以时机理论为中心的延续性护理模式在冠心病PCI术后患者中的应用

Application of continuous nursing model with timing theory as the center in patients with coronary heart disease after PCI

目的研究以时机理论为中心的延续性护理模式在冠心病经皮冠状动脉介入治疗(PCI)术后的价值。方法选取2019年8月至2020年12月在该院心内科住院的230例冠心病PCI术后患者作为研究对象,采用随机数字表法分为观察组和对照组,每组各115例。观察组患者出院后采用以时机理论为中心的延续护理,对照组患者出院后采用常规护理及随访,比较两组患者的护理结果。结果两组患者干预前自我护理能力测定量表(ESCA)、生命质量测定量表(QOL-C30)各项目评分比较,差异均无统计学意义(P>0.05);观察组患者干预后ESCA、QOL-C30各项目评分均高于对照组,差异均有统计学意义(P<0.05)。观察组患者不良心血管事件发生率(5.22%)低于对照组(18.26%),差异有统计学意义(P<0.05)。结论以时机理论为中心的延续性护理模式应用于冠心病PCI术后效果明显,可有效增强患者自我护理能力,提升其生活质量,减少不良心血管事件发生率,安全性较高。

Objective To study the value of a continuous nursing model with timing theory as the center in patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods A total of 230 patients with coronary heart disease after PCI in the department of cardiology of the hospital from August 2019 to December 2020 were selected as the research objects,and divided into the observation group and the control group by random number table method,with 115 cases in each group.The patients in the observation group used continuous nursing with timing theory as the center after discharge,while the patients in the control group used routine nursing and follow-up after discharge.The nursing outcomes of the two groups of patients were compared.Results There was no significant difference in the scores of each item of self-care ability measurement scale(ESCA)and Quality of Life Questionnaire-Core 30(QOL-C30)between the two groups before intervention(P>0.05).After intervention,the each item of ESCA and QOL-C30 scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse cardiovascular events in the observation group(5.22%)was lower than that in the control group(18.26%),and the difference was statistically significant(P<0.05).Conclusion The continuous nursing model with the timing theory as the center has obvious effect in coronary heart disease after PCI,which could effectively enhance the self-care ability of patients,improve their quality of life,reduce the incidence of adverse cardiovascular events,and has high safety.