病人及家属联合管理模式对冠心病介入治疗病人心功能康复及疾病预防的影响

Influence of patient-family joint management on cardiac function rehabilitation and disease prevention in patients with coronary heart disease intervention

[目的]探究病人及家属联合管理模式对冠心病介入治疗病人心功能康复情况及疾病预防的影响。[方法]将92例行介入治疗的冠心病病人随机分为研究组和对照组各46例。其中对照组实施传统的护理照护,研究组则在对照组基础上引入病人及家属联合式的管理模式。记录两组病人出院后第3个月末的冠脉缺血事件发生率和心功能分级,并比较两组病人入院时及出院后第3个月末对冠心病预防知识的掌握程度。[结果]研究组病人出院后第3个月末的冠脉缺血事件发生率为2.2%,低于对照组的8.7%(P<0.05);研究组病人出院后第3个月末的心功能分级结果优于对照组(P<0.05);出院后第3个月末研究组冠心病康复知识及二级预防行为评分均高于对照组(P<0.05)。[结论]行介入治疗的冠心病病人采用病人及家属联合管理模式,有助于促进病人心功能的快速康复,有效预防疾病的复发。

Objective： To explore the influence of patient - family joint management on cardiac function rehabili-tation and disease prevention in patients with coronary heart disease interventional therapy. Methods： A total of 92 patients with coronary heart disease who were treated with intervention were randomly divided into studygroup and control group？ 46 cases in each. The patients in control group implemented the traditional nursing care？and the patients in study group introduced a patient - family joint management on the basis of tional nursing. The incidence of coronary ischemic events and cardial functional grading were recorded at the end of the third month after discharge？ and compared the coronary heart disease prevention knowledge mastery of patients between two groups at admission and at the end of the third month after discharge. Results： The inci-dence of coronary ischemic events at the end of the third month after discharge was 2.2% in study group？which was lower than that in control group（8. 7 % ,P 〈0. 05）. The cardial functional grading in study te r than that in control group at the end of the third month（P〈0. 05）. The scores of rehabilitation and seconda-ry prevention of coronary heart disease were highe r in study group than that in cothird month after discharge（P 〈0. 05）. Conclusions ： Patients with coronary heart disease udergoing intervention-al treatment used patient - family joint management model it could help to promote the rapid recovery of pa-tients＇ cardiac function？and effectively prevent the recurrence of the disease.