Abstract
Objective To explore the efficacy of community-family management mode under Internet-based mobile terminal (MT) monitoring in stable coronary heart disease (CHD) in the elderly. Methods A total of 86 patients with stable CHD treated in our hospital from May 2018 to May 2021 were selected as the study objects for the retrospective study and were divided into the control group (routine intervention) and the research group (community-family management mode intervention under Internet MT monitoring) according to the health management modes, with 43 cases each, and the health behaviors and control of CHD were compared between the two groups. Results No statistical between-group differences in general information were observed (P > 0.05); 6 months after intervention, the control of laboratory indexes including blood pressure, blood glucose, triglyceride, and total cholesterol in patients was obviously better in the research group than in the control group (P > 0.05); after intervention, the scores on rehabilitation knowledge level and secondary prevention behavior were obviously higher in the research group than in the control group (P > 0.05); 6 months after intervention, the scores on physical limitation, anginal stabilization, anginal frequency, disease perception, and treatment satisfaction were obviously higher in the research group than in the control group (P > 0.05); compared with the control group within 1 year of intervention, the readmission rate of the research group was significantly lower (P > 0.05); and compared with the control group, the total score of CQQC and scores on physical strength, condition, general life, and social mentality were significantly better in the research group (P > 0.05). Conclusion Community-family management mode under Internet-based MT monitoring is the valid continuation of clinical nursing for elderly patients with stable CHD, which plays an effective role in terms of daily monitoring indexes, stabilizing condition, improving disease cognition, reducing the readmission rate, and improving the prognostic quality of life of patients.
Highlights
Coronary heart disease (CHD) refers to the coronary atherosclerotic heart disease whose predisposing and risk factors mainly include hypertension, blood lipid abnormality, hyperglycemia, as well as adverse lifestyle, and its onset is often associated with factors such as seasonal variations, physical activity, and emotional excitement [1,2,3,4]
Most patients can be effectively treated, but if a short period of rapid treatment is not accompanied by long-term and effective health management interventions, adverse risk factors can still lead to life-threatening recrudescence. erefore, continuous nursing intervention inside and outside the hospital is very important for CHD patients
Since the issuance of the Twelfth Five-Year Plan of China on Aging Undertaking Development [5] (No 28 document of State Council in 2011) by State Council, the gradual establishment and perfection of a continuous care delivery system where the Journal of Healthcare Engineering elderly are “supported by institutions, provided with home care, and taken care of by community” has been proposed, and by establishing the “community-family management mode,” our hospital has gradually formed a continuous health management system of CHD based on clinical care, in the hope of further meeting the health service needs of elderly patients with stable CHD, reducing the readmission rate of patients, and promoting the continuous development of nursing industry
Summary
Coronary heart disease (CHD) refers to the coronary atherosclerotic heart disease whose predisposing and risk factors mainly include hypertension, blood lipid abnormality, hyperglycemia, as well as adverse lifestyle (e.g., excessive alcohol consumption, smoking, unjustified diet, and lack of exercise), and its onset is often associated with factors such as seasonal variations, physical activity, and emotional excitement [1,2,3,4]. Since the issuance of the Twelfth Five-Year Plan of China on Aging Undertaking Development [5] (No 28 document of State Council in 2011) by State Council, the gradual establishment and perfection of a continuous care delivery system where the Journal of Healthcare Engineering elderly are “supported by institutions, provided with home care, and taken care of by community” has been proposed, and by establishing the “community-family management mode,” our hospital has gradually formed a continuous health management system of CHD based on clinical care, in the hope of further meeting the health service needs of elderly patients with stable CHD, reducing the readmission rate of patients, and promoting the continuous development of nursing industry. Our hospital has creatively combined the community-family management mode with the currently booming MT, expecting to promote the health management efficacy and quality with the intervention based on MT service platform for patients, with the results summarized as follows
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