网络平台延续护理在冠心病冠状动脉介入治疗患者中的效果分析

Effect analysis of network platform extended care in patients with coronary heart disease undergoing percntaneons coronary intervention

目的 探讨对行冠状动脉介入治疗（PCI）冠心病患者实施网络平台延续护理的效果.方法 2016年6月至2017年6月选取本院收治的120例冠心病PCI患者,根据随机数字表将患者分为观察组（n=60）及对照组（n=60）,对照组出院时行常规健康宣教,观察组于患者出院时基于网络平台对其实施延续性护理,比较两组患者干预前及干预后3个月心理状况、自我效能及生活质量的变化.结果 观察组干预后HAMD及HAMA评分分别为（17.64±3.24）分和（11.98±2.53）分,均低于对照组;观察组干预后自我效能评分为（30.95±4.36）分,高于对照组;观察组干预后心绞痛发作频率、治疗满意程度、活动受限程度、疾病认知程度以及生活质量总评分分别为（85.12±6.02）分、（88.97±5.87）分、（90.82±5.12）分、（91.82±4.69）分及（90.37±5.92）分,各生活质量评分均高于对照组（P＜0.05）.结论 对PCI患者实施网络平台延续护理可显著改善患者出院后心理状况,并提升其自我效能和生活质量,值得临床推广.

Objective To explore the effect of continuous nursing based on the network platform for patients with coronary artery disease undergoing percutaneous coronary intervention （PCI）.Methods 120 cases of patients with coronary artery disease after PCI in our hospital were divided into observation group （n=60） and control group （n=60） according to the random number table from June 2016 to June 2017.The control group was given routine health education,while the observation group was given continuous nursing based on the network platform at the time of discharge.The psychological status,self-efficacy,and quality of life of the two groups were compared before and after the intervention.Results After the intervention,the scores of HAMD and HAMA in the observation group were （17.64±3.24） and （11.98±2.53）,respectively,which were lower than those in the control group;the self-efficacy score of the observation group was （30.95±4.36）,higher than that of the control group;the scores of frequency of angina pectoris,the degree of satisfaction,the degree of activity restriction,the degree of cognition of the disease,and the total score of quality of life of the observation group were （85.12±6.02）,（88.97±5.87）,（90.82±5.12）,（91.82±4.69）,and （90.37±5.92）,which were all higher than those of the control group （P〈0.05）.Conclusion The implementation of network platform continuous nursing can significantly improve the psychological status of PCI patients after discharge,and improve their self-efficacy and quality of life.