冠心病患者PCI术后延续护理的效果观察

Effects of extended family care for patients with coronary heart disease after PCI

目的探讨家庭延续护理对冠心病患者经皮冠状动脉介入治疗术后的影响。方法选择因心肌梗死或心绞痛住院行冠心病介入治疗的患者96例,依照数字随机表法分为对照组(47例)和观察组(49例)。对照组给予常规护理,观察组进行延续护理。对所有患者进行1、3、6和12个月的电话回访或家访形式干预,对2组患者生活方式与饮食控制、治疗依从性和心绞痛症状发作次数以及再住院率进行比较。结果 2组生活方式改变与饮食控制依从性组间、时点间、组间·时点间交互作用差异均有统计学意义(P<0.05)。2组心绞痛症状发作次数与再次住院次数组间、时点间、组间·时点间交互作用差异均有统计学意义(P<0.05)。结论对冠心病介入治疗患者进行家庭延续护理不仅能够改变患者生活习惯,还能够提高患者治疗依从性。

Objective To test the effects of an extended family care for patients with coronary heart disease after percutaneous coronary intervention（PCI）.Methods Patient were randomly divided into control group and study group according to digital random method,including 96 individuals with coronary heart disease after PCI.The control group（n=47）received routine care and the study group（n=49）received extended family care.The study was carried out on two groups of patients with 1 month,3 months,6 months and 12 months of telephone visits or home visits.The lifestyle and diet control,treatment compliance,and the onset times and re hospitalization rate of 2groups of patients were compared.Results There were significant differences in the group,time and time between the groups for the changes of lifestyle and the compliance of diet control in 2groups（P〈0.05）.There were significant differences in the group,time and time between the groups for the number of episodes of angina pectoris and the number of times of hospitalization in 2groups（P〈0.05）.Conclusion Extended family care for patients with coronary heart disease not only changes the habits of patients,but also improves the treatment compliance of patients.