目的 研究“互联网+”模式下健康信息传播需求满足对中青年冠心病(CHD)患者术后认知情况和服药依从度的影响。方法 选择2018年1月到2020年1月本院诊治的110例CHD患者进行研究,将上述110例CHD患者采用随机数表法分为对照组(n=55)和观察组(n=55),对照组采取常规健康教育干预,观察组采取“互联网+”模式下健康信息传播干预,干预12个月后,比较两组患者的术后认知情况、服药依从性、生活行为、自我管理能力、生存质量。结果 观察组干预后二级预防知识、危险因素、治疗方式、药物知识及临床表现评分均高于对照组(P＜0.05)；观察组干预1个月、3个月、6个月、9个月、12个月的Morisky服药依从性量表评分均高于对照组(P＜0.05)；观察组干预1个月、3个月、6个月、9个月、12个月的生活行为评分均高于对照组(P＜0.05)；观察组干预后CHD自我管理行为量表(CSMS)中各维度评分均显著高于对照组(P＜0.05)；观察组干预后西雅图心绞痛量表(SAQ)中各维度评分均显著高于对照组(P＜0.05)。结论 “互联网+”模式下健康教育可改善中青年CDH患者PCI术后认知情况及服药依从度。

Objective: To study the effects of need gratification for health information dissemination on postoperative cognition and medication compliance of young and middle-aged patients with coronary heart disease (CHD) under Internet + mode. Methods: A total of 110 CHD patients treated in the hospital were enrolled for study between January 2018 and January 2020. They were divided into the control group (n=55) and the observation group (n=55) by random number table method. The control group was given routine health education, while observation group was given health information dissemination under Internet + mode. After 12 months of intervention, postoperative cognition, medication compliance, life behaviors, self-management ability and quality of life between the two groups were compared. Results: After intervention, scores of secondary prevention knowledge, risk factors, treatment methods, drugs knowledge and clinical manifestations in observation group were all higher than those in control group (P<0.05). After 1 month, 3 months, 6 months, 9 months and 12 months of intervention, scores of Morisky Medication Compliance Scale in observation group were higher than those in control group (P<0.05), and scores of life behaviors were all higher than those in control group (P<0.05). After intervention, scores of CHD self-management scale (CSMS) in observation group were significantly higher than those in control group (P<0.05), and scores of Seattle Angina Scale (SAQ) were significantly higher than those in control group (P<0.05). Conclusion: Health education under Internet + mode can improve cognitive status and medication compliance of young and middle-aged CDH patients undergoing PCI.