信息化延续护理对冠心病PCI术后患者的服药依从性及相关知识水平的影响

Effect of Information-based Continuous Nursing on Medication Compliance and Related Knowledge Level of Patients with Coronary Heart Disease After PCI

目的观察信息化延续护理对冠心病(CHD)经皮冠状动脉介入(PCI)术后患者服药依从性及相关知识水平的影响。方法收集2019年4月-2021年4月于空军特色医学中心行PCI治疗的72例CHD患者,按入院序号进行分组,单数分为对照组(36例),偶数分为观察组(36例)。出院时,对照组给予常规出院指导,观察组则应用信息化延续护理,比较两组服药依从性、相关知识水平、血脂水平[总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)]、不良心脑血管事件(MACCE)发生情况。结果出院后3个月,观察组服药依从优良率高于对照组(P<0.05);两组冠心病知识、PCI知识、药物知识、出院后二级预防知识与自我监测评分高于出院时,且观察组高于对照组(P<0.05);观察组TC、TG、LDL-C水平低于对照组,HDL-C水平高于对照组(P<0.05);观察组MACCE发生率低于对照组(P<0.05)。结论信息化延续护理可提升冠心病PCI患者的服药依从性,改善其知识掌握水平及血脂控制效果,降低心血管事件的发生风险。

Objective To observe the effect of information-based continuous nursing on medication compliance and related knowledge level of patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI).Methods A total of 72 CHD patients who underwent PCI in the Air Force Medical Center from April 2019 to April 2021 were collected and grouped according to the admission number,while the odd number was divided into the control group(36 patients)and the even number was divided into the observation group(36 patients).At discharge,the control group was given routine discharge guidance,while the observation group was given information-based continuous nursing.The medication compliance,related knowledge level,blood lipid level[total cholesterol(TC),triglyceride(TG),high density lipoprotein(HDL-C),low density lipoprotein(LDL-C)]and major adverse cardiovascular and cerebrovascular events(MACCE)were compared between the two groups.Results At 3 months after discharge,the excellent and good rate of medication compliance in the observation group was higher than that in the control group(P<0.05).The scores of coronary heart disease knowledge,PCI knowledge,drug knowledge,secondary prevention knowledge and self-monitoring after discharge in the two groups were higher than those before discharge,and those in the observation group were higher than those in the control group(P<0.05).The levels of TC,TG and LDL-C in the observation group were lower than those in the control group,and the level of HDL-C was higher than that in the control group(P<0.05).The incidence of MACCE in the observation group was lower than that in the control group(P<0.05).Conclusion Information-based continuous nursing can improve the medication compliance of patients with coronary heart disease undergoing PCI,improve their knowledge level and blood lipid control effect,and reduce the risk of cardiovascular events.