Objective To explore the application effect of whole-process home management based on WeChat in patients with coronary heart disease after stenting.
Methods A total of 154 patients with coronary heart disease after stenting were selected and divided into experimental group (n=78) and control group (n=76) by random number table method. The control group was given routine discharge guidance and follow-up management, while the experimental group was combined with whole-course home management based on WeChat. After 12 months of follow-up, anxiety and depression degree, self-management ability, quality of life, major cardiovascular events and other indicators of two groups were compared.
Results After 12 months follow-up, the scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) in the experimental group were significantly lower than those in control group (P < 0.01); the total scores of daily life management, medical management of diseases, emotional management and self-management in the experimental group were significantly higher than those in the control group (P < 0.05 or P < 0.01); the scores of symptom control, psychosocial function, cognitive function, treatment satisfaction, adverse reaction control and quality of life in the experimental group were significantly higher than those in the control group (P < 0.01 or P < 0.05). The incidence of major cardiovascular events in the experimental group was 7.69%, which was significantly lower than 19.74% in the control group (P < 0.05).
Conclusion The whole-course home management based on WeChat can alleviate the anxiety and depression of patients with coronaryheart disease after stenting, enhance self-management ability, improve their quality of life and prevent major cardiovascular events.
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