Volume 20 Issue 6
Jun.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(6): 1075-1079
CHEN Xiao-xi, ZHU Xiu-ruo, ZHANG Ping-mei, JIANG Wen-bing, SHEN Cheng-ji. Application of WeChat management in cardiac rehabilitation nursing of discharged patients with coronary heart disease after PCI[J]. Chinese Journal of General Practice, 2022, 20(6): 1075-1079. doi: 10.16766/j.cnki.issn.1674-4152.002527
Citation: CHEN Xiao-xi, ZHU Xiu-ruo, ZHANG Ping-mei, JIANG Wen-bing, SHEN Cheng-ji. Application of WeChat management in cardiac rehabilitation nursing of discharged patients with coronary heart disease after PCI[J]. Chinese Journal of General Practice, 2022, 20(6): 1075-1079. doi: 10.16766/j.cnki.issn.1674-4152.002527
shu

Application of WeChat management in cardiac rehabilitation nursing of discharged patients with coronary heart disease after PCI

doi: 10.16766/j.cnki.issn.1674-4152.002527
  • 1.

    Department of Cardiology, Wenzhou People's Hospital, Wenzhou, Zhejiang 325000, China

Funds:

 Y202045061

 Y20180455

  • Received Date: 2021-01-15
    Available Online: 2022-09-21
    Abstract
  •   Objective  To explore the effect of WeChat management in continuous nursing care of discharged patients with coronary heart disease after percutaneous coronary intervention (PCI).  Methods  A total of 100 patients with coronary heart disease who underwent PCI in the Department of Cardiology of Wenzhou People's Hospital from October 2017 to March 2018 were selected. They were divided into the control group and observation group with 50 patients in each group according to the random number table method. The control group was given conventional discharge and manual, whereas the observation group established a WeChat group and made an 8-week rehabilitation plan in addition to routine discharge education and manual. The quality of life score, rehospitalisation rate, incidence of cardiovascular adverse events and compliance of cardiovascular risk factors were evaluated and compared between the two groups at 3 and 6 months after discharge.  Results  The quality of life scores of the observation group were (79.22±8.52) points and (79.42±7.80) points at 3 and 6 months after discharge, which were better than those of the control group [(61.38±8.29) points and (62.74±11.45) points, respectively, all P < 0.05]. The frequency of revisit and rehospitalisation and frequency of chest pain within 6 months after discharge in the observation group were all lower than those in the control group (all P < 0.05). The total incidence of adverse cardiovascular events in the observation group was 6.0% and 12.0% within 3 and 6 months after discharge, respectively, which were lower than those in the control group (22.0% and 42.0%, all P < 0.05). At 6 months after discharge, the compliance rates of cardiovascular risk factors such as blood pressure, LDL-C and fasting blood glucose in the observation group were 94.0%, 92.0% and 98.0%, respectively, which were better than those in the control group (70.0%, 66.0% and 72.0%, all P < 0.05).  Conclusion  The continuous nursing method of WeChat management can effectively control the main cardiovascular risk factors of patients discharged after PCI, reduce the rate of revisit and rehospitalisation, reduce the occurrence of cardiovascular adverse events, improve the quality of life and benefit the prognosis of patients.

     

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