摘要
目的探讨基于结构-过程-结果的三维质量评价模式的延续性护理在冠状动脉旁路移植术(coronary artery bypass grafting,CABG)患者中的应用效果。方法选取2018年8月至2019年12月收治昆明市延安医院心脏大血管外科行CABG围术期的168例患者为研究对象,采用随机数字表法分成两组,每组各84例,对照组实施常规延续护理,干预组实施基于结构-过程-结果三维质量评估模式构建的延续性护理方案,干预后比较两组患者《中国心血管病人生活质量评定问卷》(CCQQ)评分、服药依从性评分、主要心脑血管事件(MACCE)发生率。结果干预组《中国心血管病人生活质量评定问卷》(CCQQ)评分、服药依从性评分、主要心脑血管事件(MACCE)发生率均高于对照组,差异有统计学意义(P<0.05)。结论Donabedian的结构-过程-结果延续性护理三维质量评价模式构建有助于提高CABG术后患者自我管理效能感及生活质量,是提升延续性护理质量的有效途径。
Objective To discuss the effects of continuing nursing based on structure-process-results 3 d quality evaluation model in patients with coronary artery bypass grafting.Methods We selected 168 perioperative patients who underwent CABG from August 2018 to December 2019 as the research object,and used the random number table method to divide them into two groups,each group of 84 cases.The control group was given regular continue nursing,the intervention group was given continuing nursing based on structure-process-results 3 d quality evaluation model.After intervention,the"Chinese cardiovascular patients quality of life assessment questionnaire"(CCQQ)score,medication compliance score and the incidence of major cardiovascular and cerebrovascular events(MACCE)were compared between the two groups.Results The CCQQ score,medication compliance score and the incidence of MACCE were higher in the intervention group than in the control group,with statistically significant differences(P<0.05).Conclusion Donabedian structure-process-results continuous nursing constructed with three-dimensional quality evaluation model is helpful to improve the self-management efficacy and quality of life of patients after CABG,and is an effective way to improve the quality of continuous nursing.
作者
皮静虹
付欣桐
陈俊宇
陈文敏
张娟
缪永萍
周开秀
PI Jing-hong;FU Xin-tong;CHEN Jun-yu;CHEN Wen-min;ZHANG Juan;MIAO Yong-ping;ZHOU Kai-xiu(Dept.of Cardiovascular Surgery,Kunming Yan'an Hospital,Yunnan Institute of Cardiovascular Surgery,Kunming Yunnan 650051,China)
出处
《昆明医科大学学报》
CAS
2021年第3期176-180,共5页
Journal of Kunming Medical University
基金
昆明市局级科研项目(2016SWJG)。
关键词
三维质量评价模式
延续性护理
冠状动脉旁路移植术
生活质量
Three-dimensional quality evaluation model
Continuing care
Coronary artery bypass grafting
The quality of life
