CN109920500A - A kind of PCI postoperative patient continuity care platform based on wechat - Google Patents
A kind of PCI postoperative patient continuity care platform based on wechat Download PDFInfo
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- CN109920500A CN109920500A CN201910140229.8A CN201910140229A CN109920500A CN 109920500 A CN109920500 A CN 109920500A CN 201910140229 A CN201910140229 A CN 201910140229A CN 109920500 A CN109920500 A CN 109920500A
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- 230000002980 postoperative effect Effects 0.000 title claims abstract description 83
- 238000002554 cardiac rehabilitation Methods 0.000 claims abstract description 31
- 230000000694 effects Effects 0.000 claims abstract description 9
- 238000000034 method Methods 0.000 claims description 26
- 208000029078 coronary artery disease Diseases 0.000 claims description 18
- 230000036541 health Effects 0.000 claims description 17
- 230000000474 nursing effect Effects 0.000 claims description 17
- 206010020772 Hypertension Diseases 0.000 claims description 9
- 230000000747 cardiac effect Effects 0.000 claims description 7
- 229940079593 drug Drugs 0.000 claims description 7
- 239000003814 drug Substances 0.000 claims description 7
- 238000013152 interventional procedure Methods 0.000 claims description 7
- 230000009863 secondary prevention Effects 0.000 claims description 7
- 201000010099 disease Diseases 0.000 claims description 4
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 4
- 230000002452 interceptive effect Effects 0.000 claims description 4
- 230000001276 controlling effect Effects 0.000 claims description 3
- 230000037213 diet Effects 0.000 claims description 3
- 235000005911 diet Nutrition 0.000 claims description 3
- 238000004321 preservation Methods 0.000 claims description 3
- 238000007619 statistical method Methods 0.000 claims description 3
- 238000004891 communication Methods 0.000 claims description 2
- 230000008569 process Effects 0.000 claims description 2
- 238000005485 electric heating Methods 0.000 claims 1
- 230000000661 pacemaking effect Effects 0.000 claims 1
- 230000002411 adverse Effects 0.000 abstract description 16
- 230000007211 cardiovascular event Effects 0.000 abstract description 16
- 230000008901 benefit Effects 0.000 abstract description 7
- 230000002045 lasting effect Effects 0.000 abstract description 5
- 238000013146 percutaneous coronary intervention Methods 0.000 description 52
- 230000000875 corresponding effect Effects 0.000 description 4
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- 238000011156 evaluation Methods 0.000 description 3
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- 238000002474 experimental method Methods 0.000 description 2
- 208000019622 heart disease Diseases 0.000 description 2
- 238000002560 therapeutic procedure Methods 0.000 description 2
- 206010003211 Arteriosclerosis coronary artery Diseases 0.000 description 1
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- 229940127291 Calcium channel antagonist Drugs 0.000 description 1
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- LNPDTQAFDNKSHK-UHFFFAOYSA-N valdecoxib Chemical compound CC=1ON=C(C=2C=CC=CC=2)C=1C1=CC=C(S(N)(=O)=O)C=C1 LNPDTQAFDNKSHK-UHFFFAOYSA-N 0.000 description 1
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Abstract
The present invention provides a kind of PCI postoperative patient continuity care platform based on wechat, its rear end platform are equipped with wechat background server, and front-end platform, which is equipped with, to be run on the wechat public platform of mobile terminal and exchange group with wechat.The present invention pushes linked contents relevant to cardiac rehabilitation to PCI postoperative patient by operation wechat public platform, and it is equipped with backstage and the feedback information of PCI postoperative patient is counted, recycle wechat exchange group for medical staff and patient explanation is provided with the space that exchanges, thus constitute the PCI postoperative patient continuity care platform based on wechat.The service platform has the advantages that good interactivity, limitation without time and region, private good, advantage of lower cost, lasting intervention using the platform to the offer of PCI postoperative patient about cardiac rehabilitation, the compliance of PCI postoperative patient cardiac rehabilitation can be increased, to improve the effect of cardiac rehabilitation, major adverse cardiovascular events incidence is reduced.
Description
Technical field
The present invention relates to a kind of PCI postoperative patient continuity care platform, specifically a kind of PCI art based on wechat
Patient's continuity care platform afterwards belongs to information-based applied technical field.
Background technique
Coronary atherosclerotic heart disease (coronary heart disease, CHD), abbreviation coronary heart disease refers to
Since abnormalities of sugar/lipid metabolism causes coronary atherosclerosis, lumen of artery narrow or blocks, cause heart ischemia, anoxic and
The heart disease of induction.The aggravation of change and population structure aging recently as resident living mode, the hair of coronary heart disease
Raw rate and case fatality rate are in rise year by year situation, seriously threaten patients ' life quality and life and health.Percutaneous coronary intervention
Treatment (percutaneous coronary intervention, PCI) is treatment and the effective means for alleviating coronary heart disease symptom
One of, but PCI postoperative patient is still had due to pathogenic risk factor, and the probability that coronary heart disease is broken out again is still very high.
Studies have shown that PCI postoperative patient carry out cardiac rehabilitation intervention can effectively delay or reversal of atherosclerosis into
Exhibition, reduces the recurrence rate and case fatality rate of coronary heart disease.Cardiac rehabilitation intervention include: take pai n nursing means, including drug, fortune
Dynamic, nutrition, psychology and social support change the bad life style of patient, and the behavior for helping patient to cultivate and keep fit promotees
Into healthy lifestyles, the various risk factors of cardiovascular disease are controlled, patient's physiology, psychology and social function are restored to
Optimum state.
However PCI postoperative patient is often poor for the compliance of cardiac rehabilitation, many patients after discharge in 3 months from
Row is discontinued, and leads to prognosis mala.The compliance of PCI postoperative patient cardiac rehabilitation and its coronary heart disease Health care Information are positively correlated,
The knowledge that patient grasps is more, and life style, movement compliance are better.This relates to prolong for the implementation of PCI postoperative patient
The problem of continuous property nursing and interfering, continuity nursing are that inpatient service is extended to a kind of new care mode of family,
It focuses on and patient is helped to improve self nursing ability, by education and health promotion means, improve patient health know-how, thus
Improve ability, self-confidence and the enthusiasm of self-management disease.But under current medical resource background condition in short supply, medical care is allowed
Personnel are obviously unrealistic to patient's implementation continuity nursing and interfering one to one, carry out such as how more efficient, suitable mode
Implementing continuity nursing and interfering to PCI postoperative patient is clinical urgent problem to be solved.
It with the popularity of the internet and promotes, the instant messages intercommunion platform based on wechat is gradually applied to medical services
In, wechat has many advantages, such as good interactivity, limitation without time and region, private good, advantage of lower cost, applies and is continuing
Property care in have huge advantage.Thus, it is therefore desirable to be able to a continuity care platform is built by wechat,
The lasting intervention about cardiac rehabilitation is provided to PCI postoperative patient using the platform, to increase PCI postoperative patient cardiac rehabilitation
Compliance reduces major adverse cardiovascular events incidence to improve the effect of cardiac rehabilitation, improves clinical prognosis, reduce medical treatment at
This, reduces personal, family and social economical burden.
Summary of the invention
The object of the present invention is to provide a kind of PCI postoperative patient continuity care platform based on wechat, with abundant
The lasting intervention about cardiac rehabilitation is provided to PCI postoperative patient using the correlation function of wechat, increases the PCI postoperative patient heart
The compliance of dirty rehabilitation reduces major adverse cardiovascular events incidence to improve the effect of cardiac rehabilitation.
Specific technical solution of the present invention is as follows:
A kind of PCI postoperative patient continuity care platform based on wechat comprising back-end platform and front-end platform, rear end
Platform is equipped with wechat background server, and front-end platform exchanges group with wechat equipped with the wechat public platform for running on mobile terminal.
The wechat public platform pushes linked contents relevant to cardiac rehabilitation to PCI postoperative patient for timing daily,
PCI postoperative patient selects to reply " being understood completely " or " not understanding " according to itself reading conditions, by micro- after consulting push content
Believe that background server is for statistical analysis to the feedback information of PCI postoperative patient；The wechat public platform is by associated care personnel
It is runed by operating wechat background server, and PCI postoperative patient is required to pay close attention to this wechat public platform by mobile terminal；
Wechat public platform is equipped with interventional nursing care, three Medical popular science, questionnaire survey modules.
The interventional nursing care module is equipped with interventional procedure basic knowledge, three bracket postoperative care, pacemaker postoperative care sons
Module；Wherein interventional procedure basic knowledge submodule is used to introduce the basic knowledge of PCI art, bracket postoperative care submodule to patient
For care method after introducing coronary heart disease stenting to patient, pacemaker postoperative care submodule is used to introduce to patient and be implanted into
It fights postoperative care method and points for attention after device.
The Medical popular science module is equipped with the rehabilitation of PCI postoperative cardiac and two secondary prevention, high blood pressure health knowledge
Module, in which:
The PCI postoperative cardiac rehabilitation and secondary prevention submodule, for providing the health in coronary heart disease each rehabilitation period for patient
Multiple acrobatics and tumblings, daily life guidance, medication guide, the control method of coronary risk factor and corresponding Con trolling index, the heart
Reason dredges the content of aspect；
The high blood pressure health knowledge submodule is known for introducing daily maintenence in relation to high blood pressure and control for patient
Know.
The questionnaire survey module, for the PCI postoperative patients to all concerns wechat public platforms carry out about
The questionnaire survey of PCI postoperative cardiac rehabilitation relevant knowledge, to be carried out to patient by corresponding label according to the result of questionnaire survey
Grouping, the wechat public platform are that different groups of other patients push the content adaptable with it respectively.
The wechat exchanges group, exchanges the sky freely exchanged with patient for providing a doctors and patients with patient for medical staff
Between, wechat exchange group members include associated care personnel and entirety PCI postoperative patient, and the exchange content of wechat exchange group includes:
A, according to wechat background server to the statistic analysis result of patient feedback, by medical staff in wechat exchange group
Detailed explaining illustration is carried out to the wechat public platform push content more than 20% patient feedback " not understanding "；
B, the daily timing consistently online 30min of medical staff receives consulting of the group friend to cardiac rehabilitation relevant issues；
C, whole day any time, group friend can carry out free exchange in wechat group, share daily self preservation gains in depth of comprehension.
The present invention pushes linked contents relevant to cardiac rehabilitation to PCI postoperative patient by operation wechat public platform,
And be equipped with backstage and the feedback information of PCI postoperative patient is counted, recycling wechat exchange group is that medical staff and patient mention
For the space explained with exchanged, the PCI postoperative patient continuity care platform based on wechat is thus constituted.The clothes
Business platform has the advantages that good interactivity, limitation without time and region, the good, advantage of lower cost of privacy, utilizes the platform
The lasting intervention about cardiac rehabilitation is provided to PCI postoperative patient, the compliance of PCI postoperative patient cardiac rehabilitation can be increased, from
And the effect of cardiac rehabilitation is improved, major adverse cardiovascular events incidence is reduced, clinical prognosis is improved, reduces medical treatment cost, is reduced a
People, family and social economical burden.
Detailed description of the invention
Fig. 1 is the module map based on the PCI postoperative patient continuity care platform of wechat.
Specific embodiment
The present invention will be further described with reference to the accompanying drawings and examples.
As shown in Figure 1, the PCI postoperative patient continuity care platform of the invention based on wechat comprising rear end
Platform and front-end platform, back-end platform are equipped with wechat background server, and front-end platform is equipped with the wechat public affairs for running on mobile terminal
Many numbers exchange group with wechat.
The wechat public platform pushes linked contents relevant to cardiac rehabilitation to PCI postoperative patient for timing daily,
PCI postoperative patient selects to reply " being understood completely " or " not understanding " according to itself reading conditions, by micro- after consulting push content
Believe that background server is for statistical analysis to the feedback information of PCI postoperative patient；The wechat public platform is by associated care personnel
It is runed by operating wechat background server, and PCI postoperative patient is required to pay close attention to this wechat public platform by mobile terminal；
Wechat public platform is equipped with interventional nursing care, three Medical popular science, questionnaire survey modules.
The interventional nursing care module is equipped with interventional procedure basic knowledge, three bracket postoperative care, pacemaker postoperative care sons
Module；Wherein:
The interventional procedure basic knowledge submodule is used to introduce the basic knowledge of PCI art to patient, specifically includes that the base of PCI art
This process, preoperative exercise method, Preoperative Method method, Postoperative item, postoperative best activity time and active methods；
The bracket postoperative care submodule specifically includes that the state of an illness for care method after introducing coronary heart disease stenting to patient
Observation, diet guide, wound observation comparison, living nursing, the observation of complication and nursing relevant knowledge；
The pacemaker postoperative care submodule is for the postoperative care method after introducing implantable pacemaker to patient and pays attention to thing
, it specifically includes that points for attention when pacemaker postoperative care method, discharge points for attention, out on tours, avoid electronic equipment
The points for attention of interference, using points for attention when mobile phone, the points for attention of changing cardiac pacemaker for patients battery, drive when points for attention,
Points for attention when airplane and high-speed rail, the points for attention for being forbidden to use electric blanket.
The Medical popular science module is equipped with the rehabilitation of PCI postoperative cardiac and two secondary prevention, high blood pressure health knowledge
Module, in which:
The PCI postoperative cardiac rehabilitation and secondary prevention submodule, for providing the health in coronary heart disease each rehabilitation period for patient
Multiple acrobatics and tumblings, daily life guidance, medication guide, the control method of coronary risk factor and corresponding Con trolling index, the heart
Reason dredges the content of aspect.
The high blood pressure health knowledge submodule, for introducing daily maintenence and control in relation to high blood pressure for patient
Knowledge.
The questionnaire survey module, for the PCI postoperative patients to all concerns wechat public platforms carry out about
The questionnaire survey of PCI postoperative cardiac rehabilitation relevant knowledge, to be carried out to patient by corresponding label according to the result of questionnaire survey
Grouping, the wechat public platform are that different groups of other patients push the content adaptable with it respectively.
The wechat exchanges group, exchanges the sky freely exchanged with patient for providing a doctors and patients with patient for medical staff
Between, wechat exchange group members include associated care personnel and entirety PCI postoperative patient, and the exchange content of wechat exchange group includes:
A, according to wechat background server to the statistic analysis result of patient feedback, by medical staff in wechat exchange group
Detailed explaining illustration is carried out to the wechat public platform push content more than 20% patient feedback " not understanding "；
B, the daily timing consistently online 30min of medical staff receives consulting of the group friend to cardiac rehabilitation relevant issues；
C, whole day any time, group friend can carry out free exchange in wechat group, share daily self preservation gains in depth of comprehension.
Further, in wechat exchange group, for the patient that continuous 1 week does not occur in group chat, by curing
Shield personnel and its individually communication, inform the importance for playing an active part in group chat, and it is supervised to participate.
Specific embodiment:
1, experimental subjects
Standard compliant 80 routine PCI patient with operation is selected, is divided into control group and observation group by randomly assigne after patient agrees to
Comparison before and after each 40 progress.Two groups of period row PCI, standard medication therapy and health educations of being hospitalized.Standard medication therapy master
It include: Bextra, calcium channel blocker, antiplatelet and statins etc..Health education content includes: coronary disease
The risk factor of disease；Diet principle；The family health care of medication guide and routine, when patient advisory, give guidance education again.Education
Form and time: charge nurse routinely educates 2~3 times after being admitted to hospital, and 20min/ times, mistake of the part health guidance in treatment and nursing
It is carried out at any time in journey, the time is indefinite.
2, experimental method:
Control group interference method: it is primary respectively to carry out Effect of follow-up visit by telephone when leaving hospital the 2nd week and 6 months, and gives for outpatient service follow-up after discharge
Guidance and education.
Observation group's interference method: continuous using the PCI postoperative patient continuity care platform based on wechat after discharge
Intervene 6 months.
3, experiment effect is assessed
Respectively from patients before and after intervention coronary cardiopathy rehabilitation knowledge evaluation, patients before and after intervention secondary prevention behavior evaluation, patients before and after intervention coronary heart disease
The four indices such as major adverse cardiovascular events incidence carry out the patient of control group and observation group after risk factor control evaluation, intervention
The assessment of observation in 3 years, the four indices of observation group patient are superior to control group.The tool of major adverse cardiovascular events incidence after wherein intervening
Volume data is as follows:
A situation arises for major adverse cardiovascular events at two groups patient 1 year: observation group's major adverse cardiovascular events incidence 4.76%, control group is not
Good Main cardiac events 7.14%, two groups of patient 1 year major adverse cardiovascular events incidences compare, no significant difference (P
> 0.05).
A situation arises for major adverse cardiovascular events at two groups patient 2 years: observation group's major adverse cardiovascular events incidence 16.67%, control
Group major adverse cardiovascular events incidence 30.95%, observation group patient 2 years major adverse cardiovascular events incidences are lower than control group, and difference has
Statistical significance (P < 0.05).
A situation arises for bad cardiac time at two groups patient 3 years: observation group's major adverse cardiovascular events incidence 33.33%, control
Group major adverse cardiovascular events incidence 64.29%, observation group patient 3 years major adverse cardiovascular events incidences are lower than control group, and difference has
Statistical significance (P < 0.05).
4, conclusion
It is provided to PCI postoperative patient about heart health by the PCI postoperative patient continuity care platform based on wechat
Multiple lasting intervention, can increase the compliance of PCI postoperative patient cardiac rehabilitation, to improve the effect of cardiac rehabilitation, reduce not
Good Main cardiac events improve clinical prognosis, reduce medical treatment cost, reduce personal, family and social economical burden.
Claims (5)
1. a kind of PCI postoperative patient continuity care platform based on wechat, it is characterized in that: including back-end platform and front end
Platform, back-end platform are equipped with wechat background server, and front-end platform is equipped with the wechat public platform and wechat for running on mobile terminal
Exchange group；
The wechat public platform pushes linked contents relevant to cardiac rehabilitation, PCI to PCI postoperative patient for timing daily
Postoperative patient selects to reply " being understood completely " or " not understanding " according to itself reading conditions, by wechat after consulting push content
Background server is for statistical analysis to the feedback information of PCI postoperative patient；The wechat public platform is led to by associated care personnel
It crosses operation wechat background server to be runed, and PCI postoperative patient is required to pay close attention to this wechat public platform by mobile terminal；It is micro-
Believe that public platform is equipped with interventional nursing care, three Medical popular science, questionnaire survey modules；
The interventional nursing care module is equipped with interventional procedure basic knowledge, three bracket postoperative care, pacemaker postoperative care submodules；
Wherein interventional procedure basic knowledge submodule is used to introduce the basic knowledge of PCI art to patient, and bracket postoperative care submodule is used for
Care method after introducing coronary heart disease stenting to patient, pacemaker postoperative care submodule are used to introduce implantable pacemaker to patient
Postoperative care method afterwards；
The Medical popular science module is equipped with the rehabilitation of PCI postoperative cardiac and two secondary prevention, high blood pressure health knowledge submodules,
Wherein:
The PCI postoperative cardiac rehabilitation and secondary prevention submodule, for providing the health in coronary heart disease each rehabilitation period for patient
Multiple acrobatics and tumblings, daily life guidance, medication guide, the control method of coronary risk factor and corresponding Con trolling index, the heart
Reason dredges the content of aspect；
The high blood pressure health knowledge submodule is known for introducing daily maintenence in relation to high blood pressure and control for patient
Know；
The questionnaire survey module is carried out for the PCI postoperative patient to all concern wechat public platforms about PCI art
The questionnaire survey of cardiac rehabilitation relevant knowledge afterwards, to be grouped to patient by corresponding label according to the result of questionnaire survey,
The wechat public platform is that different groups of other patients push the content adaptable with it respectively；
The wechat exchanges group, exchanges the space freely exchanged with patient for providing a doctors and patients with patient for medical staff,
Wechat exchange group members include associated care personnel and entirety PCI postoperative patient, and the exchange content of wechat exchange group includes:
A, according to wechat background server to the statistic analysis result of patient feedback, by medical staff in wechat exchange group
Detailed explaining illustration is carried out to the wechat public platform push content more than 20% patient feedback " not understanding "；
B, the daily timing consistently online 30min of medical staff receives consulting of the group friend to cardiac rehabilitation relevant issues；
C, whole day any time, group friend can carry out free exchange in wechat group, share daily self preservation gains in depth of comprehension.
2. service platform according to claim 1, it is characterized in that: in the interventional procedure basic knowledge submodule, to trouble
The basic knowledge that person introduces PCI art specifically includes that the basic process of PCI art, preoperative exercise method, Preoperative Method method, postoperative
Points for attention, postoperative best activity time and active methods.
3. service platform according to claim 1, it is characterized in that: in the bracket postoperative care submodule, to patient
It introduces care method after coronary heart disease stenting and specifically includes that disease observation, diet guide, wound observation comparison, living nursing, simultaneously
Send out the observation of disease and the relevant knowledge of nursing.
4. service platform according to claim 1, it is characterized in that: in the pacemaker postoperative care submodule, to patient
Postoperative care method and points for attention after introducing implantable pacemaker specifically include that pacemaker postoperative care method, discharge pay attention to
Points for attention when item, out on tours, use points for attention, pace-making when mobile phone at the points for attention for avoiding electronic equipment from interfering
The points for attention of device replacement battery, points for attention when driving, airplane and points for attention when high-speed rail are forbidden to use electric heating
The points for attention of blanket.
5. service platform according to claim 1, it is characterized in that: in wechat exchange group, for continuous 1 week
The patient not occurred in group chat informs the importance for playing an active part in group chat, and supervise it by medical staff and its individually communication
It participates.
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