Abstract
Objective To explore the effect of mobile Internet on attitude and self-efficacy of patients with coronary heart disease (CHD) diagnosed by 12-lead Holter ECG. Methods The clinical data of 62 patients with CHD who underwent routine ECG examination (control group I) and 12-lead dynamic electrocardiogram (control group II) in our hospital (June 2017–December 2020) were retrospectively analyzed, and the clinical data of another 62 patients with CHD who received 12-lead Holter ECG examination combined with mobile Internet in our hospital at the same time (study group) were retrospectively analyzed. The clinical observation indexes of the three groups were compared. Results No obvious difference in general data among groups (P > 0.05). Compared with the control group I, the positive detection rate (PDR) of the study group and the control group II was obviously higher (P < 0.05), and the PDR of the study group was obviously higher than that of the control group II, without remarkable difference between both groups (P > 0.05). Compared with the control group, the scores of CAS-R of the study group were obviously higher (P < 0.05), and self-efficacy of daily life, health behaviors, medication compliance, and compliance behavior of the study group was obviously better (P < 0.05). The diagnostic efficacy was derived by ROC curve analysis, 12-lead Holter ECG combined with mobile Internet + routine ECG > 12-lead Holter ECG combined with mobile Internet > 12-lead Holter ECG > routine ECG. Conclusion Compared with the routine ECG, the sensitivity of 12-lead Holter ECG in the diagnosis of CHD is conspicuously higher. Meanwhile, 12-lead Holter ECG combined with mobile Internet can enhance the diagnostic efficiency and improve patients' perceived control attitude and self-efficacy.
Highlights
As a common type of heart disease, coronary heart disease (CHD) is a kind of atherosclerotic heart disease
Screening and Grouping of Patients. e clinical data of 62 patients with CHD who underwent routine ECG examination and 12-lead dynamic electrocardiogram in our hospital (June 2017–December 2020) were retrospectively analyzed, and the clinical data of another 62 patients with CHD who received 12-lead Holter ECG examination combined with mobile Internet in our hospital at the same time were retrospectively analyzed. e clinical observation indexes of the three groups were compared. e study was approved by the Hospital Ethics Committee
E study group was examined by 12-lead Holter ECG examination combined with mobile Internet. e receiving doctor first transmited the patients’ real-time vital sign information (12-lead Holter ECG, noninvasive blood pressure, blood oxygen saturation, and respiration) to the database of the Chest Pain Center (CPC) on WeChat, and the treatment team of CPC formulated an emergency plan based on the above information, mainly including the stability of the patients’ vital signs, the loading dose of aspirin and clopidogrel, necessary sedation and analgesia, and cognitive intervention and behavioral intervention via the mobile phone
Summary
As a common type of heart disease, coronary heart disease (CHD) is a kind of atherosclerotic heart disease. Routine ECG is the most common and convenient method for the diagnosis of the disease in clinic, especially for patients with acute attack, but it has limitations in initial screening and dynamic evaluation of prognosis, which is difficult to popularize [4,5,6], while the 12lead Holter ECG can continuously record and analyze the changes of ECG of the patients in both active and quiet states for a long time, with more advantages of large amount of information and long recording time than the routine ECG. The author’s clinical experience found that self-efficacy and perceived control attitude are very important in the selfmanagement of patients with CHD. To improve the diagnosis and management efficiency, our hospital combined 12-lead Holter ECG with mobile Internet, which greatly improved the treatment efficiency of patients. This paper will explore the effect of mobile Internet on attitude and self-efficacy of Journal of Healthcare Engineering patients with CHD diagnosed by 12-lead Holter ECG, and the results are as follows
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