连续性护理干预对冠状动脉旁路移植术后患者健康相关行为的影响

Effect of continuous nursing intervention on health related behaviors in patients undergoing coronary artery bypass graft

目的探讨对冠状动脉旁路移植术后患者实施连续性护理干预的效果。方法将73例冠状动脉旁路移植术后患者分为对照组（37例）和干预组（36例）。两组均实施常规护理，干预组患者同时接受研究者实施的连续性护理干预，包括出院前的健康相关行为宣教，出院后电话随访等。评价两组患者出院后4，8，12周的健康相关行为状况。结果 连续性护理干预能改善患者的营养、运动、药物管理、并发症管理行为，但不能改善压力应对和吸烟行为。结论连续性护理干预是一种安全、有效的干预方式，值得推广。

Objective To explore the effects of continuous nursing intervention with regular care on health related behaviors in patients undergoing coronary artery bypass graft （CABG）. Methods 80 undergoing CABG patients were recruited to the control group and the study group. All the subjects received regular care. Besides this, patients in the study group received continuous nursing intervention, which include： carrying out education and handing out handbooks before discharging, implementing telephone follow-up after discharging. The health related behaviors, which included 6 parts ： nutrition, exereise, stress management, medicine management, complication management and smoking, were measured in the 4th week, 8th week and 12th week after discharging from the hospital. Results Patients in the study group had better health related behaviors than those who received regular care alone, specifically ineludihg better nutrition, exercise, medicine management and complication management behaviors. However, the differences of stress management behaviors and smoking between the two groups were non-siguificant. Conclusions The continuous nursing intervention was a safe and effective intervention style.