延续性护理干预对急性心肌梗死支架术后患者健康自我管理能力的影响

Effects of continuing nursing care on health self-management ability of patients with acute myocardial infarction undergoing intracoronary stent implantation

目的探讨延续性护理干预对急性心肌梗死冠脉支架植入术后患者健康自我管理能力的影响。方法 126例急性心肌梗死冠脉支架植入术后患者随机分为观察组61例和对照组65例。对照组采用常规出院前康复指导,观察组在对照组基础上开展延续性护理干预,观察2组出院时、出院后半年和出院后1年健康自我管理能力,记录2组出院后1年生理指标控制、心血管事件发生和再住院情况。结果观察组出院后1年成年人健康自我管理能力测评量表(AHSMSRS)评分高于对照组,差异有统计学意义(P<0.01),观察组出院后1年血脂、血压、血糖有效控制率高于对照组,差异有统计学意义(P<0.05),2组出院后1年心血管事件发生率和再住院率差异无统计学意义(P>0.05)。结论延续性护理能有效提高急性心肌梗死冠脉支架植入患者出院患者健康自我管理能力,对稳定病情具有积极意义。

Objective To investigate the effect of ontinuing nursing care on health self-man-agement ability of patients with acute myocardial infarction undergoing intracoronary stent implantation. Methods A total of 126 acute myocardial infarction patients after intracoronary stent implantation were randomly divided into the observation group （n = 61） and the control group （ = 65 ） . Both of two groups received routing health education on postoperative rehabilitation, and the continuing nursing care was applied in the observation. The self-management ability was assessed by the adults health self-management skill rating scale （AHSMSRS） at discharge, half year and 1 year after discharge. The physiological index, incidence of cardiovascular event and re-hospitalization were recorded. Results The AHSMSRS score was higher in the observation group than that of controls at one year after dis-charge ,with a significant difference （P 〈0. 01） . Patients in the observation group had a better control on blood lipid, blood pressure and blood？ glucose level compared with those in the control group at one year after discharge （P 〈0. 05 ） . There was no significant difference in incidence of cardiovascular event and re-hospitalization rate compared between two groups （P 〉0. 05） . Conclusion Continuing nursing care can improve the health self-management ability of patients with acute myocardial infarction after intracoronary stent implantation, showing a better effect on disease stabilization.