设立随访中心对PCI术后患者自我管理行为的影响

Effects of establishing follow-up centers on self-management behavior of PCI patients

目的探讨设立随访中心对PCI术后患者自我管理行为的影响。方法2016年1-7月，采取目的抽样的方法，选取哈尔滨医科大学附属第二医院心内科接受PCI治疗的患者130例。按照随机数字表法将患者分为观察组和对照组各65例。对照组采用常规护理干预，观察组纳入随访中心进行十预，采用冠心病自我管理行为量表比较两组患者的自我管理行为。结果干预后观察组患者日常生活管理、疾病医学管理维度得分高于对照组，差异有统计学意义（P〈0．01）。两组患者情绪管理维度得分差异无统计学意义（P〉0．05）。结论设立随访中心能够提高PCI患者的日常生活管理行为和疾病医学管理行为，但对于提高患者情绪管理行为的手段仍需进一步研究。

Objective To investigate the effect of establishing follow-up centers on self-management behavior of patients with percutaneous coronary stent implantation （PC[）. Methods From January to July 2016, a total of 130 PCI patients from Cardiology Department of the 2nd Affiliated Hospital of Harbin Medical University were enrolled by purposive sampling method. According to the random number table, the patients were randomly divided into observation group and control group, with 65 cases in each. Patients in the control group were treated with routine nursing intervention, and patients in the observation group were recruited in the follow-up center. The self-management behavior of the two groups was compared by the coronary artery disease self-management scale. Results The scores of daily life management and disease medical management were significantly higher in the observation group than those in the control group （P 〈 0.01）. There was no significant difference in scores of emotional management between the two groups （P 〉 0.05）. Conclusions The establishment of follow-up center can improve the daily life management behavior and disease medical management behavior of patients, but it needs further study to improve the emotional management behavior of patients.