延伸护理对冠心病患者经皮冠状动脉支架植入术后患者的影响分析

Influence of Extended Nursing Care on Patients with Coronary Heart Disease after Percutaneous Coronary Stent Implantation

目的将延伸护理用于冠心病经皮冠状动脉支架植入术后患者中,探寻护理成效。方法选择2021年1月至2022年1月郑州市第七人民医院收入的122例冠心病经皮冠状动脉支架植入术后患者,按随机数字表法分成两组,各61例。对照组实施常规出院指导和随访,观察组在对照组基础上实施延伸护理,比较两组用药依从性、生活质量、心血管不良事件发生情况。结果观察组遵医嘱量评分、遵医嘱次数评分、遵医嘱时间评分、完全遵医嘱用药评分均高于对照组,差异有统计学意义(P<0.05)。护理后,观察组社会功能评分、身体疼痛评分、总体健康评分、精神健康评分、生理职能评分、情感职能评分、生理功能评分、活力评分均高于对照组,差异有统计学意义(P<0.05)。观察组心血管不良事件发生率(3.28%)低于对照组(14.75%),差异有统计学意义(P<0.05)。结论冠心病经皮冠状动脉支架植入术后患者应用延伸护理能提高用药依从性和生活质量,减少心血管不良事件,值得临床应用。

Objective To use extended care in patients with coronary artery disease after percutaneous coronary stent implantation and explore the effectiveness of care.Methods A total of 122 patients with coronary artery disease who had undergone percutaneous coronary stent implantation were admitted to the Seventh People's Hospital of Zhengzhou City between January 2021 and January 2022.These patients were randomly divided into two groups of 61 cases each using a randomized numerical table.The control group received routine discharge guidance and follow-up,while the observation group received extended care based on the control group.The two groups were then compared in terms of medication adherence,quality of life,and the occurrence of cardiovascular adverse events.Results The observation group exhibited higher compliance volume,number,time,and complete compliance medication scores than the control group.These differences were statistically significant(P<0.05).Following nursing care,the social function score,physical pain score,general health score,mental health score,physical function score,emotional function score,physical function score,and vigor score of the observation group were found to be higher than those of the control group.These differences were statistically significant(P<0.05).The incidence of adverse cardiovascular events in the observation group(3.28%)was found to be lower than that in the control group(14.75%),with a statistically significant difference(P<0.05).Conclusion The application of extended care to patients following percutaneous coronary stenting for coronary artery disease has been demonstrated to improve medication adherence and quality of life,reduce adverse cardiovascular events,and is therefore worthy of clinical application.