基于移动网络信息平台的延续护理对冠心病PCI患者自我管理行为及不良心血管事件的影响

摘要/Abstract

摘要： 目的探讨基于移动网络信息平台的延续护理对冠心病经皮冠状动脉介入术（PCI）患者的影响。方法选择168例冠心病PCI患者,均于2023年1月至2025年8月在本院接受治疗,按随机数字表法分两组,每组84例。对照组行常规护理干预,观察组予以基于移动网络信息平台的延续护理干预。对比两组自我管理行为、服药依从性、生活质量、不良心血管事件。结果干预后,观察组冠心病自我管理行为量表（CSMS）各维度评分（症状管理、急救管理、情绪认知管理、不良嗜好管理、疾病知识管理、日常生活管理、治疗依从性管理）分别为（3.34±0.96）分、（3.27±0.98）分、（3.19±0.97）分、（3.12±0.84）分、（3.45±1.06）分、（3.39±1.04）分、（3.52±1.10）分,均高于对照组的（2.78±0.89）分、（2.82±0.91）分、（2.88±0.94）分、（2.65±0.79）分、（2.91±0.99）分、（2.89±0.95）分、（2.71±0.86）分;服药总依从率为95.24%（80/84）,高于对照组的85.71%（72/84）;生活质量综合评定问卷（GQOLI-74）各维度评分（躯体功能、心理功能、社会功能、物质生活状态）分别为（82.16±4.23）分、（83.04±4.51）分、（86.14±4.43）分、（87.86±4.51）分,均高于对照组的（74.67±3.59）分、（75.89±3.70）分、（78.72±3.85）分、（79.63±4.05）分;观察组心血管不良事件发生率为7.14%（6/84）,低于对照组的20.24%（17/84）,以上差异均具有统计学意义（P均<0.05）。结论基于移动网络信息平台的延续护理可有效改善冠心病PCI患者术后自我管理行为,提高服药依从性及生活质量,降低不良心血管事件发生率。

关键词: 冠心病, 经皮冠状动脉介入术, 移动网络信息平台, 延续护理, 自我管理行为, 不良心血管事件

Abstract: Objective To To investigate the effect of continuous nursing based on a mobile network information platform on patients undergoing percutaneous coronary intervention (PCI) for coronary heart disease (CHD). Methods A total of 168 CHD patients who underwent PCI in our hospital from January 2023 to August 2025 were enrolled and divided into control group and observation group using a random number table, with 84 patients in each group. The patients in the control group received conventional nursing intervention, while those in the observation group received continuous nursing intervention based on a mobile network information platform. The two groups were compared in terms of self-management behaviors, medication compliance, quality of life, and adverse cardiovascular events. Results Compared with the control group after intervention, the observation group had significantly higher scores of each dimension of the coronary heart disease self-management behavior scale (symptom management: 3.34±0.96 points vs 2.78±0.89 points, P<0.05; emergency management: 3.27±0.98 points vs 2.82±0.91 points, P<0.05; emotional cognition management: 3.19±0.97 points vs 2.88±0.94 points, P<0.05; bad habit management: 3.12±0.84 points vs 2.65±0.79 points, P<0.05; disease knowledge management: 3.45±1.06 points vs 2.91±0.99 points, P<0.05; daily life management: 3.39±1.04 points vs 2.89±0.95 points, P<0.05; treatment compliance management: 3.52±1.10 points vs 2.71±0.86 points, P<0.05). The observation group had a significantly higher overall medication compliance rate than the control group [95.24% (80/84) vs 85.71% (72/84), P<0.05]. Compared with the control group, the observation group had significantly higher scores in each dimension of the Generic Quality of Life Inventory-74 (physical function: 82.16±4.23 points vs 74.67±3.59 points, P<0.05; psychological function: 83.04±4.51 points vs 75.89±3.70 points, P<0.05; social function: 86.14±4.43 points vs 78.72±3.85 points, P<0.05; material life status: 87.86±4.51 points vs 79.63±4.05 points, P<0.05). The observation group had a significantly lower incidence rate of adverse cardiovascular events than the control group [7.14% (6/84) vs 20.24% (17/84), P<0.05]. Conclusion For CHD patients undergoing PCI, continuous nursing based on a mobile network information platform can effectively improve postoperative self-management behaviors, enhance medication compliance and quality of life, and reduce the incidence rate of adverse cardiovascular events.

Key words: Coronary heart disease, Percutaneous coronary intervention, Mobile network information platform, Continuous nursing, Self-management behavior, Adverse cardiovascular events

林玉芬. 基于移动网络信息平台的延续护理对冠心病PCI患者自我管理行为及不良心血管事件的影响[J]. 心血管病防治知识, 2026, 16(12): 58-62.

LIN Yufen. Effect of continuous nursing based on a mobile network information platform on self-management behavior and adverse cardiovascular events in patients with coronary heart disease undergoing percutaneous coronary intervention[J]. Prevention and Treatment of Cardiovascular Disease, 2026, 16(12): 58-62.

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