摘要
目的探究院外系统护理干预对冠状动脉支架植入(Percutaneous Coronary Intervention,PCI)术患者出院后的护理质量及生活质量的影响。方法以心内科2014年1月—2015年7月行PCI术的120例患者为研究对象,通过随机数字表法将120例分为实验组和对照组,每组各60例,对实验组采用强化系统院外护理干预,包括建立专门院外护理干预管理小组对出院患者进行持续的健康教育指导、心理指导、用药指导及饮食指导,对照组则采用常规术后院外随机访问护理干预,比较2组患者的性别、平均年龄、病史、合并症情况、术后1年内靶血管成形、再住院、不良事件的发生率,所有患者均术后随访1年并进行问卷调查,调查内容包括院外自我管理行为及护理满意度的情况。结果对照组的再住院率、心肌梗死等不良事件发生率都高于实验组,差异存统计学意义(χ2=16.752,P<0.05);对照组在院外自我管理行为表各维度评分中,各方面均低于实验组,差异存在统计学意义(t=7.974,P<0.05);对照组对护理的总满意率为86.21%,明显低于实验组的98.31%,差异存在统计学意义(χ2=5.926,P<0.05)。结论采用强化系统院外护理干预的方法可降低心脏不良事件发生的风险,提高患者的主观能动性、出院后的护理质量及生活质量,对临床推广具有积极意义,值得应用。
Objective To study the effect of post discharge nursing intervention on the nursing quality and quality of life of patients with coronary stent implantation. Methods One hundred and twenty patients with coronary disease undergoing PCI in our hospital between July 2014 and July 2015 were enrolled and randomly assigned into experimental group and control group with 60 cases in each group. The experimental group received the strengthened post discharge nursing intervention, including establishing the special nursing intervention management team outside the hospital and providing sustained health education guidance, psychological guidance, medication guidance and dietary guidance;while the control group received the conventional nursing intervention by random access. All patients were followed up for 1 year and were investigated by questionnaire. The gender, average age, medical history, complications, and the incidence rate of target blood vessel formation, re-hospitalization, rate of adverse events, behavior of self-management and nursing satisfaction were compared between the two groups. Results The re-hospitalization rate, myocardial infarction and other adverse events rate in the control group were higher than those in the experimental group, the difference was statistically significant（ χ^2= 16. 752 ,P 〈 0.05 ） ;the post discharge self-nursing ability scores in each dimension were lower in the control group than those in the experimental group, the difference was statistically significant （ t = 7. 974, P 〈 0.05 ） ; the total nursing satisfaction rate in the control group was 86.21% , which was significantly lower than 98.31% in the experimental group, the difference was statistically significant （ χ^2= 5. 926, P 〈 0.05 ）. Conclusion The method of strengthening post discharge nursing intervention can decrease the risk of adverse cardiac events, improve the subjective activity, post discharge quality of nursing care and quality of life of patients undergoing PCI. It＇ s worthy to be populariz
出处
《中华全科医学》
2016年第2期320-322,共3页
Chinese Journal of General Practice
关键词
出院后干预
护理
冠状动脉支架植入术
Post discharge intervention
Nursing
Coronary stent implantation
