目的 探讨体质量监测APP在慢性心力衰竭(CHF)出院患者延续护理中的应用效果。方法 2016年6月至2017年6月,将84例CHF患者随机分为对照组(n=42)和研究组(n=42)。对照组出院后进行常规延续护理,研究组出院时应用体质量监测APP对患者进行体质量监测延续护理。结果 出院随访6个月后,研究组N末端B型利钠肽原(NT-proBNP)指标及明尼苏达州心功能不全生活质量(MLHFQ)评分均显著低于对照组(t>4.712, P<0.001)。6个月内,研究组再入院人次明显低于对照组(χ2=7.714, P<0.01)。结论 体质量监测APP可在CHF出院患者延续护理中改善心力衰竭症状,降低再入院率。
Objective To investigate the application of body mass monitoring APP in continuation care of discharged patients with chronic heart failure (CHF).Methods From June, 2016 to June, 2017, 84 patients with CHF were randomly divided into control group and research group with 42 cases in each group. After discharge, the control group received routine continuation nursing and the body mass monitor APP was used to monitor the body mass and continue nursing in the research group. Results After six months of discharge, the N-terminal pro-B-type natriuretic peptide (NT-proBNP) level, and the score of Minnesota Life Heart Failure Quality (MLHFQ) were significantly lower in the research group than in the control group (t>4.712, P<0.001). The number of repeat hospitalizations was lower in the research group than in the control group (χ2=7.714, P<0.01).Conclusion The body mass monitoring APP could improve the symptoms of heart failure and reduce the readmission rate of discharged patients with CHF in continuation care.
[1] 张守琳,王世栋. 运动康复对冠心病慢性心力衰竭患者心功能的影响[J]. 中国老年学杂志, 2012, 32(23): 5121-5123.
[2] 冯广迅,杨艳敏,朱俊,等. 心房颤动伴或不伴心力衰竭患者的死亡危险因素分析[J]. 中国循环杂志, 2018, 33(2): 161-165.
[3] 唐梅芳,阿依夏木古丽·沙得尔,杨韵歆. HtoH连续护理对老年慢性心力衰竭患者用药依从性和再入院率的影响[J]. 护理学杂志, 2014, 29(17): 24-26.
[4] 仇静波,汪小华,鞠阳,等. 慢性心力衰竭患者体重监测频率对再人院率的影响[J]. 护士进修杂志, 2013, 28(1): 5-7.
[5] 鞠阳,汪小华,仇静波,等. 心力衰竭患者体重管理相关知识-信念-行为对称体重依从性的影响[J]. 护理研究, 2013, 27(6A): 1550-1552.
[6] 高京华,李红文,孙媛,等. 延续护理对老年心衰慢性患者6 min步行实验及再住院率的影响研究[J]. 中国护理管理, 2017, 17(5): 668-671.
[7] 赵冬杰. 移动互联时代我国健康传播APP的现状与趋势研究[D]. 开封:河南大学, 2014.
[8] 中华医学会心血管病学分会,中华心血管病杂志编辑委员会. 中国心力衰竭诊断和治疗指南2014[J]. 中华心血管病杂志, 2014, 42(2): 99-100.
[9] 郑炜平. N末端B型利钠肽原在慢性肾脏病并急性心功能衰竭诊断截点的探讨[J]. 创伤与急诊电子杂志, 2016, 4(1): 40-42.
[10] 朱燕波,杜金行,林琳,等. 明尼苏达心功能不全生命质量量表中文版的研制及临床试用[J]. 中华行为医学与脑科学杂志, 2010, 19(2): 178.
[11] 项颖卿,罗萍,章国良. 心理护理对慢性心力衰竭伴焦虑抑郁患者治疗依从性和生存质量的影响[J]. 实用医学杂志, 2014, 30(2): 307-308.
[12] 陈伟伟,高润霖,刘力生,等. 《中国心血管病报告2015》概要[J]. 中国循环杂志, 2016, 31(6): 521-528.
[13] 任贤亮,杨楠. 住院心力衰竭患者心率管理现况的调查分析[J]. 中国医药指南, 2016, 14(28): 95-96.
[14] 种甲,王华,杨杰孚. 急性心力衰竭药物治疗进展[J]. 临床内科杂志, 2016, 33(1): 12-15.
[15] 郝素芳,侯翠红,裴娟慧,等. 体重指数对慢性心力衰竭患者全因死亡风险的预测作用[J]. 中国循环杂志, 2013, 28(1): 51-54.
[16] 张红. 勤称体重、估计水量、自测心衰[J]. 中国实用医药, 2013, 8(31): 206-207.
[17] 付伟,李萍,钟银燕. 延续性护理研究综述[J]. 中国实用护理杂志, 2010, 26(11): 27-30.
[18] Kirwan M, Vandelanotte C, Fenning A, et al.Diabetes self-management smartphone application for adults with type 1 diabetes: randomized controlled trial[J]. J Med Internet Res, 2013, 15(11): e235.
[19] Demidowich AP, Lu K, Tamler R, et al.An evaluation of diabetes self-management applications for Android smartphones[J]. J Telemed Telecare, 2012, 18(4): 235-238.
[20] 窦凤娇,余丽君. 手机应用程序在慢性阻塞性肺疾病管理中的应用进展[J]. 中华护理杂志, 2016, 51(4): 475-478.
[21] Rajan SP, Rajamony S.Viable investigations and real-time recitation of enhanced ECG-based cardiac telemonitoring system for homecare applications: a systematic evaluation[J]. Telemed J E Health, 2013, 19(4): 278-286.
[22] Logun AG.Transforming hypertension management using mobile health technology for telemonitoring and self-care support[J]. Can J Cardiol, 2013, 29(5): 579-585.
[23] Thomas JG, Wing RR.Health-e-call, a smartphone-assisted behavioral obesity treatment: pilot study[J]. JMIR Mhealth Uhealth, 2013, 1(1): e3.
[24] Hebden L, Cook A, van der Ploeg HP, et al. A mobile health intervention for weight management among young adults: a pilot randomised controlled trial[J]. J Hum Nutr Diet, 2014, 27(4): 322-332.
[25] Turner-Mcgrievy GM, Beets MW, Moore JB, et al.Comparison of traditional versus mobile app self-monitoring of physical activity and dietary intake among overweight adults participating in an mHealth weight loss program[J]. J Am Med Inform Assoc, 2013, 20(3): 513-518.
[26] Bond DS, Thomas JG, Raynor HA, et al.B-MOBILE–a smartphone-based intervention to reduce sedentary time in overweight/obese individuals: a within-subjects experimental trial[J]. PLoS One, 2014, 9(6): e100821.
[27] Brindal E, Hendrie G, Freyne J, et al.Design and pilot results of a mobile phone weight-loss application for women starting a meal replacement programme[J]. J Telemed Telecare, 2013, 19(3): 166-174.
[28] 李舒玲,岳立萍. “护理教学”手机APP在胸外科护理本科临床教学中的设计与应用[J]. 解放军护理杂志, 2016, 33(11): 60-62.