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目的:探讨智慧云随访平台在老年心脏起搏器植入患者居家护理中的应用效果。方法:采用便利抽样法选取2018年8月—2019年8月在河南省某三级甲等医院安装心脏起搏器的120例老年患者为研究对象，2018年8月—2019年2月收治的60例患者为对照组，2019年3—8月收治的60例患者为试验组。试验组依托智慧云随访平台进行居家管理，对照组采用常规居家延续性护理。干预3个月后，采用χn 2检验和n t检验对两组患者并发症发生率、功能锻炼依从性、生活质量进行比较。n 结果:试验组59例、对照组58例完成研究。干预后试验组并发症发生率为32.2%（19/59），低于对照组并发症发生率89.7%（52/58），差异有统计学意义（χn 2=9.307，n P<0.05）；试验组的起搏器术后身体锻炼依从性得分（26.05±3.07）分，术后注意事项依从性（15.42±1.24）分、主动寻求建议依从性（11.85±1.96）分，高于对照组的（18.53±2.93）、（9.66±2.40）、（6.05±1.58）分，差异有统计学意义（n t值分别为13.548、16.331、17.558；n P<0.01）；试验组生活质量总分为（161.12±9.94）分，高于对照组的（132.50±9.20）分，差异有统计学意义（n t=16.149，n P<0.01）。n 结论:基于智慧云随访平台构建居家管理模式改善了老年心脏起搏器植入患者居家随访的体验，提高了居家功能锻炼的依从性，提高其生活质量。“,”Objective:To explore the effects of smart cloud follow-up platform in home care for elderly patients with pacemakers.Methods:Totally 120 elderly patients who received pacemaker implantation in a ClassⅢ Grade A hospital in Henan province between August 2018 and August 2019 were selected by convenient sampling. The 60 patients admitted from August 2018 to February 2019 were included into the control group, while the 60 patients admitted from March to August 2019 were selected into the experimental group. Patients in the experimental group received home care based on the cloud follow-up platform, while patients in the control group received routine continuing care at home. After 3 months of intervention, the complication rate, functional exercise compliance and quality of life were compared between the two groups using χ n 2 test and n t test.n Results:Totally 59 patients in the experimental group and 58 patients in the control group completed the study. After intervention, the complication rate in the experimental group was 32.2% (19/59) , lower than 89.7% (52/58) in the control group, and the difference was statistically significant (χn 2=9.307, n P< 0.05) ; the scores of physical exercise compliance after pacemaker implantation, postoperative precautions compliance and compliance of initiative advice seeking in the experimental group were (26.05±3.07) , (15.42±1.24) and (11.85±1.96) , higher than those in the control group (18.53±2.93) , (9.66±2.40) and (6.05±1.58) in the control group, and the differences were statistically significant (n t=13.548, 16.331, 17.558; n P< 0.01) ; the total quality of life score in the experimental group was (161.12±9.94) , higher than (132.50±9.20) in the control group, and the difference was statistically significant (n t=16.149, n P < 0.01) .n Conclusions:The home management model based on the smart cloud follow-up platform improves home follow-up experience of elderly patients with pacemaker, the compliance of home functional exercises, and their quality of life.