延伸护理对冠心病患者经皮冠状动脉支架植入术后患者用药依从性的影响分析

Effect of extended nursing on medication compliance in patients with coronary heart disease after percutaneous coronary stent implantation

目的 分析延伸护理对冠心病患者经皮冠状动脉支架植入术后患者用药依从性的影响.方法 选择2019年1月至2020年12月本院收治PCI术冠心病患者70例临床资料,按随机数表分为两组,对照组35例实施常规护理和出院指导,研究组35例在对照组护理基础上予以延伸护理,对两组心理状态、用药依从性及心血管不良事件进行比较.结果 研究组焦虑(27.25±5.21)分与抑郁评分(28.14±6.07)分均低于对照组(36.52±4.61)分、(38.76±8.47)分,差异比较具统计学意义(P<0.05,t=7.8833;6.0294);研究组用药总依从率94.29%高于对照组77.14%(P<0.05,χ^(2)=4.2000);研究组心律失常、心肌缺血、血栓等心血管不良事件发生率5.71%低于对照组25.71%,比较具统计学意义(P<0.05,χ^(2)=5.2851).结论 将延伸护理应用于PCI术冠心病患者中,可改善患者不良心态,提高其出院后用药依从性,能有效降低心血管不良事件发生率.

Objective To investigate the effect of extended nursing on medication compliance in patients with coronary heart disease after percutaneous coronary stent implantation.Methods Clinical data were collected from 70 patients with coronary heart disease who received percutaneous coronary intervention in our hospital from January,2019 to December 2020,and the patients were divided into experimental group and control group using a random number table,with 35 patients in each group.The patients in the control group were given routine nursing and discharge guidance,and those in the experimental group were given extended nursing in addition to the nursing in the control group.The two groups were compared in terms of psychological state,medication compliance,and adverse cardiovascular events.Results Compared with the control group,the experimental group had significantly lower scores of anxiety(27.25±5.21 vs 36.52±4.61,t=7.8833,P<0.05)and depression(28.14±6.07 vs 38.76±8.47,t=6.0294,P<0.05).The experimental group had a significantly higher medication compliance rate than the control group(94.29%vs 77.14%,χ^(2)=4.2000,P<0.05).The experimental group had a significantly lower incidence rate of adverse cardiovascular events(such as arrhythmia,myocardial ischemia,and thrombosis)than the control group(5.71%vs 25.71%,χ^(2)=5.2851,P<0.05).Conclusion The application of extended nursing in patients with coronary heart disease after PCI can improve patients^bad psychological states and medication compliance after discharge and effectively reduce the rate of adverse cardiovascular events.