经皮冠状动脉介入治疗术后再狭窄相关护理指标的研究

Study on related nursing indexes of in-stent restenosis in patients after percutaneous coronary intervention

[目的]探讨经皮冠状动脉介入治疗术(PCI)后再狭窄的相关护理指标,为PCI治疗制定护理方案提供依据。[方法]选取复查造影的282例冠心病病人分为观察组和对照组。采用入院时收集病人的临床资料、生活行为方式问卷调查及焦虑和抑郁自评量表评分,分析PCI术后再狭窄的相关护理指标。[结果]年龄、性别、高血压对支架内再狭窄发生无明显影响(P>0.05)。多因素Logistic回归分析显示:PCI术后再狭窄与糖尿病、高血脂、吸烟成正相关,其比值比(OR)分别为2.423、2.175、1.792;与术后运动、服药依从性佳成负相关,其比值比分别为0.820和0.918。[结论]冠状动脉PCI术后支架内再狭窄的因素较为复杂,为预防再狭窄,护理人员应提高病人的血脂、血糖控制达标率,定期随访,加强对病人服药及生活方式的健康指导,从行为改变的角度进一步降低再狭窄的发生率。

Objective：To probe into the related nursing indexes of in-stent restenosis in patients after percutaneous coronary intervention,and to provide the basis for the formulation of nursing program in PCI treatment.Methods：A total of 282 patients with coronary heart disease receiving follow-up angiography were selected after PCI from January 2012 to December 2014.They were divided into restenosis（observation group）and non restenosis（control group）.The related nursing indexes of restenosis after PCI were analyzed on clinical data,life behavior questionnaire investigatation,and self-rating anxiety and depression score.Results：The age,gender and hypertension had no obvious effect for in-stent restenosis（P〉0.05）.The logistic regression analysis revealed that the restenosis was positive correlated with diabetes（OR=2.423）,high blood fat（OR=2.175）,smoking（OR=1.792）.And it was negative correlated with postoperative exercise（OR=0.820）and good medication compliance（OR=0.918）.Conclusion：Factors were complex of stent restenosis after coronary artery PCI,nursing staff should improve the patients’ compliance rate of blood lipid control and blood sugar control,regular follow up,strengthen the health guidance to the patients taking medicine and life style,and reduce the incidence of restenosis from the angle of behavior change,so as to prevent restenosis.