延续性护理模式在冠心病PCI术后患者中应用价值的临床研究

Clinical Study on Value of Continuing Care Model in Patients after PCI Treatment for Coronary Heart Disease

目的探讨延续性护理模式对冠心病经皮冠状动脉介入治疗(PCI)患者的临床意义。方法入选我院2015年11月至2017年11月冠心病PCI患者318例,数字随机法分为试验组和对照组,试验组161例,对照组157例。对照组采用常规护理,试验组在常规护理基础上实施特定持续的延续性护理模式,随访观察1年。观察两组患者纽约心功能分级(NYHA),服药依从性评分,生活质量评分和自护能力评分。结果 NYHA心功能分级,试验组较对照组明显改善,差异有统计学意义(P<0. 05);依从性评分,生活质量评分和自护能力评分,试验组显著高于对照组明,差异有统计学意义(P<0. 05)。结论延续性护理模式有助于改善冠心病PCI患者心功能,提高治疗依从性,生活质量和自护能力,具有较高临床护理价值。

Objective To explore clinical significance of continuing care model in patients after receiving percutaneous coronary intervention(PCI)for coronary heart disease.Methods Total of 318 patients after PCI treatment for coronary heart disease in our hospital from November 2015 to November 2017 were enrolled,in which 161 patients were divided into the study group receiving routine care and specific continuing care,while 157 patients were divided into the control group receiving routine care,according to randomized digital table method.Duration of follow-up observation is 1 year,and New York Heart Association functional classification(NYHA),medication adherence score,quality of life score,and self-care ability score were compared between the two groups.Results Compared with the control group,NYHA functional classifications were greatly improved in the study group,and the difference was statistically significant(P<0.05).Adherence score,quality of life score and self-care ability score were significantly higher than those in the control group,with statistically significant difference(P<0.05).Conclusion The continuing care model can improve the heart function,treatment adherence,quality of life and self-care ability of patients after PCI treatment for coronary heart disease,showing relatively high clinical care value.