Application of"Health Manager+Active Health Management Platform"Management Mode in Emergency Patients with Chest Pain in High-risk Group Scored by GRACE

WEI Na

doi:10.13919/j.issn.2095-6274.ZHJY202407010

Abstract：Objective To retrospectively analyze the impact of the"Health Manager+Proactive Health Management Platform"network management model on self-management abilities,quality of life,and prognosis in high-risk chest pain patients.Methods A total of 80 high-risk chest pain patients,classified according to the Global Registry of Acute Coronary Events(GRACE)score,admitted to Guangxi Zhuang Autonomous Region Peo-ple's Hospital between May 2022 and September 2023 were included.The patients were divided into two groups based on the health management model:the experimental group(40 patients using a proactive health management platform with a health manager)and the control group(40 patients receiving conventional health management).Self-management abilities,chest pain episodes,quality of life,adverse outcomes,and management satisfaction were compared between the two groups.Results Prior to management,there were no significant differences in self-management abilities between the two groups(P＜0.05).After management,self-management abilities improved in both groups,with the experimental group showing significantly higher self-management scores com-pared to the control group(P＜0.001).Before management,there were no significant differences in the frequency or duration of chest pain episodes within 24 hours between the two groups(P＞0.05).After management,both groups experienced a reduction in the frequency and duration of chest pain episodes within 24 hours,with the experimental group showing significantly greater reductions com-pared to the control group(P＜0.001).There were no significant differences in quality of life between the two groups before management(P＞0.05).After man-agement,quality of life improved in both groups,with the experimental group having a significantly higher quality of life score than the control group(P＜0.001).The incidence of adverse outcomes in the experimental group was 12.00％,significantly lower than the 35.00％in the control group(P＜0.05).Management satisfaction in the experimental group was 95.00％,significantly higher than the 77.50％in the control group(P＜0.05).Conclusion The web-based proactive health management platform enhances self-management abilities in high-risk chest pain patients,reduces the frequency and duration of chest pain episodes,improves quality of life,decreases the incidence of adverse outcomes,and increases management satisfaction.