Application of remote home management model based on smart cloud follow-up platform in elderly patients with pacemakers
10.3760/cma.j.cn115682-20200811-04846
- VernacularTitle:基于智慧云随访平台的远程居家管理模式在老年心脏起搏器植入患者中的应用
- Author:
Jingshuang BAI
1
;
Ying WANG
;
Libai CAI
;
Zheng HUANG
;
Leiming WU
;
Yangyang SHEN
;
Yuan YUAN
Author Information
1. 郑州大学第一附属医院心血管内科，郑州 450052
- Keywords:
Aged;
Pacemaker;
Home management;
Continuing care;
Smart care
- From:
Chinese Journal of Modern Nursing
2021;27(8):988-993
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of smart cloud follow-up platform in home care for elderly patients with pacemakers.Methods:Totally 120 elderly patients who received pacemaker implantation in a ClassⅢ Grade A hospital in Henan province between August 2018 and August 2019 were selected by convenient sampling. The 60 patients admitted from August 2018 to February 2019 were included into the control group, while the 60 patients admitted from March to August 2019 were selected into the experimental group. Patients in the experimental group received home care based on the cloud follow-up platform, while patients in the control group received routine continuing care at home. After 3 months of intervention, the complication rate, functional exercise compliance and quality of life were compared between the two groups using χ 2 test and t test. Results:Totally 59 patients in the experimental group and 58 patients in the control group completed the study. After intervention, the complication rate in the experimental group was 32.2% (19/59) , lower than 89.7% (52/58) in the control group, and the difference was statistically significant (χ 2=9.307, P< 0.05) ; the scores of physical exercise compliance after pacemaker implantation, postoperative precautions compliance and compliance of initiative advice seeking in the experimental group were (26.05±3.07) , (15.42±1.24) and (11.85±1.96) , higher than those in the control group (18.53±2.93) , (9.66±2.40) and (6.05±1.58) in the control group, and the differences were statistically significant ( t=13.548, 16.331, 17.558; P< 0.01) ; the total quality of life score in the experimental group was (161.12±9.94) , higher than (132.50±9.20) in the control group, and the difference was statistically significant ( t=16.149, P < 0.01) . Conclusions:The home management model based on the smart cloud follow-up platform improves home follow-up experience of elderly patients with pacemaker, the compliance of home functional exercises, and their quality of life.
