摘要
目的 回顾性分析"健康管理师+主动健康管理平台"网络管理模式对高危胸痛患者自我管理能力、生活质量以及预后的影响.方法 选取2020年5月至2023年9月广西壮族自治区人民医院收治的全球急性冠状动脉事件注册(GRACE)评分高危的80例胸痛患者,根据健康管理模式的不同分为观察组(基于健康管理师的主动健康管理平台,40例)和对照组(常规健康管理,40例).比较自我管理能力、胸痛发作情况、生活质量、不良结局、管理满意度.结果 管理前,两组患者自我管理能力无显著差异(P＜0.05);管理后,两组患者自我管理能力均提高,试验组自我管理能力评分比对照组高(P＜0.001).管理前,两组患者胸痛24h内发作次数、每次发作时间均无显著差异(P＞0.05);管理后,两组胸痛患者24h内发作次数、每次发作时间均减少,试验组24h内发作次数、每次发作时间均比对照组显著减少(P＜0.001).管理前,两组生活质量无显著差异(P＞0.05);管理后,两组生活质量均改善,试验组生活质量评分显著高于对照组(P＜0.001).试验组不良结局发生率为12.00％,显著低于对照组的35.00％(P＜0.05).结论 基于网络的主动健康管理平台可提高高危胸痛患者的自我管理能力,减少胸痛发作的时间和频率,改善患者的生活质量,减少不良结局的发生.
Abstract
Objective To retrospectively analyze the impact of the"Health Manager+Proactive Health Management Platform"network management model on self-management abilities,quality of life,and prognosis in high-risk chest pain patients.Methods A total of 80 high-risk chest pain patients,classified according to the Global Registry of Acute Coronary Events(GRACE)score,admitted to Guangxi Zhuang Autonomous Region Peo-ple's Hospital between May 2022 and September 2023 were included.The patients were divided into two groups based on the health management model:the experimental group(40 patients using a proactive health management platform with a health manager)and the control group(40 patients receiving conventional health management).Self-management abilities,chest pain episodes,quality of life,adverse outcomes,and management satisfaction were compared between the two groups.Results Prior to management,there were no significant differences in self-management abilities between the two groups(P＜0.05).After management,self-management abilities improved in both groups,with the experimental group showing significantly higher self-management scores com-pared to the control group(P＜0.001).Before management,there were no significant differences in the frequency or duration of chest pain episodes within 24 hours between the two groups(P＞0.05).After management,both groups experienced a reduction in the frequency and duration of chest pain episodes within 24 hours,with the experimental group showing significantly greater reductions com-pared to the control group(P＜0.001).There were no significant differences in quality of life between the two groups before management(P＞0.05).After man-agement,quality of life improved in both groups,with the experimental group having a significantly higher quality of life score than the control group(P＜0.001).The incidence of adverse outcomes in the experimental group was 12.00％,significantly lower than the 35.00％in the control group(P＜0.05).Management satisfaction in the experimental group was 95.00％,significantly higher than the 77.50％in the control group(P＜0.05).Conclusion The web-based proactive health management platform enhances self-management abilities in high-risk chest pain patients,reduces the frequency and duration of chest pain episodes,improves quality of life,decreases the incidence of adverse outcomes,and increases management satisfaction.
基金项目
广西壮族自治区卫生健康委员会自筹经费科研课题(Z-A20220156)
维普
万方数据