摘要
目的探讨延续性护理对冠心病PCI术后患者预后的影响。方法采用便利抽样法,2019年6月—2020年5月选取杭州市临安区第一人民医院收治的139例冠心病PCI术后患者作为研究对象,将患者分为对照组(n=69)和研究组(n=70)。对照组患者进行常规护理,研究组患者在常规护理的基础上采用延续性护理。比较两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)、自我管理能力、生活质量评分及不良事件发生率。结果干预后,两组患者自我管理能力总分及各维度得分均高于对照组,差异具有统计学意义(均P<0.01);研究组患者SAS、SDS评分低于对照组,差异具有统计学意义(均P<0.01);干预后,研究组患者生活质量各维度得分高于对照组,差异具有统计学意义(均P<0.05);研究组患者不良事件发生率为5.71%(4/70),低于对照组的17.39%(12/69),差异具有统计学意义(P<0.05)。结论对冠心病PCI术后患者采用延续性护理,可以提高患者自我管理能力及生活质量,同时能更好地缓解患者焦虑和抑郁情绪,能有效改善患者预后情况,有助于患者康复。
Objective To explore the effects of continuous nursing on the prognosis of patients with coronary heart disease(CHD)after percutaneous transluminal coronary intervention(PCI).Methods From June 2019 to May 2020,totally 139 CHD patients undergoing PCI at the First People's Hospital of Hangzhou Lin An District were selected by convenient sampling and divided into the control group(n=69)and the study group(n=70).Patients in the control group received routine care,while patients in the study group underwent continuous nursing based on routine care.The Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),self-management ability,quality of life scores,and incidence of adverse events were compared between the two groups of patients.Results After the intervention,the total scores and scores of each dimension of self-management ability were higher in the study group than in the control group,and the differences were statistically significant(all P<0.01);the SAS and SDS scores of the study group were lower than those of the control group,and the differences were statistically significant(all P<0.01);the scores of each dimension of the quality of life in the study group were higher than those in the control group,with statistically significant differences(all P<0.01);the incidence of adverse events in the study group was 5.71%(4/70),lower than that 17.39%(12/69)in the control group,and the difference was statistically significant(P<0.05).Conclusions Continuous care for CHD patients undergoing PCI can improve patients'self-management ability and quality of life,alleviate patients'anxiety and depression,effectively improve patients'prognosis,and help them recover.
作者
王宝玉
翁琴
李玉平
Wang Baoyu;Weng Qin;Li Yuping(Department of Cardiology,the First People's Hospital of Hangzhou Lin An District,Hangzhou 311300,China;Department of Internal Medicine,Taizhou Central Hospital(Taizhou University Hospital),Taizhou 318000,China)
出处
《中华现代护理杂志》
2022年第2期229-232,共4页
Chinese Journal of Modern Nursing
关键词
冠心病
延续性护理
经皮冠状动脉介入治疗
自我管理
Coronary heart disease
Continuous nursing
Percutaneous transluminal coronary intervention
Self-management
