连续性护理干预对经皮冠状动脉介入治疗患者术后自我管理的影响

Influence of continuation care on self-management in patients with coronary heart disease after PCI therapy

目的:探讨连续性护理干预对冠心病经皮冠状动脉介入(PCI)患者术后自我管理的影响。方法:选择120例行PCI治疗的冠心病患者,采用便利抽样法分为观察组和对照组各60例。对照组实施常规护理干预,观察组采取连续性护理干预,跟踪随访6个月,比较两组患者的焦虑、自我管理水平、危险因素控制情况之间的差异。结果:干预前,两组患者的各评价指标比较,差异均无统计学意义(P>0.05)。干预后3个月和6个月,观察组患者的焦虑评分均低于对照组(P<0.05),观察组患者自我管理各维度评分均高于对照组(P<0.01);干预后3个月,观察组患者BMI达标数量高于对照组(P<0.05),干预6个月后,两组患者危险因素达标数量比较,差异均有统计学意义(P<0.05)。结论:连续护理干预能有效地改善PCI术后患者的焦虑情绪,提升患者自我管理意识,从而有效地减少冠心病危险因素的影响。

Objective: To discuss the influence of continuation care on self-management in patients with coronary heart disease after percutaneous coronary intervention (PCI).Methods: 120 patients were selected by convenience sampling and were divided into study group and control group with 60 cases in each group.The control group was given routine nursing intervention,Whereas the study group was implemented continuation care.Seattle angina questionnaire(SAQ), self-management and heart risk factors were compared between two groups at 3 months, 6 months after intervention.Results: Before intervention, the scores of SAS, self-management and heart risk factors between two groups had no statistically significance(P>0.05).After 3 months and 6 months, the scores of SAS in the study group were significantly lower (P<0.05), the score of self-management was significantly higher (P<0.01). After 3 months, the qualified rates of BMI in the intervention group was significantly higher(P<0.05), after 6 months, the extent of heart risk control in study group was superior to control group(P<0.05). Conclusion: The continuation care can not only obviously improve the negative emotion and the self-management behavior, but also can control the risk factors of coronary heart diseases.