首页|微信平台的标准化延续心理干预模式对经冠状动脉搭桥治疗的冠心病患者服药依从性及自我管理能力的影响

微信平台的标准化延续心理干预模式对经冠状动脉搭桥治疗的冠心病患者服药依从性及自我管理能力的影响

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目的:分析基于微信平台的标准化延续心理干预模式用于经冠状动脉搭桥治疗的冠心病患者的效果。方法:回顾性选取某院2023年1-12月经冠状动脉搭桥治疗的冠心病患者160例作为研究对象,其中2023年1-6月接受传统延续性护理干预的78例患者作为对照组,2023年7-12月接受基于微信平台的标准化延续护理模式的82例患者作为研究组,两组持续干预1个月,统计两组服药依从性、健康知识掌握度、心血管不良事件发生率以及出院前1d、出院后1个月成年人健康自我管理能力测评量表(AHSMSRS)评分、自我护理能力量表(ESCA)评分。结果:研究组心血管不良事件发生率4。88%低于对照组16。67%(x2=5。850,P<0。05);研究组服药依从性明显优于对照组(u=2。168,P<0。05);研究组健康知识掌握度明显优于对照组(u=2。072,P<0。05);出院后1个月,研究组AHSMSRS分值与ESCA分值均高于对照组(t=8。616,33。163;P<0。05)。结论:基于微信平台的标准化延续护理模式应用于经冠状动脉搭桥治疗的冠心病患者院外护理中,有助于减少心血管不良事件的发生,提高服药依从性与健康知识掌握度,并改善自我管理能力与自护能力。
Impact of standardized continuous care model based on WeChat platform on medication compliance and self-management ability of patients with coronary heart disease undergoing coronary artery bypass grafting treatment
Objective:To analyze the effectiveness of a standardized continuous care model based on WeChat plat-form for patients with coronary heart disease undergoing coronary artery bypass grafting treatment.Methods:A total of 160 patients with coronary heart disease treated with coronary artery bypass grafting in our hospital from January 2023 to December 2023 were retrospective selected as the study subjects,among them,78 patients who received tra-ditional continuity of care intervention between January 2023 and June 2023 were used as the control group,82 pa-tients who received standardized continuing care mode based on WeChat platform from July 2023 to December 2023 were selected as the research group,after one month of continuous intervention in two groups,the adherence to med-ication,mastery of health knowledge,and incidence of cardiovascular adverse events were statistically analyzed,as well as the scores of Adult Health Self Management Ability Scale(AHSMSRS)and Self Care Ability Scale(ESCA)1 day before discharge and 1 month after discharge.Results:The incidence of cardiovascular adverse events in the study group was 4.88%lower than 16.67%in the control group(x2=5.850,P<0.05);the medication compliance in the study group was significantly better than that in the control group(u=2.168,P<0.05);the mastery of health knowledge in the study group was significantly better than that in the control group(u=2.072,P<0.05);one month after discharge,the ahsmsrs score and ESCA score in the study group were higher than those in the control group(t=8.616,33.163;P<0.05).Conclusion:The application of a standardized continuous care model based on WeChat platform in the out of hospital care of coronary heart disease patients undergoing coronary artery bypass grafting treatment can help reduce the occurrence of cardiovascular adverse events,improve medication compliance and health knowledge mastery,and improve self-management and self-care abilities.

Coronary heart diseaseWeChatContinuing careStandardizedCoronary artery bypass grafting sur-gerySelf management

赵燕、沙丽、张海燕

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郑州大学附属胸科医院,河南省胸科医院心血管外科一病区 450003

冠心病 微信 延续心理干预 标准化 经冠状动脉搭桥术 自我管理

2025

中国健康心理学杂志
中国心理卫生协会

中国健康心理学杂志

影响因子:1.264
ISSN:1005-1252
年,卷(期):2025.33(1)