收稿日期: 2024-02-24
网络出版日期: 2024-10-22
基金资助
青岛市科技惠民示范引导专项(21-1-4-rkjk-21-nsh)
Evaluation of the efficacy of Internet+cardiac rehabilitation intervention in patients with hypertension and coronary heart disease
Received date: 2024-02-24
Online published: 2024-10-22
目的 探讨互联网+心脏康复对高血压合并冠心病患者干预的效果。 方法 选取2022年1月至2023年4月收治的80例高血压合并冠心病患者,随机分为联合组(n = 40)和常规组(n = 40),两组均给予心脏康复常规干预,联合组在常规心脏康复干预的基础上联合互联网进行延续性干预。比较两组干预前及出院后3个月摄氧量情况、血压、依从性、自我管理评分情况。 结果 联合组AT Mets、AT VO2、peakVO2、预计值达标比均高于常规组(P < 0.05);联合组收缩压、舒张压均低于常规组,完全依从率占比明显高于常规组(P < 0.05);联合组自我管理各项评分情况均高于常规组(P < 0.05)。 结论 互联网+心脏康复延续性干预可控制高血压合并冠心病患者患者血压,患者遵医行为明显提高,进而改善患者自我管理能力,临床可加以借鉴和推广。
曲凤霞 , 辛越 , 李婧媛 , 郭晓 , 路长鸿 . 互联网+心脏康复对高血压合并冠心病患者干预的疗效[J]. 实用医学杂志, 2024 , 40(19) : 2778 -2782 . DOI: 10.3969/j.issn.1006-5725.2024.19.019
Objective To explore the effect of Internet+cardiac rehabilitation on hypertension patients with coronary heart disease. Methods 80 patients with hypertension and coronary heart disease admitted to our hospital from January 2022 to April 2023 were randomly divided into the combined group (n = 40) and the conventional group (n = 40). Both groups were given routine cardiac rehabilitation interventions. The combined group combined adoptionof the Internet for continuous interventionson the basis of routine cardiac rehabilitation interventions. Compare the oxygen uptake, blood pressure, compliance, and self-management scores between two groups before intervention and three months after discharge. Results The AT Mets, AT VO2, peak VO2, and expected value compliance ratio in the combined group were all higher than those in the conventional group (P < 0.05); The systolic and diastolic blood pressure in the combination group were lower than those in the control group, and the proportion of complete compliance was significantly higher than that in the control group (P < 0.05); The self-management scores of the joint group were higher than those of the conventional group (P < 0.05). Conclusion The continuous interventions of Internet plus cardiac rehabilitation can control the blood pressure of patients with hypertension and coronary heart disease, and patients' compliance behavior is significantly improved, andthus improving patients' self-management ability, which can be used for reference and promotion in clinical practice.
Key words: internet; cardiac rehabilitation; hypertension; coronary heart disease
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