摘要
目的探讨医院-家庭协同无缝隙延续护理对老年冠心病经皮冠状动脉介入治疗(PCI)患者心理状态、自我管理水平及生活质量的影响。方法选取2018年10月—2020年2月在南阳市某三甲医院接受PCI治疗的148例老年冠心病患者为研究对象,采用随机数字表法将患者分为对照组(n=74)和观察组(n=74)。对照组患者给予常规护理,观察组患者在对照组护理基础上给予医院-家庭协同无缝隙延续护理。比较2组患者术中不良反应发生情况;比较2组患者入院、出院及出院3个月时的心理状态[汉密顿焦虑量表(HAMA)和汉密顿抑郁量表(HAMD)]、生活质量[明尼苏达心力衰竭生活质量量表(MLHFQ)]及自我管理水平[自我管理行为量表(CSMS)]。结果对照组患者术中发生不良反应41例,不良反应发生率为55.41%。观察组患者术中发生不良反应14例,不良反应发生率为18.92%。观察组患者术中不良反应发生率低于对照组,差异有统计学意义(P<0.05)。入院时,2组患者HAMA、HAMD、MLHFQ、CSMS评分比较,差异均无统计学意义(P>0.05)。出院及出院3个月时,观察组患者HAMA、HAMD、MLHFQ评分均明显低于对照组,差异有统计学意义(P<0.05)。出院及出院3个月时,观察组患者CSMS评分均明显高于对照组,差异有统计学意义(P<0.05)。结论医院-家庭协同无缝隙延续护理可有效改善老年冠心病PCI患者负性情绪,降低术中不良反应发生率,提升患者生活质量及自我管理水平。
Objective To investigate the effect of hospital-home coordinated seamless continuous care on the psy-chological status, self-management and quality of life in elderly patients undergoing percutaneous coronary inter-vention(PCI) for coronary heart disease. Methods One hundred and forty-eight elderly patients with coronary artery disease who underwent PCI from October 2018 to February 2020 in a tertiary hospital in Nanyang City were selected as the study subjects, and they were divided into a control group(74 cases) and an observation group(74 cases) using a random number table. Patients in the control group were given regular nursing care, and patients in the observation group were given hospital-home coordinated seamless continuous care in addition to the nursing care in the control group. The psychological status as reflected in Hamilton Anxiety Scale(HA-MA) and Hamilton Depression Scale(HAMD) scores, quality of life as reflected in Minnesota Living with Heart Failure Questionnaire(MLHFQ) scores, and self-management as reflected in the Coronary Artery Disease Self-Management Scale(CSMS) scores were compared between the two groups at admission, discharge, and 3 months after discharge. Results There were 41 intraoperative adverse events in the control group, and the inci-dence of adverse events was 55.41%. There were 14 cases of intraoperative adverse events in the observation group, with an incidence of 18.92%. The incidence of intraoperative adverse events in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). At the time of admission, the HAMA, HAMD, MLHFQ, and CSMS scores of the two groups were compared, and the differ-ences were not statistically significant(P>0.05). At the time of hospital discharge and 3 months after hospital discharge, the HAMA, HAMD, and MLHFQ scores of patients in the observation group were significantly low-er than those in the control group, and the differences were statistically significant(P<0.05). The CSMS scores
作者
梅艳阳
王霞
李贞彩
Mei Yanyang;Wang Xia;Li Zhencai(Department of Cardiovascular Medicine,Nanyang City Center Hospital,Nanyang Henan 473000,China)
出处
《保健医学研究与实践》
2020年第6期54-58,共5页
Health Medicine Research and Practice
基金
河南省医学科技攻关计划项目(182103210527)。
关键词
冠心病
医院-家庭协同无缝隙延续护理
负性情绪
自我管理
生活质量
Coronary heart disease
Hospital-home coordinated seamless continuous care
Negative emotions
Self-management
Quality of life
