摘要
目的:探讨经皮冠状动脉介入(PCI)术后患者实施过渡期护理的效果。方法:选择2019年1-12月本院收治的冠心病患者70例作为研究对象,所有患者均行PCI术治疗。采用随机分层法分为对照组和观察组,各35例。对照组实施心内科常规护理及出院指导,观察组在此基础上实施过渡期护理干预。随访3个月,比较两组自我护理能力测定量表(ESCA)、汉密顿焦虑及抑郁量表(HAMA、HAMD)、生活质量评定问卷(CCQQ)的差异。结果:观察组健康知识、自护责任感、自我概念、自护技能等自我管理能力(ESCA)评分明显高于对照组(P<0.05);观察组干预后HAMA、HAMD评分明显低于对照组(P<0.05)。观察组不遵医用药、饮食问题、少运动、吸烟/饮酒、熬夜、未定期复查等不遵医行为低于对照组(P<0.05);观察组生活质量各维度及CCQQ总评分均高于对照组(P<0.05)。结论:过渡期护理可有效控制冠心病患者PCI术后心血管危险因素,提升自我管理能力,改善术后不良心理状态和生活质量。
Objective:To explore the effect of transitional nursing on psychological state and self-management ability of patients after PCI.Method:A total of 70 patients with coronary heart disease admitted to our hospital from January to December 2019 were selected as the research objects,all of them were treated with PCI,and they were randomly divided into the control group and the observation group,35 cases in each group.The control group was given routine nursing care and discharge guidance in cardiology department,and the observation group was given transitional nursing intervention on this basis.After 3 months follow-up,the differences of ESCA,HAMA,HAMD and CCQQ between two groups were compared.Result:The ESCA scores of health knowledge,self-care responsibility,self-concept and self-care skills in the observation group were significantly higher than those in the control group(P<0.05).The HAMA and HAMD scores in the observation group were significantly lower than those in the control group(P<0.05).The non-compliance behaviors such as drug use,diet problems,less exercise,smoking/drinking,staying up late and no regular reexamination in the observation group were significantly lower than those in the control group(P<0.05).The observation group’s life quality dimensions and CCQQ total scores were significantly higher than those of the control group(P<0.05).Conclusion:Transitional nursing can effectively control cardiovascular risk factors,improve self-management ability,improve the poor psychological state and quality of life of patients with coronary heart disease after PCI.
作者
张银叶
吴悦浮
ZHANG Yinye;WU Yuefu(Xinhui District People’s Hospital of Jiangmen,Jiangmen 529100,China;不详)
出处
《中国医学创新》
CAS
2020年第15期70-74,共5页
Medical Innovation of China
基金
江门市卫生计生局科学技术研究项目(19A035)。
关键词
经皮冠状动脉介入
过渡期护理
心理状态
自我管理能力
Percutaneous coronary intervention
Transitional nursing
Psychological state
Self-management ability
