基于社交平台的品管圈活动在冠心病PCI术后患者延续护理中的应用

Application Research of Quality Control Circle Activity based on Social Platform in Continuous Nursing of Patients with Coronary Heart Disease after PCI

目的:探究社交平台品管圈(QCC)活动在冠心病经皮冠状动脉介入治疗(PCI)术后患者延续护理中的应用。方法:选取南阳医学高等专科学校第一附属医院2018年6月至2019年6月接受治疗的120例冠心病PCI术后患者,随机分为对照组和观察组,各60例。对照组患者术后常规护理,观察组患者在术后常规护理基础上按QCC延续性护理,比较两组患者护理效果。结果:观察组患者双抗治疗知识、信念和行为能力评分均高于对照组,差异具有统计学意义(P <0.05);干预2个月后,观察组患者冠心病自我管理能力各维度评分均高于对照组,差异具有统计学意义(P<0.05);干预2个月后,观察组患者左室射血分数(LVEF)水平高于对照组,左心室舒张末期内径(LVEDD)水平低于对照组,差异具有统计学意义(P <0.05)。结论:基于微信平台对冠心病PCI术后患者进行QCC延续护理,可改善患者知信行水平和自我管理能力,改善心功能。

Objective To explore the application of quality control circle(QCC)activities on social platform in the continuing care of patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods A total of 120 patients with coronary heart disease undergoing PCI in the First Affiliated Hospital of Nanyang Medical College from June 2018 to June 2019 were randomly divided into a control group and an observation group,with 60 cases in each group.The control group received routine nursing,while the observation group on the basis of postoperative routine care according to QCC continuity of care.The nursing effects of the two groups were compared.Results The scores of knowledge,attitude and practice ability of dual antibody therapy in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After 2 months of intervention,the scores of each dimension of coronary heart disease self-management ability in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After 2 months of intervention,the level of left ventricular ejection fraction(LVEF)in the observation group was higher than that in the control group,and the level of left ventricular end-diastolic diameter(LVEDD)was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion QCC continuous nursing based on wechat platform for patients with coronary heart disease after PCI can improve the knowledge-attitude-practice level and self-management ability of patients,and improve cardiac function.