摘要
目的分析经皮冠状动脉介入(PCI)患者在术后接受医院-家庭延续性护理措施后,其希望水平和自我管理能力受到的影响。方法选取2018年1月至2019年9月在上海市第十人民医院崇明分院接受PCI的121例患者进行调查,选取调查结果有效的42例患者为研究对象,将其随机均分为两组,常规组接受常规护理措施,研究组患者接受延续性护理措施。对两组患者的西雅图心绞痛量表评估分值、自我管理水平以及不良事件出现率的差异。结果研究组躯体受限程度、心绞痛发作频率、心绞痛稳定状态、治疗满意程度、疾病认知程度以及整体评估分值与常规组相比,差异均有统计学意义(P<0.05);比较两组患者的生活质量水平、希望水平、卫生服务利用度以及服药依从性可知,相对于常规组,研究组患者的情况更优,差异有统计学意义(P<0.05)。比较两组患者心脏不良反应的发生情况,研究组患者不良反应的发生水平更低(P<0.05)。结论PCI术后,护理人员若能为患者提供医院-家庭的延续性护理措施,可提升患者的自我管理能力,减低不良症状的发生水平,可在实际诊疗工作中广泛运用。
Objective To analyze the effect of hospital-family continuity of care on the level of hope and self-management of patients with percutaneous coronary intervention(PCI).Methods A total of 121 patients who received PCI in this hospital from January 2018 to September 2019 were investigated.A total of 42 patients with effective survey results were selected as study objects.They were randomly divided into two groups.Patients in the conventional group received conventional nursing measures,and patients in the study group received continuous nursing measures.Differences in Seattle angina scale score,level of self-management,and incidence of adverse events were observed between the two groups.Results The study group's degree of physical limitation,frequency of angina pectoris,angina pectoris stability,treatment satisfaction,disease cognition and overall evaluation scores were significantly different from the conventional group,and the differences were statistically significant(P<0.05).The comparison of quality of life,hope level,health service utilization and medication compliance between the two groups showed that the situation of the study group was better than that of the conventional group,and the difference was statistically significant(P<0.05).Compared with the incidence of cardiac adverse reactions in the two groups,the incidence of cardiac adverse reactions in the study group was lower(P<0.05).Conclusions After PCI,if nursing staff can provide patients with continuous nursing measures in hospital and family,it can improve patients'self-management ability,reduce the occurrence level of adverse symptoms,and can be widely used in actual diagnosis and treatment.
作者
顾炜
龚俊鹰
Gu Wei;Gong Junying(ICU,Chongming Branch of Shanghai Tenth People's Hospital,202157,China;Department of Cardiology,Chongming Branch of Shanghai Tenth People's Hospital,202157,China)
出处
《国际护理学杂志》
2021年第4期752-756,共5页
international journal of nursing
基金
上海市崇明区科委项目(CKY2019-32)。
