急性冠脉综合征患者基于病情风险分层的出院干预

Discharge intervention based on risk stratification for patients with acute coronary syndrome

目的探讨基于病情风险分层的出院干预对急性冠脉综合征患者预后及自我效能感的影响。方法将98例急性冠脉综合征患者按分层随机数字号分为对照组48例和干预组50例。对照组采用常规方法进行出院随访,干预组在此基础上增加病情风险分层后分别由普通护士和专科护士随访。于出院时、出院后3个月、6个月及1年评价患者心功能指标及自我效能感。结果两组不同时间心功能指标及自我效能感得分比较,差异有统计学意义(P<0.05,P<0.01)。结论基于病情风险分层的出院干预可改善急性冠脉综合征患者心功能,提升患者自我效能感。

Objective To explore the effect of dis charge intervention based on risk stratification on prognosis and self-efficacy for patients with acute coronary syndrome.Methods Totally98patients with acute coronary syndrome were divided into a control group with48patients and an intervention group with50patients using hierarchical random number.The control group was followed up using a traditional method by a general duty nurse,while the intervention group was additionally followed up according to patients'risk stratification by a specialty nurse.The cardiac function index and self-efficacy of the patients in the 2 groups were evaluated at discharge,3months,6months and1year after discharge.Results There were significant differences in cardiac function index and self-efficacy between the two groups at different time points(P<0.05,P<0.01).Conclusion The discharge intervention based on risk stratification for patients with acute coronary syndrome could improve their cardiac function,and increase their self-efficacy.