延续护理干预对青年冠心病患者PCI术后快步走试验及生活质量的影响

The influence of continuous nursing intervention on the trot walk test and quality of life after PCI in young patients with coronary heart disease

目的探讨延续护理干预对青年冠心病患者PCI术后快步走试验及生活质量的影响。方法选取该院2015年1月~2017年1月收治的接受PCI手术治疗的青年冠心病64例,根据患者护理方案的不同,将患者分为对照组及观察组,每组32例。对照组患者采用常规护理,观察组患者采用延续护理干预结合,两组患者均1万步快步运动,比较两组患者1万步快步运动依从度情况及运动耐力、生活质量改善情况。结果观察组患者1万步快步走运动依从性明显优于对照组患者,差异有统计学意义(P<0.05);观察组患者护理后VO2peak、VO2At值显著高于对照组患者,差异均有统计学意义(均P<0.05);观察组患者护理后3个月RP、BP、MH、RE、VT、SF评分水平明显高于对照组患者,差异均有统计学意义(均P<0.05)。结论延续护理干预可有效提高青年冠心病患者PCI术后快步走运动依从性及运动耐力,改善患者生活质量水平。

Objective To explore the effect of continuous nursing intervention on the quality of life of young patients with coronary heart disease after PCI.Methods From January 2015 to January 2017,64 cases of young patients with coronary heart disease who received PCI surgery in the hospital were selected.According to the different nursing schemes of the patients,the patients were divided into control group and observation group,with 32 cases in each group.Patients in the control group were given routine nursing care,while patients in the observation group were given continuous,nursing intervention.Patients in both groups received 10 000 steps of quickstep exercise.The compliance, exercise endurance and quality of life of the patients in the two groups were compared.Results The compliance of patients in the observation group with 10 000 steps of brisk walking was significantly better than that in the control group, and the difference was statistically significant (P<0.05 ).After nursing,the VO2peak,VO2At in the observation group was significantly higher than those-in the control group,and the difference were statistically significant (P < 0.05).The RP,BP,MH,RE,VT and SF scores of patients in the observation group were significantly higher than those in the control group after 3 months of nursing,and the differences were statistically significant (P <0.05 ). Conclusions Continuous nursing intervention can effectively improve the compliance and exercise endurance of young patients with coronary heart disease after PCI,and improve the quality of life of the patients.