Objective To explore the construction of a new intelligent management model based on the Internet+medi-cal combination for patients with atrial fibrillation,analyze its management effect on community patients with atrial fibril-lation,and scientifically and standardized management of patients with atrial fibrillation.Methods In Huamu Communi-ty Health Service Center,60 patients with atrial fibrillation in Renji-Huamu Medical Union from May 2021 to May 2022 were selected as the research objects,and 30 patients were divided into control group and observation group by random number method.Routine follow-up management was performed in the control group,and intelligent follow-up management was added to the observation group based on routine follow-up.The incidence of adverse events was compared between the two groups.The management effect was evaluated by the atrial fibrillation effect on quality-of-life(AFEQT),the hos-pital anxiety and depression scale(HADs,including anxiety score A and depression score D),and the Morisky medica-tion adherence scale-8(MMAS-8).Results After 12 months of follow-up,AFEQT score(Z=-2.972),HADs score(ZA value=-5.255,ZD value=-5.105)and MMAS-8 score(Z=-5.353)between the two groups were statistically signifi-cant(P＜0.05).There was no significant difference in the rates of ischemic stroke/transient ischemic attack,small bleeding events,hospitalization for cardiovascular reasons or visits to secondary or tertiary hospitals,and postoperative re-currence rates between the two groups(P＞0.05).Conclusion The new intelligent management model is beneficial for improving the quality of life of atrial fibrillation patients,enhancing medication compliance,and reducing anxiety and de-pression.
关键词
心房颤动/智慧化管理/不良事件/生活质量/焦虑抑郁/服药依从性
Key words
Atrial fibrillation/Intelligent management/Adverse events/Quality of life/Anxiety and depression/Medica-tion compliance
维普
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