程序化随访计划对急性冠脉综合征PCI术后患者遵医行为和自护能力的影响

Effect of the procedural follow-up plan on medical compliance behavior and self-care ability of patients with acute coronary syndrome after percutaneous coronary intervention

目的 探讨程序化随访计划对急性冠脉综合征（ACS）经PCI术后患者遵医行为和自护能力的影响.方法 采用便利抽样的方法选取2015年6月—2016年7月在浙江萧山医院心内科住院确诊为ACS的患者为研究对象,采用随机数字表法将其随机分为干预组和对照组,最终研究对象为115例,干预组57例,对照组58例.对照组采用心内科常规护理和出院后随访,干预组在此基础上应用程序化随访计划进行出院后随访,于出院时、出院2个月、4个月后采用遵医行为量表和自我护理能力测定量表比较两组患者遵医行为和自护能力之间的差异.结果 出院时两组患者的遵医行为和自护能力总分及各维度得分差异无统计学意义（P〉0.05）;出院2、4个月后干预组患者的遵医行为和自护能力总分及各维度得分均优于对照组,差异均有统计学意义（P〈0.05）.结论 程序化随访计划能增加急性冠脉综合征PCI术后患者疾病相关知识,提高患者的遵医行为,强化患者的自护能力,改善患者预后水平.

 Objective To explore the effect of procedural follow-up plan on medical compliance behavior and self-care ability of acute coronary syndrome（ACS） patients with percutaneous coronary intervention（PCI）. Methods A total of 115 patients with acute coronary syndrome who were hospitalized in Vasculocardiology Department of Zhejiang Xiaoshan Hospital from June 2015 to July 2016 were selected as research subjects by convenience sampling method and divided into control group （n=58） and intervention group （n=57） according to random number table. Routine cardiological nursing care and post-discharge follow-up were implemented in both groups, on the basis of which, the intervention group was followed with procedural follow-up plan after discharge. The medical compliance behavior scale and the exercise of self-care agency scale （ESCA） were used to compared the medical compliance behavior and self-care ability between two groups at the time point of discharge, 2 months and 4 months after discharge. Results There was no statistical significance between intervention group and control group with medical compliance behavior and self-care ability at discharge（P〉 0.05）. The medical compliance behavior of intervention group was significantly better than control group,and the self-care ability of intervention group was significantly higher than control group at 2 months and 4 months after discharge,and the differences were statistically significant（P〈0.05）. Conclusions The procedural follow-up plan can enrich patients＇ disease related knowledge,improve patient＇s medical compliance behavior and strengthen patients＇ self-care ability,which has great value for patients＇ clinical prognosis.