The Application Of Health Management Based On Mobile Health In Self-management Of Young And Middle-aged Patients After PCI

Objective:1.To understand the status quo and influencing factors of coronary heart disease(CHD)knowledge in young and middle-aged patients after percutaneous coronary intervention(PCI).2.To explore the application methods and effects of Mobile Health(m Health)in the health management of young and middle-aged patients after PCI.Methods: A total of 100 young and middle-aged patients undergoing PCI in a third-level grade hospital of Zun Yi City from December 2017 to April 2018 were enrolled in a convenient sampling method.They were randomly divided into experimental group and control group.On the day before discharge from the hospital,the CHD knowledge questionnaire was used to investigate the current status of CHD knowledge,and interviews were used to understand daily life patterns,onset and treatment processes,expected rehabilitation methods,etc.;The patients in the experimental group were given health management by m Health application(APP)in combination with We Chat and telephone.They downloaded the “Tongxin Butler” APP on the day before discharge and joined the established Health Management We Chat group to be guided to learn the disease-related knowledge.Researchers issued health-related knowledge to We Chat group on Monday,Wednesday and Saturday,and answered patients’ doubts in real time.Telephone follow-up surveys were implemented in one week and monthly in half a year after discharge.The follow-up content was based on the risk factors and individual health requirement.Meanwhile,telephone follow-up surveys were also implemented in 1 month,3 months and6 months after discharge for the control group,with a follow-up content according to a unified instruction.The self-management behaviors of the two-group were compared and analyzed including the knowledge of CHD after 3 and 6 months of intervention,as well as the current smoking rate,follow-up rate in the two groups after 1,3 and 6 months of intervention and post-intervention 6-month body mass index.Result:1.The status quo of CHD knowledge :The status quo of CHD knowledge: The average score of 100 patients with CHD was27.93 ± 9.60,and the score index was 53.71%.The patient’s course of disease and education level were independent factors influencing by the knowledge level of CHD.2.The level of CHD knowledge at different intervention times:(1)Comparison between groups: On 3 months after the intervention,the total score of the experimental group and the scores of five dimensions(concept,risk factors,clinical manifestations,treatment methods,and drug knowledge)were higher than those of the control group(p < 0.05).At 6 months after the intervention,the total score of the experimental group and the scores of 7 dimensions(concept,risk factors,predisposing factors,clinical manifestations,examination methods,drug knowledge,secondary prevention knowledge)were higher than those of the control group(p < 0.05).(2)Group comparison: The total score and scores of each dimension of the two groups were significantly higher than those before the intervention(p < 0.05).At 6 months after the intervention,the scores of the experimental group and the five dimensions(risk factors,predisposing factors,clinical manifestations,examination methods,drug knowledge)were higher than those at 3 months after intervention(p < 0.05);the total score of the control group and the drug knowledge score increased compared with 3 months after intervention(p < 0.05).3.CHD self-management behavior at different intervention times:(1)Comparison between groups: After 3 months and 6 months of intervention,the total score of the experimental group and the scores of five dimensions(bad habit management,general life management,symptom management,disease knowledge management,and compliance management)were higher than those of the control group(p< 0.05).After 6 months of intervention,the scores of emotional cognitive management in the experimental group were higher than those in the control group(p < 0.05).(2)Group comparison: After 6 months of intervention,the scores of the emotional cognitive management in the two groups were higher than those at 3 months after intervention(p < 0.05);the scores of the three dimensions in the experimental group(symptom management,disease knowledge management,and compliance management)were lower than those at 3 months after intervention(p < 0.05);the total score of the control group and the scores of three dimensions(bad hobby management,symptom management,disease knowledge management)were lower than those at 3 months after intervention(p < 0.05).4.Comparison of current smoking rate,follow-up rate and body mass index between different interventions(1)Current smoking rate: After one-month and three-month intervention,there was no significant difference in current rate of smoking between the two groups(p > 0.05).After six-month intervention,the current smoking rate of the experimental group was lower than that of the control group(p < 0.05).(2)Follow-up rate: The rate of return visits in the experimental group of one-month,three-month,and six-months were higher than those in the control group(p < 0.05).(3)BMI: After six-month intervention,there was no significant difference in body mass index between the experimental group and the control group(p > 0.05).The body mass index of the experimental group was lower than that before the intervention(p <0.05).The body mass index of the control group was consistent with that before the intervention(p > 0.05).Conclusion:1.The knowledge level of CHD in patients after PCI is urgently needed;2.Health management based on mhealth can improve the knowledge of CHD,self-management behavior and follow-up rate in patients after PCI,and can promote the reduction of current smoking rate.Therefore,the clinical application can be confirmed,but the role in weight control is not clear.