摘要
目的探讨基于定量评估的强化健康管理在冠心病不稳定型心绞痛介入术后的应用效果。方法选取医院2019年2月—2020年7月收治的152例行经皮冠状动脉介入治疗的冠心病不稳定型心绞痛患者为研究对象,按照组间基本资料具有可比性的原则分为对照组和观察组,每组76例。对照组采用术后常规健康管理,观察组采用基于定量评估的强化健康管理。比较两组患者服药依从性、管理期间心血管不良事件发生率及再住院率、康复效果、生存质量。结果观察组服药依从性评分高于对照组(P<0.05)。管理期间观察组心血管不良事件发生率及再住院率均低于对照组(P<0.05)。两组患者干预前左室射血分数(LVEF)、左室舒张末期内径(LVEDD)、左室收缩末期内径(LVESD)、6 min步行试验距离比较差异无统计学意义(P>0.05);干预后,观察组LVEF、6 min步行试验距离均高于对照组(P<0.05),观察组LVEDD、LVESD均小于对照组(P<0.05)。观察组疾病认知程度、心绞痛稳定状态、心绞痛发作情况、躯体活动受限程度和治疗满意度评分均高于对照组(P<0.05)。结论在冠心病不稳定型心绞痛介入术后实施基于定量评估的强化健康管理可提高患者的服药依从性,降低心血管不良事件发生率和再住院率,增强康复效果,提高生存质量。
Objective To explore the application ef fect of intensive health management based on quantitative assessment in patients with unstable angina pectoris after coronary heart disease intervention.Methods To select 152 patients with unstable angina pectoris of coronary heart disease who underwent percutaneous coronary intervention in the hospital from February 2019 to July 2020 as the study objects.According to the principle of comparability of basic data between groups,they were divided into control group and observation group,with 76cases in each group.The control group received routine health management after surgery,while the observation group received intensive health management based on quantitative assessment.The medication compliance,the incidence of cardiovascular adverse events and rehospitalization rate during the management period,the rehabilitation effect,and the quality of life were compared between the two groups.Results The medication compliance score of the observation group was higher than that of the control group(P<0.05).The incidence of cardiovascular adverse events and rehospitalization rate of the observation group were lower than those of the control group during the management period(P<0.05).Before the intervention,there was no signifi cant dif ference in the left ventricular ejection fractions(LVEF),left ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD)and 6-minute walking test distance between the two groups(P>0.05).After the intervention,the LVEF and 6-minute walking test distance in the observation group were higher than those in the control group(P<0.05),and the LVEDD and LVESD in the observation group were less than those in the control group(P<0.05).The disease cognition,angina pectoris stable state,angina attack,physical activity limitation and treatment satisfaction scores in the observation group were higher than those in the control group(P<0.05).Conclusions The application of intensive health management based on quantitative assessment after i
作者
李婷
李静
杨建涛
LI Ting;LI Jing;YANG Jiantao(The First Affi liated Hospital of Henan University,Kaifeng,475000,China)
出处
《护理实践与研究》
2022年第12期1798-1802,共5页
Nursing Practice and Research
关键词
定量评估
强化健康管理
冠心病
不稳定型心绞痛
经皮冠状动脉介入术
Quantitative assessment
Intensive health management
Coronary heart disease
Unstable angina pectoris
Percutaneous coronary intervention
