摘要
目的探讨冠状动脉支架植入术后患者的院外护理干预方法及其对临床预后的影响。方法将207例冠状动脉支架植入术患者随机分为两组,干预组104例,出院后定期接受专业护理人员的评估与指导,对照组103例,出院后未进行护理干预。随访1年,观察两组患者的主要不良心脏事件(包括死亡、心绞痛、非致死性心肌梗死)发生率、再住院率及靶血管再次成形率。结果干预组主要不良心脏事件发生率(16.35%)明显低于对照组(49.51%,P<0.05)。再住院率(7.69%)明显低于对照组(24.27%,P<0.05)。靶血管再次成形率干预组(1.92%)低于对照组(3.88%),但差异无统计学意义(P>0.05)。结论对冠状动脉支架植入术患者进行合理的院外护理干预可改善临床预后。
Objective To investigate the methods and effect of nursing intervention to the discharged patients after intracoronary stenting.Methods Total 207 patients with successful stent implatation were randomly assigned to the test group（104 cases） and the control group（103 cases）,all patients were followed up for 1 year.The incidence of major adverse cardiovascular events,readmission and target vessel revascularization were recorded.Results The incidence of major adverse cardiovascular events and readmission were both significantly less in the tested group than that in the control group（16.35% vs 49.51% for major adverse cardiovascular events,and 8.82% vs 38.24% for readmission;P0.05 for both）.The incidence of target vessel revascularization rate was also lower in the tested group than that in the control group（1.92% vs 3.88%）,but the difference between them was not statistically significance（P0.05）.Conclusion The nursing intervention to discharged patients after intracoronary stenting can improve their clinical prognosis.
出处
《中华全科医学》
2013年第3期485-485,498,共2页
Chinese Journal of General Practice
