Yuwei Liu

Date of Completion

2022

Document Type

Thesis

Degree Name

Master of Arts in Nursing

Keywords

Quality of Life, Telehealth, Percutaneous Coronary Intervention

Abstract

Introduction: The incidence and mortality of coronary heart disease are high, and PCI is an effective means to treat coronary heart disease, but because PCI cannot eliminate the disease from the root, postoperative patients need to take further continued care and preventive measures to prevent the recurrence of coronary heart disease or the further development of the disease. Tele-Health is a new mode of nursing, and the research on tele-health nursing in China is still in the initial stage. Therefore, the purpose of this study is to determine the effects of tele-health nursing literacy on the quality of life of patients after percutaneous coronary intervention and to analyze whether there is significant difference in the quality of life of patients after percutaneous coronary intervention between the treatment and comparison groups before and after tele-health nursing literacy intervention.

Methods: This study is anchored on Trans-Theoretical Model of Change (TTM) as proposed by James O. Prochaska and Carlo DiClimente (1983) and the Health Belief Model as proposed by Hochbaum, Kegeles, Leventhal and Rosenstock (1850s). Patients with coronary heart disease who have undergone PCI in the Department of Cardiology of Tianjin Cancer Hospital were selected as the research participants for the treatment group. The comparison group is composed of selected patients from Tianjin Medical University General Hospital. Data gathering was from February 2022 to March 2022. Data were statistically analyzed through mean, standard deviation, frequency, percentage, chi-square tend t-test.

Results: 1.Most of the respondents in the treatment group are 40-65 years old, married, do not have chronic disease, with less exercise, have an irregular eating habit, finished college degree, male, with good medication and mental status, have not been readmitted, with an income of 5000-10000yuan and do not smoke.In the comparison group, most of the respondents are 18-40 years old, married, do not have chronic disease, with less exercise, have a regular eating habit, finished high school, female, with good medication and mental status, have readmitted once, with an income of 5000-10000yuan and do not smoke.

2. The overall patient quality of life was good before tele-health nursing literacy intervention in the treatment group, while the overall patient quality of life was very good after tele-health nursing literacy intervention in the treatment group. Before the intervention, the overall quality of life of the comparison group is good. However, after the intervention, the patient's overall quality of life was average.

3. There are significant differences in the quality of life (QOL) of patients after PCI in the treatment group before and after the tele-health nursing literacy intervention as evidenced by a p-value of 0.003 that is lower than 0.05 level of significance. There are no significant differences in the QOL of patients after PCI in the comparison group before and after tele-health nursing literacy intervention as evidenced by a p-value of 0.326 that is higher than 0.05 level of significance.

4. There are no significant differences in the QOL of patients after PCI between the treatment and comparison groups before the tele-health literacy intervention as evidenced by a p-value of 0.5145 that is higher than 0.05 level of significance.

There are significant differences in the QOL of patients after PCI between the treatment and comparison groups after the tele-health literacy intervention as evidenced by a p-value

Conclusion: 1. Majority of the respondents are 18-40 years old, married, have not chronic disease, exercise 1-3/week, have an irregular eating habit, college, female, have good medication status , have good mental status, have not been readmitted, earn 5000-10000yuan/month, and smoker. QOL of patients before tele-health nursing literacy intervention in comparison group is good; however, after tele-health nursing literacy intervention, QOL of patients is average.

2.QOL of patients before tele-health nursing literacy intervention in treatment group is good, but after tele-health nursing literacy intervention, QOL of patients is very good.

3. There are significant differences in the quality of life of patients after PCI in the treatment group before and after the tele-health nursing literacy intervention. There are no significant differences in the quality of life of patients after PCI in the comparison group before and after the tele-health nursing literacy intervention.

4. There are no significant differences in the QOL of patients after PCI between the treatment and comparison groups before the tele-health literacy intervention. There are significant differences in the QOL of patients after PCI between the treatment and comparison groups after the tele-health literacy intervention. Tele-health literacy intervention is an effective way to improve the quality of life of patients after PCI.

First Advisor

Naomi M. De Aro

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