摘要
【目的】探讨远程管理联合家庭参与式干预模式在急诊急性冠脉综合征(ACS)患者出院后居家管理中的应用价值。【方法】选取2020年6月至2022年6月在本院行经皮冠状动脉介入术(PCI)治疗的108例急诊ACS患者,根据随机数字表法将其分为观察组和对照组,每组54例。对照组实施远程管理联合医护主导居家管理,观察组实施远程管理联合家庭参与式居家管理。比较两组患者出院当日和出院8周的知识掌握度、自我管理能力及生存质量。【结果】出院8周,两组患者冠心病相关知识评价量表(PKS-CHD)各领域评分及总分高于出院当日,且观察组患者高于对照组,差异有统计学意义(P<0.05)。出院8周,两组患者冠心病自我管理量表(CSMS)各领域评分及总分高于出院当日,且观察组患者高于对照组,差异有统计学意义(P<0.05)。出院8周,两组患者慢性病患者生命质量测定量表体系之冠心病量表(QLICD-CHD)各领域评分及总分高于出院当日,且观察组患者高于对照组,差异有统计学意义(P<0.05)。【结论】远程管理联合家庭参与式干预模式有助于提高急诊ACS患者的知识掌握度和自我管理能力,改善其生存质量。
【Objective】To explore the application value of remote management combined with family participatory intervention mode in home management of patients with acute coronary syndrome(ACS)after discharge.【Methods】A total of 108 emergency ACS patients who underwent percutaneous coronary intervention(PCI)in our hospital from June 2020 to June 2022 were selected and divided into observation group and control group according to the random number table method,with 54 cases in each group.The control group implemented remote management combined with medical care led home management,while the observation group implemented remote management combined with family participatory home management.The knowledge mastery,self-management ability and quality of life of the two groups on the day of discharge and 8 weeks after discharge were compared.【Results】At 8 weeks after discharge,the scores of Perceived Knowledge Scale for the coronary heart disease(PKS-CHD)of the two groups were higher than those on the day of discharge,and the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).At 8 weeks after discharge,the score and total score of coronary heart disease self-management scale(CSMs)of the two groups were higher than that of the day of discharge,and the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).At 8 weeks after discharge,the Quality of Life Instruments for Chronic Diseases of the coronary heart disease scale(QLICD-CHD)of the two groups were higher than those on the day of discharge,and the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).【Conclusion】The remote management combined with family participatory intervention mode is helpful to improve the knowledge mastery and self-management ability of emergency ACS patients,and to improve their quality of life.
作者
姜蒙
李彤彤
JIANG Meng;LI Tongtong(Shandong Provincial Third Hospital,Jinan Shandong 250031)
出处
《医学临床研究》
CAS
2024年第3期438-441,共4页
Journal of Clinical Research
