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延续护理在CABG术后的临床应用与工作模式探讨 被引量:8

Exploration of clinical value and intervening pattern of continuing nursing care or transitional care in coronary artery bypass grafting patients
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摘要 目的 探讨延续护理在行冠状动脉旁路移植术(CABG)的冠心病患者二级预防中的应用价值,以及CABG患者延续护理团队的工作模式.方法 自2014年8月至2015年8月所有我科行CABG的冠心病患者85例行延续护理,为延续护理组;自2013年8月至2014年8月所有在我科行CABG的冠心病患者共76例行常规护理,为常规护理组.1年后来院复查,患者填写《中国心血管病人生活质量评定问卷》、《药物服用调查问卷》和《营养膳食和运动情况调查问卷》.结果 延续护理组82人填写表格,常规组66人填写表格.《中国心血管病人生活质量评定问卷》的六项内容延续护理组的得分均明显高于常规护理组[16.2±5.5比10.1±3.2,19.5±1.9比8.7±4.3,5.1±0.6比3.3±0.8,8.2±0.9比6.7±0.4,12.5±2.9比10.4±1.7,4.1±0.9比2.5±1.2,P<0.01];《药物服用调查问卷》延续护理组得分明显高于常规组[13.5±4.3比7.4,±6.0,P<0.01];《营养膳食和运动情况调查问卷》延续护理组得分明显高于常规组[11.9±7.1比6.5±3.8,P<0.01].结论 延续护理使行CABG的冠心病患者具有更准确的服药方案、更合理的生活方式、更高的生活质量.延续护理的工作模式有待继续探索完善. Objective To explore the clinical value and intervening pattern of continuing nursing care or transitional care in patients underwent CABG.Methods From august 2014 to august 2015,85 patients underwent CABG received clinical value based on the routine nursing care.From august 2013 to august 2014,76 patients underwent CABG received the routine nursing care.The living quality and the level of understanding relative knowledge both groups at 1 year after operation were compared.Results The questionnaire score of CCQQ in living quality in continuing nursing care or transitional care group were higher than that in the routine nursing care group [16.2±5.5 vs 10.1±3.2,19.5±1.9 vs 8.7±4.3,5.1±0.6 vs 3.3±0.8,8.2±0.9 vs 6.7±0.4,12.5±2.9 vs 10.4± 1.7,4.1±0.9 vs 2.5±1.2,P〈0.01].The questionnaire score in relative knowledge of pattern of life in continuing nursing care or transitional care group were higher than that in the routine nursing care group [13.5±4.3 vs 7.4± 6.0,11.9±7.1 vs 6.5±3.8,P〈0.01].Conclusion The continuing nursing care or transitional care can enhance the relative knowledge about healthy life-style,and improve the living quality and the rate of optimum-dose of taking medicine among the patients with coronary artery disease underwent CABG.
出处 《中国心血管病研究》 CAS 2017年第5期477-480,共4页 Chinese Journal of Cardiovascular Research
关键词 延续护理 冠状动脉疾病 冠脉旁路移植术 Continuing nursing care or transitional care Coronary artery disease Coronary artery bypass grafting
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