Effects of WeChat platform-based health management on health and self-management effectiveness of patients with severe chronic heart failure

doi:10.12998/wjcc.v9.i34.10576

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Observational Study

World J Clin Cases. Dec 6, 2021; 9(34): 10576-10584
Published online Dec 6, 2021. doi: 10.12998/wjcc.v9.i34.10576

Table 1 Comparison of baseline data between the two groups, n (%)

Parameter	Control group (n = 60)	Observation group (n = 60)	χ²/t	P value
Gender			0.543	0.461
Male	36 (75.00)	32 (53.33)
Female	24 (35.00)	28 (46.67)
Age (yr)	58.69 ± 10.13	59.41 ± 11.05	0.372	0.711
Course (yr)	6.36 ± 1.24	6.24 ± 1.57	0.465	0.643
History of smoking			1.234	0.267
Yes	22 (36.67)	28 (46.67)
No	38 (63.33)	32 (53.33)
NYHA classification			0.534	0.465
Ⅲ	31 (51.67)	27 (45.00)
Ⅳ	29 (48.33)	33 (55.00)
Heart-based diseases			2.394	0.495
Dilated cardiomyopathy	5 (8.33)	9 (15.00)
Rheumatic heart disease	10 (16.67)	12 (20.00)
Coronary heart disease	18 (30.00)	19 (31.67)
High blood pressure	27 (45.00)	20 (33.33)
Combined diseases
Hyperlipidemia	15 (25.00)	21 (35.00)	1.429	0.232
Hypertension	30 (50.00)	33 (55.00)	0.301	0.583
Diabetes	19 (31.67)	15 (25.00)	0.657	0.418
Education			1.295	0.523
Junior high school and below	12 (20.00)	9 (15.00)
Secondary and tertiary	24 (40.00)	21 (35.00)
Undergraduate and above	24 (40.00)	30 (50.00)

Table 2 Comparison of heart function between the two groups (mean ± SD)

Group	Number of cases	LVEF (%)		SV (mL)
Group	Number of cases	Pre-intervention	After intervention	Pre-intervention	After intervention
Control	60	34.23 ± 4.26	48.23 ± 4.63^a	91.02 ± 5.87	103.22 ± 6.32^a
Observation	60	33.97 ± 4.51	60.44 ± 4.58^a	89.63 ± 6.87	112.02 ± 5.78^a
t		0.325	14.522	1.191	7.959
P value		0.746	0.000	0.236	0.000

^aP < 0.05 vs before intervention. LVEF: Left ventricular ejection fraction; SV: stroke output.

Table 3 Comparison of 6-min walking distance, high-sensitivity cardiac troponin, N-terminal pro B-type natriuretic peptide between the two groups

Group	Number of cases	6MWD (m)		hs-cTnT (µg/L)		NT-proBNP (µg/L)
Group	Number of cases	Pre-intervention	After intervention	Pre-intervention	After intervention	Pre-intervention	After intervention
Control	60	352.69 ± 57.89	468.22 ± 67.41^a	0.70 ± 0.22	0.48 ± 0.15^a	3.85 ± 0.24	2.78 ± 0.16^a
Observation	60	346.85 ± 62.08	519.36 ± 57.23^a	0.72 ± 0.21	0.37 ± 0.12^a	3.87 ± 0.25	1.95 ± 0.14^a
t		0.533	4.480	0.509	4.436	0.447	30.240
P value		0.595	0.000	0.611	0.000	0.656	0.000

^aP < 0.05 vs before intervention. 6MWD: 6-min walking distance; hs-cTnT: High-sensitivity cardiac troponin; NT-proBNP: N-terminal pro b-type natriuretic peptide.

Table 4 Comparison of Self-Care Ability Scale scores between the two groups (mean ± SD, subdivision)

Group	Number of cases	Self-care responsibility		Self-concept		Self-care skills		Self-care health knowledge
Group	Number of cases	Pre-intervention	After intervention	Pre-intervention	After intervention	Pre-intervention	After intervention	Pre-intervention	After intervention
Control	60	19.16 ± 2.94	21.13 ± 2.32^a	19.85 ± 3.56	22.34 ± 3.69^a	27.84 ± 3.65	31.17 ± 4.69^a	18.69 ± 3.85	23.12 ± 3.55^a
Observation	60	18.97 ± 3.02	22.78 ± 3.17^a	19.74 ± 3.62	24.87 ± 4.05^a	28.01 ± 3.94	35.23 ± 4.47^a	18.75 ± 4.05	25.78 ± 4.18^a
t		0.349	3.254	0.168	3.577	0.245	4.854	0.083	3.757
P value		0.728	0.001	0.867	0.001	0.807	0.000	0.934	0.000

^aP < 0.05 vs before intervention.

Table 5 Comparison of Minnesota heart failure quality of life scores between the two groups (mean ± SD, subdivision)

Group	Number of cases	Physical limitations		Symptoms of illness		Psychological mood		Social relations
Group	Number of cases	Pre-intervention	After intervention	Pre-intervention	After intervention	Pre-intervention	After intervention	Pre-intervention	After intervention
Control	60	19.24 ± 2.46	15.63 ± 2.01^a	13.56 ± 2.12	11.36 ± 1.75^a	13.23 ± 1.85	11.47 ± 1.38^a	8.78 ± 1.34	7.24 ± 1.03^a
Observation	60	19.15 ± 2.73	11.67 ± 1.45^a	13.61 ± 2.08	10.02 ± 1.51^a	13.30 ± 1.76	9.58 ± 1.05^a	8.83 ± 1.29	5.48 ± 0.87^a
t		0.190	12.376	0.130	4.491	0.212	8.443	0.208	10.111
P value		0.850	0.000	0.896	0.000	0.832	0.000	0.835	0.000

^aP < 0.05 vs before intervention.

Table 6 Comparison of compliance scores between the two groups (mean ± SD, subdivision)

Group	Number of cases	Reasonable diet		Regular drug use		Health behaviour		Review on time
Group	Number of cases	Pre-intervention	After intervention	Pre-intervention	After intervention	Pre-intervention	After intervention	Pre-intervention	After intervention
Control	60	5.78 ± 1.32	7.23 ± 1.45^a	6.23 ± 0.85	8.24 ± 0.63^a	5.41 ± 0.96	7.58 ± 0.78^a	5.32 ± 1.14	7.41 ± 0.82^a
Observation	60	5.82 ± 1.07	8.69 ± 1.12^a	6.21 ± 0.76	9.23 ± 0.57^a	5.32 ± 1.05	8.75 ± 0.63^a	5.37 ± 1.03	8.68 ± 0.67^a
t		0.182	6.172	0.136	9.026	0.490	9.039	0.252	9.290
P value		0.856	0.000	0.892	0.000	0.625	0.000	0.801	0.000

^aP < 0.05 vs before intervention.

Table 7 Comparison of adverse cardiovascular events between the two groups

Group	Number of cases	Increased heart failure	Acute myocardial infarction	Severe arrhythmia	Cardiogenic rehospitalization
Group	Number of cases	Increased heart failure	Acute myocardial infarction	Severe arrhythmia	Hospitalization rate	Hospitalization time
Control	60	5 (8.33)	8 (13.33)	6 (10.00)	17 (28.33)	16.25 ± 4.23
Observation	60	2 (3.33)	2 (3.33)	3 (5.00)	7 (11.67)	14.36 ± 3.12
χ²/t		1.365	3.927	1.081	5.208	2.785
P value		0.243	0.048	0.298	0.022	0.006

Citation: Wang ZR, Zhou JW, Liu XP, Cai GJ, Zhang QH, Mao JF. Effects of WeChat platform-based health management on health and self-management effectiveness of patients with severe chronic heart failure. World J Clin Cases 2021; 9(34): 10576-10584
URL: https://www.wjgnet.com/2307-8960/full/v9/i34/10576.htm
DOI: https://dx.doi.org/10.12998/wjcc.v9.i34.10576