronary heart disease. |
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