院外延续护理对经皮冠状动脉介入治疗患者生活质量等的影响

Efficacy of transitional care on quality of life in patients receiving percutaneous coronary intervention

目的:探讨院外延续护理对经皮冠状动脉介入治疗(PCI)患者生活质量、服药依从性、对护士满意度的影响。方法:选择2010-12~2013-01间在我院住院治疗好转出院的186例PCI患者分为两组。对照组(n=88)给予常规出院指导,延续护理组(n=98)在此基础上实施院外延续护理,即成立延续护理小组,建立出院患者档案,采用电话随访、家庭访视及开展主题活动等形式进行院外延续护理。出院12个月后,采用SF-36问卷等对患者生活质量、服药依从性、对护士满意度进行评定,并比较两组结果。结果:出院12个月后,延续护理组患者SF-36问卷9个维度得分均优于对照组,差异均有统计学意义(P<0.05)。同样,延续护理组患者服药依从性、对护士满意度均高于对照组,差异均有统计学意义(P<0.05)。结论:延续护理可以提高PCI患者生活质量,增强其服药依从性,并提高患者对护士的满意度。

Objective:To explore the efficacy of transitional care on quality of life,compliance of taking medicine and satisfaction in patients receiving percutaneous coronary intervention(PCI).Methods:A total of 186 patients with PCI,who were selected in our hospital from December 2010 to January 2013,were divided into two groups:98patients received transitional care besides routine discharge guidance in trial group,while 88 patients only received routine discharge guidance in control group.The index,such as quality of life,compliance of taking medicine and satisfaction,were assessed by scores of SF-36 in two groups after 12-month transitional care.Results:The scores of SF-36 in the trial group were significantly higher than that in the control group for 12-month follow-up,which was significantly different(P<0.05).Similarly,levels of compliance of taking medicine and satisfaction in trial group were significantly higher than that in the control group(P<0.05).Conclusion:For PCI patients,transitional care can enhance their quality of life,improve their compliance of taking medicine and satisfaction.