协同护理干预在PCI术后患者中的应用

Application of collaborative nursing intervention to patients after PCI

目的:探讨对经皮冠状动脉介入术(PCI)后冠心病患者进行协同护理干预的效果。方法:将2017年1~9月治疗的48例PCI术后冠心病患者作为对照组,给予常规护理;2017年10月~2018年6月治疗的48例PCI术后冠心病患者作为观察组,给予协同护理干预。比较两组治疗效果,包括两组患者对PCI术后服药依从性、心理状况和术后生活质量的差异。结果:出院3个月后,观察组患者PCI术后服药依从性评分高于对照组(P<0.05);观察组患者汉密尔顿焦虑量表(HAMA)评分低于对照组(P<0.05);观察组简明健康状况量表(SF-36)各维度(除精力维度外)均分均优于对照组,差异有统计学意义(P<0.05)。结论:对PCI术后冠心病患者进行协同护理干预可以提高患者用药依从性,改善患者心理,提高患者生活质量。

Objective:To investigate the effect of collaborative nursing intervention on patients with coronary heart disease following percutaneous coronary intervention(PCI).Methods:This study was a historical case control.Forty-eight patients with coronary heart disease after PCI between January and September of 2017 were recruited as controls,and underwent conventional nursing,and another 48 patients of coronary heart disease following PCI were included from October 2017 to June 2018 in observational group,and provided with collaborative nursing intervention.The two groups were compared concerning the difference of treatment effects,patients′compliance with medication after PCI,psychological conditions and the quality of life after surgery.Results:At 3-month after discharge,patients in the observational group had better compliance with medication,significantly lower scores on Hamilton Anxiety Scale(HAMA),higher scores on each component in the Short Form Health Survey(SF-36)except for energy.The difference was significant(all P<0.05).Conclusion:Collaborative nursing intervention can improve the compliance with medication,psychology,and quality of life in patients with coronary heart disease following PCI.