【摘要】 目的 观察基于患者报告结局(PROs)的全程健康管理模式在冠心病患者经皮冠状动脉介入治疗(PCI)术后随访中的应用效果。方法 选择2022年9月—2023年9月本院收治的冠心病患者106例,按随机数字表法分为对照组(53例,冠心病患者PCI术后随访中应用常规管理模式)和研究组(53例,冠心病患者PCI术后随访中应用基于PROs的全程健康管理模式)。比较患者服药依从性、自我管理行为、疾病认知程度、主要不良心血管事件(MACE)发生情况。结果 干预后,2组患者的12条目服药依从性量表(12-item MAS)、冠心病自我管理量表(CSMS)、简版冠心病教育问卷(CADE-QSV)各维度评分较干预前高,且研究组高于对照组(P<0.05)。研究组患者的MACE总发生率(3.78%,2/53)低于对照组(16.98%,9/53),差异有统计学意义(P<0.05)。结论 基于PROs的全程健康管理模式应用于冠心病患者PCI术后随访中,可改善患者服药依从性、自我管理行为、疾病认知程度,且减少MACE发生。更多还原

【Abstract】 Objective To observe the application effect of a patient-reported outcome(PRO)-based comprehensive health management mode in the postoperative follow-up of coronary heart disease(CHD) patients after percutaneous coronary intervention(PCI). Methods A total of 106 CHD patients admitted to our hospital from September 2022 to September 2023 were selected and randomly assigned to a control group(53 cases, receiving conventional management mode during followup after PCI) and a study group(53 cases, receiving PRO-based comprehensive health management mode during follow-up after PCI). Medication adherence, self-management behaviors, disease awareness, and the occurrence of major adverse cardiovascular events(MACE) were compared between the two groups. Results After intervention, the scores of all dimensions of the 12-item Medication Adherence Scale(12-item MAS), the Coronary Heart Disease Self-Management Scale(CSMS), and the short version of the Coronary Artery Disease Education Questionnaire(CADE-Q SV) in both groups were higher than those before intervention, and the scores in the study group were higher than those in the control group(P<0.05). The overall incidence of MACE in the study group was lower than that in the control group(3.78% [2/53] vs. 16.98% [9/53]; P<0.05). Conclusion The application of the PRO-based comprehensive health management mode in the postoperative follow-up of CHD patients after PCI can improve medication adherence, self-management behaviors, disease awareness, and reduce the occurrence of MACE.更多还原