首页|新型智慧化管理模式在心房颤动患者社区随访管理中的效果评价

新型智慧化管理模式在心房颤动患者社区随访管理中的效果评价

Evaluation of the effect of a new intelligent management model in community follow-up management of patients with atrial fibrillation

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目的 探讨对心房颤动(简称"房颤")患者开展基于互联网+医联体的新型智慧化管理模式的建设,分析其对社区房颤患者的管理效果,科学规范管理房颤患者.方法 于花木社区卫生服务中心选取2021年5月—2022年5月"仁济-花木"房颤医联体现有房颤患者60例为研究对象,采用随机数字法分为对照组和观察组各30例,对照组进行常规随访管理,观察组在常规随访基础上增加智慧化随访管理.比较2组不良事件发生率,采用房颤患者生活质量量表(AFEQT)、医院焦虑抑郁自评量表(HADs,包括焦虑评分A值、抑郁评分D值)、Morisky服药依从性量表(MMAS-8)对管理效果进行评价.结果 随访12个月时,观察组与对照组AFEQT评分(Z=-2.972)、HADs 评分(ZA值=-5.255,ZD值=-5.105)、MMAS-8 评分(Z=-5.353)比较差异均有统计学意义(P<0.05).2组缺血性卒中/短暂性脑缺血发作率、小出血事件发生率、心血管原因住院或二三级医院就诊率、术后复发率差异均无统计学意义(P>0.05).结论 新型智慧化管理模式有利于改善房颤患者生活质量,提高用药依从性,减少焦虑抑郁.
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.

Atrial fibrillationIntelligent managementAdverse eventsQuality of lifeAnxiety and depressionMedica-tion compliance

闫珊、沈慧、顾智淳、潘忙忙、王新华、叶奥星

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上海市浦东新区花木社区卫生服务中心,上海 201204

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

上海市浦东新区科技发展基金科研课题

PKJ2022-Y69

2024

中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
年,卷(期):2024.22(6)