Research on the value of continuous nursing on mobile platforms such as WeChat in elderly patients with unstable angina pectoris due to coronary heart disease
微信等移动平台的延续性护理在老年冠心病不稳定型心绞痛患者中的价值研究

摘要

目的 探讨以老年冠心病不稳定型心绞痛患者为对象，分析微信延续性护理的临床应用价值。方法选取于2020年10月-2025年1月内接收的冠心病不稳定型心绞痛老年患者90例，通过随机数字表法将患者随机分配至对照组（45例，采取常规护理方法）和观察组（45例，采用微信等移动平台的延续性护理），对比两组护理效果。结果 干预前，两组患者的焦虑与抑郁评分基线水平一致（P＞0.05）；经护理干预后，观察组在两项评分上的改善均显著优于对照组（P＜0.05）。观察组各项自护能力评分均高于对照组（P＜0.05），观察组各项生活质量评分均高于对照组（P＜0.05），护理满意度高于对照组（P＜0.05），心脏不良事件发生率低于对照组（P＜0.05）。结论 实施微信等移动平台的延续性护理能有效优化患者的心理状况，增强其自我护理能力，提高生活质量和护理满意度，减少心脏不良事件的发生，有较高应用价值。

Abstract

Objective Exploring the clinical application value of WeChat continuity nursing in elderly patients with unstable angina pectoris caused by coronary heart disease.
Methods Ninety elderly patients with unstable angina pectoris caused by coronary heart disease who were received between October 2020 to January 2025 were randomly assigned to a control group (45 cases, receiving routine nursing care) and an observation group (45 cases, receiving continuous nursing care through mobile platforms such as WeChat) using a random number table method. The nursing effects of the two groups were compared.
Results Before intervention, the baseline levels of anxiety and depression scores were consistent between the two groups of patients (P>0.05); After nursing intervention, the observation group showed significant improvement in both scores compared to the control group (P<0.05). The self-care ability scores of the observation group were higher than those of the control group (P<0.05), the quality of life scores of the observation group were higher than those of the control group (P<0.05), the nursing satisfaction was higher than that of the control group (P<0.05), and the incidence of adverse cardiac events was lower than that of the control group (P<0.05).
Conclusion   Implementing continuity of care on mobile platforms such as WeChat can effectively optimize patients’ psychological status, enhance their self-care ability, improve their quality of life and nursing satisfaction, reduce the occurrence of adverse cardiac events, and has high application value.