Effect of the WeChat Platform Health Management and Refined Continuous Nursing Model on Life Quality of Patients with Acute Myocardial Infarction after PCI

Abstract

The purpose was to explore the effect of the WeChat platform health management and refined continuous nursing model on life quality of patients with acute myocardial infarction (AMI) after PCI. 100 AMI patients treated in the cardiovascular medicine of the First Affiliated Hospital of Soochow University from June 2018 to June 2019 were selected as the study subjects and randomly divided into research group and reference group, with 50 cases in each group. The reference group received routine nursing after PCI, while the research group received WeChat platform health management and continuous refined nursing. There were no significant differences in sex ratio, age, BMI, complications, education level, and residence between the two groups of patients (P > 0.05). The MPR values of patients in the two groups after intervention were significantly higher than those before intervention (P < 0.05), and the MPR value in the research group after intervention was significantly higher than that in the reference group (P < 0.05). The SF-36 scores of patients in the two groups after intervention were significantly higher than those before intervention (P < 0.001), and the SF-36 score in the research group after intervention was higher than that in the reference group (P < 0.001). The emotional, physical, and economic dimensions of patients in the research group after intervention were significantly lower than those in the reference group (P < 0.001). The HAMA and HAMD scores of patients in the research group after intervention were significantly lower than those in the reference group (P < 0.001). The nursing satisfaction score of patients in the research group was significantly higher than that in the reference group (P < 0.001). The total incidence of complications of patients in the research group after intervention was significantly lower than that in the reference group (P < 0.05). The WeChat platform health management and refined continuous nursing model can effectively improve the medication compliance of patients after PCI, improve the life quality, alleviate depression and anxiety, and reduce postoperative complications, with a definite effect, which is worthy of promotion and application.

Figure 1

Comparison of MPR values between the two groups of patients before and after intervention ($\overline{x}\pm s$). Note. The abscissa represents before intervention and after intervention, and the ordinate represents MPR value (%). The MPR values of the research group were (73.29 ± 8.45)% and (86.25 ± 8.03)%, respectively, before and after intervention. The MPR values of the reference group were (73.32 ± 8.42)% and (77.43 ± 8.06)%, respectively, before and after intervention. ^∗ indicates that there was a significant difference in MPR values in the research group before and after intervention (t = 7.862, P=0.000); ^∗∗ indicates that there was a significant difference in MPR values in the reference group before and after intervention (t = 2.493, P=0.014); and ^∗∗∗ indicates that there was a significant difference in MPR values between the two groups after intervention (t = 5.482, P=0.000).

Figure 2

Comparison of SF-36 scores between the two groups of patients before and after intervention ($\overline{x}\pm s$). Note. The abscissa represents before intervention and after intervention, and the ordinate represents SF-36 scores (points). The SF-36 scores of the research group were (54.27 ± 6.35)% and (74.26 ± 6.44)%, respectively, before and after intervention. The SF-36 scores of the reference group were (54.30 ± 6.32)% and (63.84 ± 6.36)%, respectively, before and after intervention. ^∗ indicates that there was a significant difference in SF-36 scores in the research group before and after intervention (t = 15.629, P=0.000); ^∗∗ indicates that there was a significant difference in SF-36 scores in the reference group before and after intervention (t = 7.524, P=0.000); and ^∗∗∗ indicates that there was a significant difference in SF-36 scores between the two groups after intervention (t = 8.140, P=0.000).

Figure 3

Comparison of nursing satisfaction scores between two groups of patients ($\overline{x}\pm s$). Note. The abscissa represents the research group and reference group, respectively, and the ordinate represents the nursing satisfaction score. The nursing satisfaction score of patients was (87.68 ± 4.82) points in the research group and (72.17 ± 4.76) points in the reference group. ^∗ indicates that there was a significant difference in nursing satisfaction scores between the two groups of patients (t = 16.190, P=0.000).