延续护理对急性冠状动脉综合征患者二级预防的影响

Effect of Continuous Nursing on Secondary Prevention in Patients with Acute Coronary Syndrome

目的观察急性冠状动脉综合征患者应用延续护理后对其二级预防产生的影响。方法回顾分析2017年1月至2018年4月在我院实施急性冠状动脉综合征治疗的64例患者临床资料,以出院后随访方式的不同将其均分为干预组及常规组各32例,分别实施延续护理及常规随访,对两组1年后患者相关指标(血压、低密度脂蛋白、MBI、HbA1c的达标率,吸烟率、服药依从性、饮食依从性、运动依从性、再次入院率、满意度)予以比较。结果随访结果证实应用延续性护理的患者血压、低密度脂蛋白、BMI、HbA_(1)c的达标率及满意度、服药依从性、饮食依从性、运动依从性均高于常规组,而再次入院率、吸烟率则低于常规组,组间有明显差异(P<0.05)。结论在急性冠状动脉综合征患者中实施延续性护理,可显著提高疾病的二级预防效果,可临床推广应用。

Objective To observe the effect of continuous nursing on patients with acute coronary syndrome after secondary nursing.Methods The clinical data of 64 patients who underwent acute coronary syndrome in our hospital from January 2017 to April 2018 were retrospectively analyzed.The followup methods were divided into intervention group and routine group.The methods were continuous care and routine follow-up.After 1 year,the two groups were compared with relevant indicators(blood pressure,low-density lipoprotein,MBI,HbA1c compliance rate,smoking rate,medication compliance,diet compliance,exercise compliance,readmission rate,satisfaction).Results The follow-up results confirmed that the blood pressure,low-density lipoprotein,BMI,HbA1c compliance rate and satisfaction rate,medication compliance,diet compliance,and exercise compliance of patients who applied continual care were all higher than those of the conventional group,while the rate of hospital readmission and smoking rate It is lower than the conventional group,and there is a significant difference between the groups(P<0.05).Conclusion The implementation of continuous nursing in patients with acute coronary syndrome can significantly improve the secondary prevention effect of the disease,and can be clinically applied.