临床护理路径对冠心病经皮冠状动脉介入治疗术后的影响

Impacts of clinical nursing pathway in patients with coronary atherosclerotic heart disease after coronary artery revascularization

目的:评价临床护理路径(clinical nursing pathway,CNP)实施对冠心病患者择期冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后的影响。方法:随机将78例冠心病择期PCI术后患者分成观察组和对照组各39例。观察组按冠心病PCI术后CNP方法进行护理,对照组行常规护理。观察两组患者住院期间的平均天数及平均费用、出院时满意度、1年主要心脏不良事件(major adverse cardiovascular events,MACE)发生率和再住院率。结果:观察组平均住院天数、平均住院费用、再住院率及1年MACE发生率显著低于对照组(P<0.01),但满意度显著高于对照组(P<0.05)。结论:对冠心病患者择期PCI术后实施CNP不仅可以降低其平均住院天数、平均住院费用和提高其住院满意度,同时也降低了术后1年MACE发生率和再住院率,值得进一步推广。

Objective： To evaluate the clinical nursing path（ CNP） implementation of interventional therapy of coronary artery in patients with coronary heart disease undergoing elective percutaneous coronary intervention（ PCI） effect after operation. Methods： 78 cases were randomly divided CHD undergoing postoperative PCI divided into observation group and control group with 39 cases in each group. The observation group according to the coronary heart disease patients after PCI CNP methods of care,the control group received routine nursing care. The two groups were observed during the hospitalization days and the average cost,average discharge satisfaction,1 year of major adverse cardiac events（ MACE） and the incidence of re hospitalization rate. Results： In the observation group,the average hospital stay,average hospitalization expenses,rehospitalization rate and 1 year the incidence rate of MACE was significantly lower than the control group（ P 〈 0. 01）,but the level of satisfaction is significantly higher than that in control group（ P 〈 0. 05）. Conclusion： For patients undergoing elective coronary heart disease patients after PCI CNP not only can reduce the average hospital stay,average hospitalization expenses and improve the inpatient satisfaction,but also can reduce the postoperative 1 year the incidence of MACE and the rate of hospitalization,worthy of further promotion.