在互联网上的研究,加上通过皮肤冠状动脉干预后在双心医疗模式下继续护理
HongXiang Fu1, GuangYu Zhou, MangLi Wang
1Department of Cardiovascular Medicine, The People's Hospital of Wanning, Hainan Province, China.
Medicine
|June 17, 2025
概括
基于互联网的持续护理显著改善了冠状动脉干预后冠状动脉疾病 (CHD) 患者的生活质量和心脏功能. 这种方法减少了焦虑和抑郁,提高了整体恢复.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 护理科学 护理科学
背景情况:
- 冠状动脉心脏病 (CHD) 是一个日益严重的全球健康挑战,其发病率和死亡率都在增加.
- 穿皮冠状动脉干预 (PCI) 是一种常见的治疗方法,需要有效的术后护理.
- 优化心脏康复和PCI后的患者结果至关重要.
研究的目的:
- 评估基于互联网的持续护理干预对PCI后的CHD患者的临床结果.
- 评估结合互联网支持和结构化护理的双重医疗模式对患者康复的影响.
- 为了比较心理困扰,生活质量,药物坚持,心脏功能和干预和标准护理组之间的不良事件.
主要方法:
- 一项随机对照试验,涉及60名接受PCI的CHD患者.
- 观察组接受了标准的护理以及基于互联网的持续护理干预.
- 对照组仅接受了标准的护理. 测量结果包括焦虑,抑郁,SF-36生活质量,药物坚持,心脏功能和不良事件.
主要成果:
- 基于互联网的护理组显示,焦虑和抑郁的得分显著降低 (P<0.05).
- 在干预组中,在所有领域 (P<0.05) 中都观察到优异的SF-36生活质量得分.
- 在干预组 (P<0.05) 中,在2个月和4个月后改善了药物坚持,改善了心脏功能 (左心室喷射分数,腹功能障碍),并减少了心血管并发症.
结论:
- 一个集成的双医疗模型与基于互联网的持续护理显著改善了PCI后心脏病患者的心脏康复结果.
- 这种干预有效地缓解了心理痛苦,提高了生活质量,并优化了药物坚持.
- 该方法在减少心血管并发症和改善PCI后患者整体康复方面显示出潜力.
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