电话随访联合医护一体化护理在老年冠心病患者PCI术后的应用效果

Effects of telephone follow-up combined with integrated nursing in elderly patients with coronary heart disease after PCI

目的探讨电话随访联合医护一体化护理对老年冠心病(CHD)患者经皮冠脉介入术(PCI)后院外治疗依从性和生活质量的影响。方法将2016年4月至2016年12月于胶州市人民医院接受PCI治疗的54例老年CHD患者纳入对照组,将2017年1月至2017年8月于胶州市人民医院接受PCI治疗的54例老年CHD患者纳入联合组。对照组患者接受常规护理,联合组患者在对照组基础上接受电话随访和医护一体化护理。比较两组患者院外遵从率和西雅图心绞痛量表(SAQ)得分。结果对照组和观察组院外遵从率分别为79.63%(43/54)、96.30%(52/54)。联合组院外遵从率高于对照组,差异有统计学意义(P<0.05)。护理后,联合组患者SAQ量表5个维度得分均高于对照组,差异有统计学意义(均P<0.05)。结论电话随访联合医护一体化护理可有效提高PCI术后老年CHD患者院外治疗依从性和生活质量。

Objective To investigate the effects of telephone follow-up combined with integrated nursing on the compliance and quality of life of patients with coronary heart disease(CHD) after percutaneous coronary intervention(PCI).Methods Fifty-four elderly patients with CHD who underwent PCI in Jiaozhou People’s Hospital from April 2016 to December 2016 were enrolled in control group, and 54 patients with CHD who underwent PCI in Jiaozhou People’s Hospital from January 2017 to August 2017 were enrolled in combined group. Patients in control group received routine nursing, and patients in combined group received telephone follow-up and integrated nursing on the basis of control group. The out-of-hospital compliance and Seattle Angina Questionnaire(SAQ) scores were compared between the two groups. Results The out-of-hospital compliance rates of control group and observation group were 79.63%(43/54) and 96.30%(52/54), respectively. The out-of-hospital compliance rate of combined group was higher than that of control group, and the difference was statistically significant(P<0.05). After nursing, the scores of the SAQ in combined group were all higher than those in control group, and the differences were statistically significant(all P<0.05).Conclusion Telephone follow-up combined with integrated nursing could effectively improve the out-of-hospital compliance and quality of life of elderly patients with CHD after PCI.