新型医护一体化延续护理对冠心病PCI患者术后睡眠质量及心功能的影响

Effects of new type medical and nursing integrated continuous care on postoperative sleep quality and cardiac function in patients with coronary heart disease undergoing PCI

目的探讨新型医护一体化延续护理对冠心病经皮冠状动脉介入术患者术后康复知识掌握情况、睡眠质量及心功能的影响。方法将首次行冠心病经皮冠状动脉介入术治疗的104例冠心病患者按护理模式分为两组,每组52例,观察组采用新型医护一体化延续护理干预,对照组采用常规护理干预,观察住院全程,出院后随访3个月。采用自拟康复知识量表评定康复知识掌握情况,SPIEGEL睡眠量表评定睡眠质量,采用超声心动图检测心功能指标左心室射血分数、左心室舒张末期容量变化,采用美国纽约心脏病学会分级标准评定心功能分级变化;随时记录两组患者住院期间出现的并发症。结果干预前两组各项指标比较差异无统计学意义(P>0.05)。随访3个月两组康复知识量表评分均较干预前显著升高,观察组显著高于对照组(P<0.01);SPIEGEL睡眠量表评分、心功能分级均较干预前显著下降,观察组显著低于对照组(P<0.01);左心室射血分数、左心室舒张末期容量均较干预前显著改善,观察组改善显著优于对照组(P<0.01);观察组并发症发生率(3.85%)显著低于对照组(17.31%)(P<0.05)。结论新型医护一体化延续护理干预能显著提高冠心病经皮冠状动脉介入术患者术后对康复知识的掌握情况,改善睡眠质量和心功能,减少并发症的发生。

Objective To study the effects of new type medical and nursing integrated continuous care on postoperative sleep quality and cardiac function in patients with coronary heart disease undergoing PCI.Methods 104 patients with coronary heart disease who were treated with PCI for the first time were divided into two groups according to different nursing modes,52 cases in each group.The patients in the observation group were received new type medical and nursing integrated continuous care,and the control group were received routine nursing mode.The whole course of hospitalization was observed and followed up for 3 months after discharge.The self-recommended knowledge scale was used to assess the knowledge of rehabilitation knowledge.The SPIEGEL sleep scale was used to assess the quality of sleep.Echocardiography was used to detect LVEF and LVEDV changes.The NYHA classification criteria was used to assess the changes of cardiac function.Results There was no significant difference in the indexes between the two groups before intervention(P>0.05).The scores of the rehabilitation knowledge scales of the two groups were significantly higher than those before the intervention,and the observation group was significantly higher than the control group(P<0.01).The SPIEGEL sleep scale score and cardiac function grade were significantly lower than those before the intervention,and the observation group was significantly lower than the control group(P<0.01).LVEF and LVEDV were significantly improved compared with before intervention,and the improvement of the observation group was significantly better than that of the control group(P<0.01).The incidence of complications in the observation group(3.85%)was significantly lower than that in the control group(17.31%)(P<0.05).Conclusions The new type medical and nursing integrated continuous care intervention can significantly improve the mastery of rehabilitation knowledge in patients with coronary heart disease undergoing percutaneous coronary intervention,improve sleep quality and heart function,and reduce the occurrence of complications.