冠状动脉旁路移植术后患者随访管理的效果研究  

Effects of follow-up management in patients after coronary artery bypass graft

作　　者：程云清[1] 戴红霞[2] 陈航燕[1] 刘丽芳[1] 

机构地区：[1]广东省心血管病研究所心脏外科2区,广州市510080 [2]澳门理工学院高等卫生学校护理系,999078

出　　处：《护理管理杂志》2011年第4期275-277,共3页Journal of Nursing Administration

基　　金：广东省2008年医学科研基金立项课题(A2008049)

摘　　要：目的探讨对冠状动脉旁路移植术后患者实施随访管理的方法与效果。方法采用非同期对照法,对照组100例患者采用常规的出院护理和指导方法;实验组100例患者由责任护士应用《冠状动脉旁路移植术后患者康复手册》和《冠状动脉旁路移植术后患者复诊与随访指引手册》实施电话随访管理。比较两组患者出院后1个月和3个月的伤口疼痛评分、睡眠时间、生活自理能力评分和复诊率。结果实施随访管理后,与对照组比较,实验组患者伤口疼痛评分降低、平均睡眠时间增加、生活自理能力评分和复诊率提高(P<0.01)。结论对冠状动脉旁路移植术后患者实施随访管理,能有效帮助出院患者减轻术后伤口疼痛、提高睡眠质量和自理能力,提高复诊率,促进患者康复。Objective To investigate the method and effect of follow - up management in patients after coronary artery bypass graft （CABG）. Methods Case - control study method was used in this research. The conventional discharge nursing and guidance were applied in the control group （ 100 cases）. The telephone intervention group （ 100 cases） was followed up by designated nurses who were guided by the Rehabilitation Manual for Patients after CABG and the Manual for the Referral and Follow - up of Patients after CABG. The score of Wound pain ,sleep time ,score of self - care and the rate of return visit were compared between the two groups 1 month and 3 months after the operation. Results Compared to the control group ,the scores of patients＇wound pain and self - care were reduced, sleep time and the rate of return visit were increased in the intervention group. The differences were statistically significant （ P 〈 0.01 ）. Conclusion Implementing the follow - up management can reduce the postoperative wound pain,improve the sleep quality and ability of self - care, increase the rate of return visit and promote recovery in patients after CABG.

关 键 词：冠状动脉旁路移植术 随访 管理 自理能力 

分 类 号：R473[医药卫生—护理学]