| Objective:Through the analysis of the inclusion of high-risk groups of coronary heart disease in the yijing Community of taiyuan,to understand the prevalence of high-risk factors of coronary heart disease and the knowledge of coronary heart disease,etc.,comprehensive intervention was carried out on high-risk groups of coronary heart disease through "function + artificial" methods,and new types of intervention were explored.Effects of models on the level of knowledge and behavioral indicators of primary prevention of coronary heart disease in high-risk groups of coronary heart disease and related indicators of high-risk factors of coronary heart disease.Methods:Recruiting 218 high-risk patients with coronary heart disease in yijing community was used to detect demographic data and CHD risk factor indicators.200 of them were randomly divided into intervention group and control group according to the pairing method,and signed informed consent book.The intervention group carried out health education and disease detection and treatment for high-risk groups of coronary heart disease through network management platforms,mobile devices,and on-site follow-up.The routine group carried out treatment for high-risk patients according to the daily medical model,and did not accept any intervention measures,and evaluated one year later.Manage patients' knowledge about coronary heart disease,behavior changes,changes in relevant examination and detection indicators,and evaluate intervention effects.Results:1.In this study,218 high-risk patients with coronary heart disease were screened and 200 of them were finally included.Among them,81 were males,accounting for 40.5%,and 119 were females,accounting for 59.50%.The age of patients involved was 36-84 years.Mean age(64.62 ± 9.549)years;117 patients with a family history of cardiovascular disease,accounting for 58.50%;169 of all high-risk patients with coronary heart disease have hypertension,accounting for 84.50%;83 patients with diabetes,accounting for 41.5%;dyslipidemia 96 cases,accounting for 48.0%;54 patients with normal weight range,accounting for 27.0%,96 overweight patients,accounting for 48%,50 patients with obesity,accounting for 25%;44patients with smoking history,accounting for 22%;drinking 37 cases of history,accounting for18.5%;54 cases of regular exercise,accounting for 27.0%;44 cases of reasonable diet,accounting for 22%;low-salt,low-fat diet,58 cases,61 cases,respectively,accounting for29.0%,30.1%.Randomized grouping was used to divide the experimental group and control group,with 100 people in each group,42 males in the intervention group,58 females,39 males in the control group,and 61 females in the intervention group.There was no statistical difference in the factors index(P> 0.05).2.After intervention,the high-risk groups of coronary heart disease in the intervention group had a significant increase in their knowledge of primary prevention of coronary heart disease before teaching,and there was a statistically significant difference before and after the intervention(P <0.01).There was no statistical difference in the primary prevention of coronary heart disease among the control group Significance(P> 0.05).Compared with the control group,the intervention group had a significant effect(P <0.01).3.After the intervention,the number of patients in the intervention group significantly increased in terms of low-fat diet and regular exercise and healthy lifestyles,and the difference was statistically significant(P<0.01).After the intervention,the number of patients in the control group who adhered to the low-fat diet decreased before teaching and the number of adhered to regular exercise increased It was not as obvious as the intervention group,comparison between the two groups,the difference is statistically significant(P <0.05).4.After the network management intervention,the patient's knowledge of hypertension related knowledge is deepened,including: how much blood pressure value can diagnose hypertension,what kind of complications can be caused by poor long-term blood pressure control,and how to correctly measure blood pressure.The number of patients seeking treatment for hypertension was significantly lower than before.The family members ' understanding of the patient's blood pressure increased,the behavior of the patient improved,and the overall satisfaction of the patient's current blood pressure control was higher.5.After the intervention,the average systolic blood pressure,average diastolic blood pressure,blood glucose,total cholesterol,triglycerides,LDL-C,BMI,and waist circumferenceof the intervention group were significantly reduced after the intervention,and the differences were statistically significant after the intervention(P <0.01).Contrast to the control group,the differences were also significantly statistically significant(P <0.01).HDL-Cin the group increased slightly before teaching,and the difference was not significant(P> 0.05).HDL-C level in the control group decreased before teaching,and the difference was statistically significant,between the two groups(P <0.01).6.After the intervention,the levels of serum creatinine in the intervention group and the control group decreased significantly(P <0.01).The blood creatinine in the intervention group decreased by 9.84 umol / L,and the blood creatinine in the control group decreased by 8.01umol/ L.The reduction level in the intervention group was 1.83 umol / L more than that in the control group.The comparison between the two group was no significant(P> 0.05).The uric acid level in the intervention group decreased after the intervention,and the intervention effect was significant(P <0.01).After the intervention,the uric acid level in the control group increased before teaching.The uric acid difference between the two groups after intervention was statistically significant(P <0.01).The number of urinary protein positive patients in the intervention group increased slightly by one before the intervention after the intervention,and the number of urinary protein positive patients in the control group increased by 6 before the intervention.There was no significant difference in the number of urinary protein positives between the two groups after the intervention(P> 0.05).After the intervention,the number of urinary ketones positive in the intervention group decreased before teaching,and the divergence was not significant(P> 0.05).The number of urinary ketones positive in the control group increased before teaching,and there was no significant.Results:Through screening of high-risk groups of coronary heart disease,it was found that hypertension patients accounted for a higher proportion of high-risk groups of coronary heart disease.Through the intervention program based on the SDP management mode,the high-risk groups of coronary heart disease had knowledge of coronary heart disease-related knowledge,adverse living behaviors,blood pressure,blood glucose,High-risk factors such as blood lipids,BMI,waist circumference,and uric acid have been significantly improved.This shows that the new "intelligent + artificial" intervention mode based on the Internet is adapted to the development of modern society and has a good intervention effect in the early stages of highrisk groups of coronary heart disease.. |
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