互联网+下延续性护理干预对冠心病支架术后患者的护理效果研究

Study of nursing effect of nursing intervention with continuity under Internet plus on the postoperative patients receiving CHD stent implantation

目的:研究冠心病支架术后患者互联网+下延续性护理干预的效果。方法:选取医院收治的160例冠心病支架术患者,依据护理干预方法的不同将其分为采用互联网+下延续性护理干预的观察组和采用常规护理干预的对照组,每组80例。统计分析两组患者的不良心血管事件发生情况、再入院情况、健康状况、心理状况和生活质量。结果:观察组患者的不良心血管事件发生率、再入院率均显著低于对照组,差异有统计学意义(χ^(2)=12.830,χ^(2)=11.140;P<0.05);治疗后较治疗前的胸痛气短发生次数减少幅度、血清B型脑钠肽(BNP)水平降低幅度、左心室射血分数(LVEF)升高幅度以及6 min步行距离(6MWD)延长幅度均显著高于对照组,差异有统计学意义(t=6.965,t=4.541,t=4.303,t=3.365;P<0.05);治疗后较治疗前的抑郁情绪量表(PHQ2、PHQ9)评分降低幅度、简明健康相关生命质量量表简化版(SF-12)评分及简明健康相关生命质量量表(SF-36)评分升高幅度均显著高于对照组,差异有统计学意义(t=3.306,t=3.300,t=3.182,t=2.776;P<0.05)。结论:冠心病支架术后患者护理中实施互联网+下延续性护理干预的效果好于常规护理干预。

Objective:To study the effect of nursing intervention with continuity under Internet plus on postoperative patients who underwent stent implantation of coronary heart disease(CHD).Methods:160 CHD patients who underwent CHD stent implantation were selected.They were divided into observation group that adopted nursing intervention with continuity under Internet plus and control group that adopted routine nursing intervention,with 80 cases in each group.The conditions of adverse cardiovascular events,the condition of readmission,health status,psychological status and quality of life of two groups were analyzed by used statistical analysis.Results:The incidence of adverse cardiovascular events and readmission rates of observation group were significantly lower than of control group(χ^(2)=12.830,χ^(2)=11.140,P<0.05).Compared with those of pretreatment,the reduced extent of occurring times of chest pain and breathe hard,the decreased extent of serum B type brain natriuretic peptide(BNP)level,the increased extent of left ventricular ejection fraction(LVEF)and the lengthened extent of 6 min walking distance(6MWD)post treatment of observation group were significantly higher than those of control group(t=6.965,t=4.541,t=4.303,t=3.365,P<0.05).Compared with those of pretreatment,the score of decreased extent of depression scale(PHQ2,PHQ9),the increased extents of the score of simplified version of concise health related quality of life(SF-12)and the score of simplified version of concise health related quality of life(SF-36)of observation group were significantly higher than those of control group(t=3.306,t=3.300,t=3.182,t=2.776,P<0.05).Conclusion:The effect of nursing intervention with continuity under Internet plus in the nursing for postoperative patients who undergo CHD stent implantation is better than that of conventional nursing intervention.