跟进式电话随访在出院心肌梗死患者中的应用

摘要

Objective:To evaluate the effect of continuous telephone follow-up in patients with myocardial infarction.Methods:A total of 128 patients with myocardial infarction admitted to our hospital from January 2015 to May 2016 were selected.The patients were divided into an observation group and a control group by random number table method,64 cases in each group.The control group was only discharged health education,and the observation group received a continuous telephone follow-up for 6 months.Results:Before intervention,there were no significant differences in SF-36 scores between the two groups (P＞0.05).Six months after the intervention,the quality of life of the observation group increased significantly (P＜0.05),but there was no significant change in the control group (P＞0.05).Before the intervention,there were no significant differences in the scores of the ESCA scale between the 2 groups (P＞0.05).The self-care ability of the observation group increased significandy (P＜0.05)6 months after the intervention,but no significant change in the control group (P＞0.05).There was no significant difference in SAS and SDS scores between two groups before intervention (P＞0.05).Six months after the intervention,the anxiety and depression of the observation group improved significantly (P＜0.05),but there was no significant change in the control group (P＞0.05).Conclusion:Continuous telephone follow-up can improve the quality of life and self-care of patients with myocardial infarction and improve their mental health status,which is worthy of clinical recommendation.%目的:探讨跟进式电话随访在出院心肌梗死(myocardial infarction,MI)患者中的应用价值.方法:选取2015年1月至2016年5月滨州医学院烟台附属医院收治的MI患者128例.采用随机数字表法将患者分为观察组和对照组,每组64例.对照组只进行出院健康教育,观察组接受为期6个月的跟进式电话随访.结果:干预前,两组健康调查简表(short from health survey,SF-36)量表各维度得分比较差异均无统计学意义(P＞0.05).干预6个月后,观察组生活质量显著上升,差异有统计学意义(P＜0.05),对照组无明显变化,差异无统计学意义(P＞0.05).干预前,两组自护能力测定量表(exercise of selfcare agency scale,ESCA)各维度得分比较差异均无统计学意义(P＞0.05).干预6个月后,观察组自护能力显著上升,差异有统计学意义(P＜0.05),对照组无明显变化(P＞0.05).干预前,两组焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-depression anxiety scale,SDS)得分比较差异均无统计学意义(P＞0.05).干预6个月后,观察组焦虑、抑郁状况显著改善(P＜0.05),对照组无明显变化(P＞0.05).结论:跟进式电话随访有助于提高MI出院患者的生活质量和自护能力,改善心理健康状况,值得临床推荐.