5步式叙事护理干预对老年PCI术后患者服药依从性及生活质量的影响

Effect of 5-step Narrative Nursing Intervention on Medication Compliance and Quality of Life in Elderly Patients After PCI

目的探讨5步式叙事护理干预对老年PCI术后患者服药依从性及生活质量的影响。方法选取我院心内科2013年1月—2015年12月收治的30例行冠状动脉介入(PCI)术后的老年冠心病患者作为对照组,2016年1月—2017年1月收治的30例同病种和年龄段的PCI术后患者作为观察组。对照组术后给予常规护理和出院后社区延伸护理。观察组在对照组基础上应用5步式叙事护理干预方法。对比两组患者出院后半年内服药依从性和生活质量调查结果。结果两组患者出院时服药依从性和生活质量差异无统计学意义(P>0.05);出院第1个月和第6个月时观察组服药依从性和生活质量平均得分均优于对照组,差异有统计学意义(P<0.05)。结论老年冠心病PCI术后患者接受5步式叙事护理干预,能改善患者对术后服药的自我管理水平,提高患者生活质量。

Objective To explore the effect of 5 step narrative nursing intervention on medication compliance and quality of life in elderly patients after PCI. Methods From January 2013 to December 2015, 30 patients with coronary artery disease undergoing coronary artery intervention （PCI） in our hospital were selected as the control group. Between January 2016 and January 2017, 30 patients with coronary heart disease with the similar age after PCI were selected as the observation group. The control group was given routine care and post hoc hospital care. On the basis of the control group, the observation group was treated with 5 steps of narrative nursing intervention. The medication compliance and quality of life survey results discharged after six months between two groups of patients were compared. Results There was no significant difference in medication compliance and quality of life between the two groups （P 〉 0.05）. The average score of medication compliance and quality of life in the observation group was significantly better than that in the first and sixth months of discharge, the difference was statistically significant （P 〈 0.05）. Conclusion For coronary heart disease patients, 5 step narrative nursing intervention after PCI can significantly improve the patient＇s disease self-management ability and quality of life.