中国健康心理学杂志2024，Vol.32Issue(7)：1007-1012,6.DOI:10.13342/j.cnki.cjhp.2024.07.010
"康复团队—街道工作者—患者—家属"四位一体的微信平台管理在心力衰竭患者康复中的应用
Application of Wechat platform management based on rehabilitation team-streetworker-patient-family quaternity in the rehabilitation of patients with heart failure
摘要
Abstract
Objective:To explore the application of Wechat platform management based on rehabilitation team-streetworker-patient-family quaternity in the rehabilitation of patients with heart failure.Methods:The clinical da-ta were collected from 84 patients with heart failure treated in the hospital between January 2021 and December 2022.According to the implementationof Wechat platform management based on rehabilitation team-street worker-patient-family quaternity,they were divided into routine group(40 cases,routine post-discharge management,before implementation,between January and December 2021)and Wechat group(44 cases,Wechat platform manage-ment based on rehabilitation team-street worker-patient-family quaternity,after implementation,between Janu-ary and December 2022).The rehabilitation of cardiac function[left ventricular end-systolic volume(LVESV),left ventricular end-diastolic volume(LVEDV),left ventricular Ejection fraction(LVEF)],psychologicalstate[General-ized AnxietyDisorder-7(GAD-7),Patient Health Questionnaire-9(PHQ-9)],disease cognition(heart failure knowledge questionnaire of Chinese version),self-management behaviors[Self-Care of Heart Failure Index(SCHFI)],quality of life[Minnesota Living with Heart Failure Questionnaire(MLHFQ)],readmission rate and nursing satisfaction were compared between the two groups.Results:Before intervention,there was no significant difference in LVESV,LVEDV,LVEF,scores of GAD-7,PHQ-9,heart failure knowledge questionnaire,SCHFI and MLHFQ between the two groups(P＞0.05).After intervention,LVEF,scores ofheart failure knowledge ques-tionnaire of Chinese version and SCHFI were increased in both groups,which were higher in wechat group than rou-tine group(P＜0.05),while scores of GAD-7 and PHQ-9,LVESV,LVEDV and MLHFQ score were decreased,which were lower in Wechat group than routine group(P＜0.05).The readmission rate in Wechat group was lower than that in routine group(9.09％vs 27.50％,P＜0.05),and nursing satisfaction was higher than that in routine group(93.18％vs77.50％,P＜0.05).Conclusion:Application effect of Wechat platform management based on reha-bilitation team-street worker-patient-family quaternity is good in the rehabilitation of patients with heart fail-ure,which can improve cardiac function,psychological state,disease cognition,self-management behaviors,quality of life and nursing satisfaction,and thus reduce readmission rate.关键词
微信平台管理/心力衰竭/心功能/疾病认知水平/自我管理行为/生活质量Key words
Wechat platform management/Heart failure/Cardiac function/Disease cognition/Self-management behavior/Quality of life分类
医药卫生引用本文复制引用
王翠翠,代雪辉,杨青.."康复团队—街道工作者—患者—家属"四位一体的微信平台管理在心力衰竭患者康复中的应用[J].中国健康心理学杂志,2024,32(7):1007-1012,6.基金项目
国家自然科学基金青年项目(编号:82000262) （编号:82000262）
