The Study Of Family-based WeChat Intervention For Discharged Patients After PCI On Perceived Control And Quality Of Life

ObjectiveTo investigate the effect of WeChat intervention based on family membe-rs on quality control and life perception of PCI patients after discharge,a-nd postoperative nursing care of patients with PCI continue to provide re-ference.MethodsThe patients after PCI from October 2015 to December 2016 in Departm-ent of Cardiology in a hospital in Hunan province,in strict accordance w-ith the inclusion,98 patients after PCI and exclusion criteria excluded,the patients were randomly divided into intervention group(49 cases)and co-ntrol group(49 cases).The control group was given routine discharge gu-idance and after discharge telephone,the intervention group based on fam-ily members with the application of WeChat to continue nursing outside hospital,respectively in the control of attitude scale at discharge and two months after discharge the Revised Edition(CAR-S)and Seattle Angina Questionnaire(SAQ)to evaluate the research object,analysis of interven-tion effect;the data input to statistical analysis into SPSS 18.0 Excel.The main methods include:frequency,percentage,mean and standard deviati-on of Pearson or Spearman;correlation analysis;chi-square test;paired t test or nonparametric Wilcoxon signed rank test;two Sample t test or no-nparametric U test.Results1.98 cases,the intervention group and the control group with 49 cases in each group,in the process of intervention,the intervention group and the control group was lost 4 cases in each group,a total of 90 cases of the research object,the effective return the yield was 91.8%.2-Atthe time of discharge,90 cases of patients’ perceived control range is 22-33,the average(27.08±2.12);quality of life score range is 30～64,the average(47.80±7.73);perceived control and quality of life scores were positively related(r=0.498,P<0.01).3.Of the two groups in general(including patients and families of patients),the comparison of scores about patients’ perceived control and quality of life,the difference was not statistically significant(P>0.05),material balance,they are comparable.4.After the implementation of WeChat intervention,intervention group patients5 perceived control score(34.13±2.23),quality of life score(83.86±3.66)were higher than those in the control group,also higher than pre-intervention,the difference was statistically significant(P<0.05).5.2 months after discharge,the control group patients,perceived control score(29.04±3.77),Quality of life score(77.85±8.25)were higher than those in hospital patients score,the difference was statistical Significance(P<0.05).Conclusion1.The intervention of WeChat based on the patient’s family members after discharge can improve the level of PCI patients’ perceived control and quality of life.2.Patients had lower perceived control and lower quality of life when they left the hospital,and they were positively related Department.3.With the recovery of the disease,2 months after discharge,the control group patients’ perceived control and quality of life level were better thanthe level of discharge.