摘要
目的 探讨微信平台健康教育对心房颤动患者治疗依从性、自我效能和生活质量的影响.方法 采用便利抽样法,选取2015年1月—2016年8月在江苏省盐城市第一人民医院治疗的心房颤动患者84例为研究对象.按照随机数字表法分为观察组和对照组,各42例.对照组接受常规健康教育,观察组采用微信平台进行健康教育.比较两组患者的治疗依从性、自我效能和生活质量.结果 观察组干预后按医嘱用药、IRN监测、规律运动、出血处理和预防、血栓并发症及危害、戒烟戒酒、控制合理饮食得分均高于对照组,差异有统计学意义（t值分别为3.323、3.247、3.975、2.646、3.524、4.669、4.178;P均〈0.05）.干预前后观察组患者在运动规模、疾病信息、获得帮助、与医师沟通、一般疾病管理、做家务、社会娱乐活动、症状管理、急促呼吸管理、抑郁控制10个维度上改变程度大于对照组,差异均有统计学意义（t值分别为4.885、5.641、4.863、4.245、3.887、3.768、3.795、3.314、3.323、3.856;P均〈0.05）.观察组患者在生理功能、心理功能、社会功能、环境适应能力及生活质量总分的改善情况均高于对照组,差异均有统计学意义（t值分别为5.965、4.863、3.746、4.247、4.769;P均〈0.05）.结论 应用微信平台对心房颤动患者进行健康教育,能改善患者的治疗依从性,提高患者的自我效能和生活质量.
Objective To explore the effects of WeChat platform on treatment compliance,self-efficacy and quality of life in patients with atrial fibrillation.Methods A total of 84 patients with atrial fibrillation who were treated in Yancheng City No.1 People＇s Hospital from January 2015 to August 2016 were selected as the subjects. They were randomly divided into observation group and control group according to random number table, each group of 42 cases. The patients in the control group received routine health education, while patients in the observation group received health education through the WeChat platform. The treatment compliance, self-efficacy and quality of life were compared between the two groups.Results After the intervention, scores of the observation group in taking medication as order, IRN prescribed medication monitoring, regular exercise, treatment and prevention of bleeding, thrombosis complications and hazards, giving up smoking and drinking and diet control were significantly higher than that of the control group, and the differences were statistically significant （t=3.323, 3.247, 3.975, 2.646, 3.524, 4.669, 4.178;P〈0.05）. Before and after nursing intervention,the improving degree of patients in the observation group were higher than that in the control group in 10 dimensions of movement scale, disease information, getting help, physician communication, general disease management, doing housework, social and recreational activities, symptom management, shortness of breath management, and depression control, and the differences were statistically significant （t=4.885, 5.641, 4.863, 4.245,3.887, 3.768, 3.795, 3.314, 3.323, 3.856; P〈0.05）. The scores of patients in the observation group in physiological function, psychological function, social function, environmental adaptation ability and total quality of life scores improved significantly than that in the control group （t=5.965, 4.863, 3.746, 4.247, 4.769;P〈0.05）.Conclusions The application of WeChat platform in the health education for patients with atrial fibrillation can significantly improve the treatment compliance,self-efficacy and quality of life.
作者
倪惠琴
邵筱敏
黄海
Ni Huiqin Shao Xiaomin Huang Hai(Nursing Department, Yancheng City No. 1 People＇s Hospital of Jiangsu Province, Yancheng 224005, China Department of Cardiology, Yancheng City No. 1 People＇s Hospital of Jiangsu Province, Yancheng 224005, China)
出处
《中华现代护理杂志》
2017年第24期3080-3083,共4页
Chinese Journal of Modern Nursing
关键词
心房颤动
生活质量
微信
治疗依从性
自我效能
Atrial fibrillation
Quality of life
WeChat
Treatment compliance
Self-efficacy
