Effects of comprehensive health intervention by new media on patients' self-management ability after percutaneous coronary intervention

Abstract

Objective To compare the effects of the comprehensive health intervention by new media and the conventional telephone follow-up on patients' self-management ability after percutaneous coronary intervention (PCI) , and to explore the comprehensive health interventions by new media which can improve the self-management ability of patients after PCI. Methods A total of 130 patients with coronary heart disease who received PCI in a ClassⅢ Grade A hospital in Nanjing between August and December 2016 were selected by convenient sampling and divided into the treatment group (n=64) and the control group (n=66) according to the random number table. Patients in the control group received the conventional telephone follow-up, while patients in the treatment group received the comprehensive health intervention by new media. The self-management ability was compared before and after intervention using the Coronary Disease Self-Management Scale (CSMS) . The incidence of adverse cardiovascular events, readmission rate at emergency service and the number of patients with regular subsequent visits to outpatient service were recorded. Results The treatment group scored higher in all dimensions of the self-management ability than the control group (P<0.05) after intervention; the readmission rate was lower in the treatment group than in the control group (χ2=4.997, P=0.044) ; and more patients with regular subsequent visits to outpatient patients were found in the treatment group (χ2=7.897, P=0.007) . Conclusions The comprehensive health intervention by new media can improve the self-management ability of patients, reduce the readmission rate at emergency service and increase the rate of regular subsequent visits to outpatient service. Key words: Nursing care; Self-management; Coronary heart disease; Health intervention