Abstract:

Objective　To explore the application effect of mobile health intervention based on the integrated theory of health behavior change (ITHBC) in patients after percutaneous coronary intervention (PCI). Methods　A total of 112 patients with coronary heart disease who underwent PCI in the Second People's Hospital of Foshan City from October 2022 to August 2023 were prospectively selected as the study objects. The patients were divided into a control group (56 cases) and an observation group (56 cases) by the random number table method. In the control group, there were 36 males and 20 females, aged (65.84±9.71) years, and the number of stents implanted was 1 in 28 cases, 2 in 25 cases, and 3 in 3 cases. There were 38 males and 18 females in the observation group, aged (64.45±9.55) years, and the number of stents implanted was 1 in 26 cases, 2 in 25 cases, and 3 in 5 cases. The control group received routine postoperative care, and the observation group received mobile health interventions based on ITHBC on the basis of the control group. Both groups were intervened until 3 months after discharge. The self-management efficacy [General Self-Efficacy Scale (GSES)], self-management ability [Coronary Heart Disease Self-Management Scale (CSMS)], and quality of life [Seattle Angina Questionnaire (SAQ)] before and after intervention and incidence of cardiovascular adverse events were compared between the two groups. Independent sample t test, rank sum test, and χ² test were used. Results　After intervention, the GSES and CSMS scores of the observation group were higher than those of the control group [(31.27±3.52) points vs. (27.45±3.69) points, (100.68±8.43) points vs. (91.71±7.55) points] (both P<0.05). The scores of all dimensions of the SAQ in the observation group were higher than those in the control group [(81.64±5.89) points vs. (76.25±6.76) points, (78.43±5.23) points vs. (73.82±6.69) points, (82.05±4.63) points vs. (77.21±5.69) points, (82.29±4.87) points vs. (76.80±7.71) points, (91.05±6.22) points vs. (86.27±6.95) points] (all P<0.05). During intervention, the total incidence of cardiovascular adverse events in the observation group was lower than that in the control group [3.6% (2/56) vs. 16.1% (9/56)] (P<0.05). Conclusion　Implementing mobile health interventions based on ITHBC for patients after PCI can improve their self-efficacy and self-management ability, improve their quality of life, and reduce the incidence of cardiovascular adverse events.

Key words:

Percutaneous coronary intervention, Coronary heart disease, Mobile health intervention, Integrated theory of health behavior change, Self management

摘要：

目的　探讨基于健康行为改变整合理论（ITHBC）的移动健康干预在经皮冠状动脉介入（PCI）术后患者中的应用效果。方法　前瞻性选取2022年10月至2023年8月在佛山市第二人民医院住院行PCI治疗的112例冠心病患者作为研究对象。采用随机数字表法，将患者分为对照组（56例）和观察组（56例）。对照组男36例，女20例；年龄（65.84±9.71）岁；支架植入数量：1个28例，2个25例，3个3例。观察组男38例，女18例；年龄（64.45±9.55）岁；支架植入数量：1个26例，2个25例，3个5例。对照组采用术后常规护理干预，观察组在对照组基础上采用基于ITHBC的移动健康干预。两组均干预至出院后3个月。比较两组干预前后自我管理效能［一般自我效能感量表（GSES）］、自我管理能力［冠心病自我管理量表（CSMS）］、生活质量［西雅图心绞痛量表（SAQ）］，干预期间心血管不良事件发生情况。采用独立样本t检验、秩和检验和χ²检验。结果　干预后，观察组GSES和CSMS评分均高于对照组［（31.27±3.52）分比（27.45±3.69）分、（100.68±8.43）分比（91.71±7.55）分］（均P<0.05）；观察组SAQ各维度评分均高于对照组［（81.64±5.89）分比（76.25±6.76）分、（78.43±5.23）分比（73.82±6.69）分、（82.05±4.63）分比（77.21±5.69）分、（82.29±4.87）分比（76.80±7.71）分、（91.05±6.22）分比（86.27±6.95）分］（均P<0.05）。干预期间，观察组心血管不良事件总发生率低于对照组［3.6%（2/56）比16.1%（9/56）］（P<0.05）。结论　基于ITHBC的移动健康干预可改善PCI术后患者自我效能和自我管理能力，提高生活质量，降低心血管不良事件发生率。

关键词:

经皮冠状动脉介入术, 冠心病, 移动健康干预, 健康行为改变整合理论, 自我管理