摘要
目的:探讨全程综合护理干预对心肌梗死患者遵医行为及预后的影响。方法:100例心肌梗死患者随机分为对照组及全程综合护理组,每组各50例。对照组实施传统的常规护理,综合护理组患者开展全程综合护理。出院随访1年,1年后复查冠状动脉造影,比较期间服药日比率和心血管事件发生率。结果:全程综合护理干预提高患者服药日比率(81.1±6.2%vs.60.9±5.9%,P<0.05),并减少患者心肌梗死及PCI术后再狭窄等心血管事件的发生(P<0.05)。结论:全程综合护理干预可提高心肌梗死患者遵医行为,降低二次心梗和冠状动脉再狭窄等心血管事件发生率,改善了患者的预后,为心梗患者的护理提供了新思路。
Objective: To evaluate the effect of a multi-factorial optimized holistic nursing on both medication adherence and cardiovascular events.Methods: Eligible coronary heart disease patients at age of 45-65 years were randomized to the intervention group(n=50) and control group(n=50).The multi-factorial optimized holistic nursing was applied in intervention group,while the patients in control group received routine nursing.The primary outcome was medication adherence.Secondary outcomes included restenosis,cardiovascular events and stroke.Results: The proportion of days covered(PDC) in intervention group was significantly improved compared with control group(81.1±6.2% vs.60.9±5.9%,P0.05).Moreover,the rates of restenosis and cardiovascular events were decreased in intervention group(P0.05).However,there was no difference of the rates of stroke and cardiac death(P0.05).Conclusion: A multi-factorial optimized holistic nursing can improve medication adherence,lower the rate of cardiovascular events,improve the prognosis of patients,and provides a new idea for the care of patients with myocardial infarction.
出处
《现代生物医学进展》
CAS
2012年第34期6714-6716,6719,共4页
Progress in Modern Biomedicine
基金
国家自然科学基金面上项目(81170184)
西京医院学科助推计划项目(XJZT10H13)
关键词
心肌梗死
全程综合护理
遵医行为
心血管事件
Myocardial infarction
Multi-factorial optimized holistic nursing
Medical compliance behavior
Cardiovascular events