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Role of remote extension management based on Roy's adaptive theory for secondary prevention in patie2023-03-09 10:46Source:International Medical Research Forum
Title: Role of remote extension management based on Roy's adaptive theory for secondary prevention in patients with coronary heart disease 基于罗伊自适应理论的远程延伸管理在冠心病患者二级预防中的作用研究 Name(s): Li Lijun, Gao Ruiying 李丽君 高瑞英 Abstract: Objective: To construct and evaluate the application effectiveness of remote extension management for coronary heart disease under Roy's adaptive theory field of view. Methods: The enrolled 210 eligible CHD patients were divided into two groups (experimental and control)according to a randomized double-blind approach, in which both groups received standardized treatment and care during hospital, based on the fact that the control group (n=105)received routine discharge instructions from responsible nurses and routine out of hospital health while the experimental group (n=105)was supported by Roy's adaptive theory, Rational multimodal CHD long-term management model was constructed with team collaboration. The continuous follow-up observation was conducted for 1 year, and the rates of readmission, major adverse cardiovascular events, and complications after 1 year of discharge in both groups were recorded and observed, and the quality of life, self-health management status of the patients in both groups were tracked and evaluated using the Seattle Angina survey scale specific for coronary heart disease, the coronary self management behavior scale. Results: The rates of rehospitalization with recurrent coronary heart disease, major adverse cardiovascular events, and complications in the experimental group at out of hospital (after 1 year)were significantly lower than those in the control group (P<0.05; Meanwhile, the scores of each factor and the total score of Seattle Angina survey scale and coronary self management behavior scale in the two groups were significantly different (P<0.05), and the quality of life and self-management behavior of the experimental group were better than those of the control group. Conclusions: Remote extension management based on Roy's adaptive theory is an effective method for innovative long-term management of CHD and has great application to normalize the effectiveness of out of hospital secondary prevention strategies for CHD. 目的：在罗伊自适应理论视域下进行冠心病远程延伸管理的构建并对应用效果进行评估。方法：以入选的210例符合标准的冠心病患者按随机双盲分组（实验组和对照组），两组在院期间均经标准化治疗及护理，此基础上对照组（n=105例）出院时接受责任护士常规出院指导及常规院外健康，实验组（n=105例）则以罗伊自适应理论理论为支撑，团队合作下构建合理的多模态冠心病长期管理模式。持续随访观察1年，对两组出院1年后再入院率、主要心血管不良事件及并发症发生率进行记录观察，采用冠心病专用的西雅图心绞痛调查量表、冠心病自我管理行为量表对两组患者生活质量、自我健康管理状况进行跟踪评价。结果：实验组院外（1年后）冠心病复发再入院率、主要心血管不良事件及并发症发生率均显著低于对照组，差异有统计学意义（P<0.05）；同时，两组西雅图心绞痛调查量表、冠心病自我管理行为量表各因子分及总分的差异均有统计学意义（P<0.05），实验组生活质量和自我管理行为均优于对照组。结论：基于罗伊自适应理论的远程延伸管理是创新冠心病长期管理的有效方法，对规范冠心病院外二级预防策略的有效性具有重要应用价值。 Key words: Roy adaptive theory; Multimodal extension administration; Coronary heart disease; Secondary prevention 罗伊自适应理论；多模态延伸管理；冠心病；二级预防
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