Volume 22 Issue 6
Jun.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(6): 1008-1012
YAN Shan, SHEN Hui, GU Zhichun, PAN Mangmang, WANG Xinhua, YE Aoxing. Evaluation of the effect of a new intelligent management model in community follow-up management of patients with atrial fibrillation[J]. Chinese Journal of General Practice, 2024, 22(6): 1008-1012. doi: 10.16766/j.cnki.issn.1674-4152.003555
Citation: YAN Shan, SHEN Hui, GU Zhichun, PAN Mangmang, WANG Xinhua, YE Aoxing. Evaluation of the effect of a new intelligent management model in community follow-up management of patients with atrial fibrillation[J]. Chinese Journal of General Practice, 2024, 22(6): 1008-1012. doi: 10.16766/j.cnki.issn.1674-4152.003555
shu

Evaluation of the effect of a new intelligent management model in community follow-up management of patients with atrial fibrillation

doi: 10.16766/j.cnki.issn.1674-4152.003555

  • Shanghai Pudong New Area Huamu Community Health Service Center, Shanghai 201204, China

Funds:

 PKJ2022-Y69

  • Received Date: 2023-08-09
    Available Online: 2024-07-22
    Abstract
  •   Objective  To explore the construction of a new intelligent management model based on the Internet + medical combination for patients with atrial fibrillation, analyze its management effect on community patients with atrial fibrillation, and scientifically and standardized management of patients with atrial fibrillation.  Methods  In Huamu Community Health Service Center, 60 patients with atrial fibrillation in Renji-Huamu Medical Union from May 2021 to May 2022 were selected as the research objects, and 30 patients were divided into control group and observation group by random number method. Routine follow-up management was performed in the control group, and intelligent follow-up management was added to the observation group based on routine follow-up. The incidence of adverse events was compared between the two groups. The management effect was evaluated by the atrial fibrillation effect on quality-of-life (AFEQT), the hospital anxiety and depression scale (HADs, including anxiety score A and depression score D), and the Morisky medication adherence scale-8 (MMAS-8).  Results  After 12 months of follow-up, AFEQT score (Z=-2.972), HADs score (ZA value=-5.255, ZD value=-5.105) and MMAS-8 score (Z=-5.353) between the two groups were statistically significant (P < 0.05). There was no significant difference in the rates of ischemic stroke/transient ischemic attack, small bleeding events, hospitalization for cardiovascular reasons or visits to secondary or tertiary hospitals, and postoperative recurrence rates between the two groups (P>0.05).  Conclusion  The new intelligent management model is beneficial for improving the quality of life of atrial fibrillation patients, enhancing medication compliance, and reducing anxiety and depression.

     

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    • References(22)
  • [1]
    SHI S B, TANG Y H, ZHAO Q Y, et al. Prevalence and risk of atrial fibrillation in China: a national cross-sectional epidemiological study[J]. Lancet Reg Health West Pac, 2022, 23(4): 100439. DOI: 10.1016/j.lanwpc.2022.100439.
    [2]
    马丽媛, 王增武, 樊静, 等. 《中国心血管健康与疾病报告2021》概要[J]. 中国介入心脏病学杂志, 2022, 30(7): 481-496. doi: 10.3969/j.issn.1004-8812.2022.07.001

    MA L Y, WANG Z W, FAN J, et al. Summary of China cardiovascular health and disease report 2021[J]. Cin J Intervent Cardiol, 2022, 30(7): 481-496. doi: 10.3969/j.issn.1004-8812.2022.07.001
    [3]
    SANG S W, CHU C, ZHANG T C, et al. The global burden of disease attributable to ambient fine particulate matter in 204 countries and territories, 1990-2019: a systematic analysis of the Global Burden of Disease Study 2019[J]. Ecotoxicol Environ Saf, 2022, 238(52): 113588. DOI: 10.1016/j.ecoenv.2022.113588.
    [4]
    刘露, 刘晓宇. 全科医生在心房颤动综合管理中的作用[J]. 中华全科医学, 2021, 19(9): 1553-1556. doi: 10.16766/j.cnki.issn.1674-4152.002110

    LIU L, LIU X Y. Role of general practitioners in the integrated management of atrial fibrillation[J]. Chinese Journal of General Practice, 2021, 19(9): 1553-1556. doi: 10.16766/j.cnki.issn.1674-4152.002110
    [5]
    黄柳. 规范系统联动房颤分级诊疗出技术方案[J]. 中国医院院长, 2019(22): 23-25. https://www.cnki.com.cn/Article/CJFDTOTAL-YYYZ201922017.htm

    HUANG L. Standardized system linkage atrial fibrillation classification diagnosis and treatment technology[J]. China Hospital CEO, 2019(22): 23-25. https://www.cnki.com.cn/Article/CJFDTOTAL-YYYZ201922017.htm
    [6]
    茹雪颖, 朱兰, 潘志刚, 等. 我国基层医疗心房颤动抗凝管理的现状与展望[J]. 中华全科医师杂志, 2022, 21(11): 1095-1100. doi: 10.3760/cma.j.cn114798-20220516-00499

    LU X Y, LI X R, YU J B, et al. Primary care for atrial fibrillation patients with anticoagulation therapy in China: status quo and future perspective[J]. Chin J Gen Pract, 2022, 21(11): 1095-1100. doi: 10.3760/cma.j.cn114798-20220516-00499
    [7]
    俞娅娅, 李小荣, 余金波, 等. 心房颤动综合管理ABC方案[J]. 中国心脏起搏与心电生理杂志, 2020, 34(1): 7-10. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXZ202001004.htm

    YU Y Y, LI X R, YU J B, et al. ABC scheme for the integrated management of atrial fibrillation[J]. Chinese Journal of Cardiac Pacing and Electrophysiology, 2020, 34(1): 7-10. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXZ202001004.htm
    [8]
    林春忠, 赵亮, 王朝昕, 等. 基于数据挖掘的县级医院房颤患者抗凝治疗现状及影响因素研究[J]. 中华全科医学, 2021, 19(11): 1951-1955. doi: 10.16766/j.cnki.issn.1674-4152.002209

    LIN C Z, ZHAO L, WANG C X, et al. Current situation and influencing factors of anticoagulant therapy for patients with atrial fibrillation in county hospitals based on data mining[J]. Chinese Journal of General Practice, 2021, 19(11): 1951-1955. doi: 10.16766/j.cnki.issn.1674-4152.002209
    [9]
    CHUNG M K, ECKHARDT L L, CHEN L Y, et al. Lifestyle and risk factor modification for reduction of atrial fibrillation: a scientific statement from the american heart association[J]. Circulation, 2020, 141(16): e750-e772.
    [10]
    沈慧, 李峥, 王新华, 等. 基于互联网+医联体平台的社区心房颤动智慧化管理新模式[J]. 中华全科医师杂志, 2021, 20(10): 1100-1104. https://xuewen.cnki.net/CCND-RMZX202404190023.html

    SHEN H, LI Z, WANG X H, et al. A plateform for management of atrial fibrillation based on internet and medical concortium[J]. Chin J Gen Pract, 2021, 20(10): 1100-1104. https://xuewen.cnki.net/CCND-RMZX202404190023.html
    [11]
    周鹏, 李剑. 远程心电监测对于心房颤动筛查与监测的应用[J]. 中国心脏起搏与心电生理杂志, 2019, 33(4): 295-297. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXZ201904002.htm

    ZHOU P, LI J. Application of remote ECG monitoring in screening and monitoring of atrial fibrillation[J]. Chinese Journal of Cardiac Pacing and Electrophysiology, 2019, 33(4): 295-297. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXZ201904002.htm
    [12]
    张尹红, 张小红, 戴喜花, 等. 穿戴式心电监测在房颤术后患者微信随访中的应用[J]. 实用医学杂志, 2019, 35(16): 2654-2657. https://www.cnki.com.cn/Article/CJFDTOTAL-SYYZ201916033.htm

    ZHANG Y H, ZHANG X H, DAI X H, et al. The application of WeChat-based integrated health management platform with wearable ECG monitor in follow-up of patients after atrial fibrillation[J]. The Journal of Practical Medicine, 2019, 35(16): 2654-2657. https://www.cnki.com.cn/Article/CJFDTOTAL-SYYZ201916033.htm
    [13]
    INFELD M, WAHLBERG K, CICERO J, et al. Effect of personalized accelerated pacing on quality of life, physical activity, and atrial fibrillation in patients with preclinical and overt heart failure with preserved ejection fraction: the myPACE randomized clinical trial[J]. JAMA Cardiol, 2023, 8(3): 213-221.
    [14]
    胡光玲, 乔昕悦, 张林虹, 等. 心房颤动患者睡眠质量与生活质量的相关性分析[J]. 中华全科医学, 2021, 19(1): 24-26, 41. doi: 10.16766/j.cnki.issn.1674-4152.001720

    HU G L, QIAO X Y, ZHANG L H, et al. Correlation analysis of sleep quality and life quality in patients with atrial fibrillation[J]. Chinese Journal of General Practice, 2021, 19(1): 24-26, 41. doi: 10.16766/j.cnki.issn.1674-4152.001720
    [15]
    杨静. 患者教育和体育锻炼对阵发性或持续性房颤患者生活质量和运动能力的影响[J]. 黑龙江中医药, 2021, 50(5): 159-160. https://www.cnki.com.cn/Article/CJFDTOTAL-HLZY202105118.htm

    YANG J. Effects of patient education and physical exercise on quality of life and exercise capacity in patients with paroxysmal or persistent atrial fibrillation[J]. Heilongjiang Journal of Traditional Chinese Medicine, 2021, 50(5): 159-160. https://www.cnki.com.cn/Article/CJFDTOTAL-HLZY202105118.htm
    [16]
    VOLGMAN A S, NAIR G, LYUBAROVA R, et al. Management of atrial fibrillation in patients 75 years and older: JACC state-of-the-art review[J]. J Am Coll Cardiol, 2022, 79(2): 166-179.
    [17]
    LANGHEIM E. Rehabilitation for atrial fibrillation: impact on arrhythmia and cumulative risk factors[J]. Herzschrittmacherther Elektrophysiol, 2023, 34(1): 33-38.
    [18]
    刘梅颜, 陶淑慧, 任学群. 心房颤动合并抑郁药物治疗新认识[J]. 中华医学杂志, 2021, 101(9): 679-682.

    LIU M Y, TAO S H, REN X Q. New understanding of drug therapy for atrial fibrillation combined with depression[J]. Natl Med J China, 2021, 101(9): 679-682.
    [19]
    马继芳, 宋卫锋, 陈珂, 等. 典型心房扑动患者行三尖瓣峡部消融术后新发心房颤动的危险因素分析[J]. 中华实用诊断与治疗杂志, 2023, 37(10): 1036-1041. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZD202310014.htm

    MA J F, SONG W F, CHEN K, et al. Risk factors of newly-onset atrial fibrillation in patients with typical atrial flutter after cavotricuspid isthmus ablation[J]. J Chin Pract Diagn Ther, 2023, 37(10): 1036-1041. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZD202310014.htm
    [20]
    莫雁飞, 黄磊. 华法林在心房颤动患者中的应用研究[J]. 现代医药卫生, 2022, 38(9): 1567-1570. https://www.cnki.com.cn/Article/CJFDTOTAL-XYWS202209033.htm

    MO Y F, HUANG L. Application of warfarin in patients with atrial fibrillation[J]. J Mod Med Health, 2022, 38(9): 1567-1570. https://www.cnki.com.cn/Article/CJFDTOTAL-XYWS202209033.htm
    [21]
    郭雪原, 王震, 李思彤, 等. 心房颤动患者及家属焦虑的相关因素分析[J]. 中华医学杂志, 2023, 103(28): 2151-2156.

    GUO X Y, WANG Z, LI S T, et al. Analysis of related factors of anxiety in patients with atrial fibrillation and their families[J]. Natl Med J China, 2023, 103(28): 2151-2156.
    [22]
    KASSAVOU A, A' COURT C E, CHAUHAN J, et al. Assessing the acceptability of a text messaging service and smartphone app to support patient adherence to medications prescribed for high blood pressure: a pilot study[J]. Pilot Feasibility Stud, 2020, 6(11): 134.
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