医患通平台在经皮冠状动脉介入治疗术后患者中的应用  

Application of Plateform for Communication between Paramedics and Patients on Patients Undergoing Percutaneous Coronary Intervention

作　　者：范文静[1] 张颖[1] 张舒[1] 董翠霞[1] 李明波[1] 范文慧[1] 

机构地区：[1]哈尔滨医科大学附属第四医院心内科,黑龙江哈尔滨150001

出　　处：《现代生物医学进展》2014年第2期336-339,共4页Progress in Modern Biomedicine

摘　　要：目的:探讨医患通平台对经皮冠状动脉介入治疗(PCI)术后患者进行护理的临床效应。方法:选取54例冠心病行PCI治疗术后患者,随机分为对照组和试验组,各27例。对照组采用常规护理,试验组在对照组的基础上采用医患通平台进行护理干预,比较两组患者血压、血脂、血糖的控制情况,主要不良心脏事件(MACE)的发生情况,并采用汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)对两组患者进行心理状况调查。结果:实施干预后,试验组血压、血脂、血糖的控制率优于对照组(P<0.05),MACE的发生率低于对照组(P<0.05);两组患者两组干预前HAMA、HAMD评分比较无明显差异(P>0.05),干预后试验组患者HAMA评分、HAMD评分有所下降,与干预前及对照组比较差异显著(P<0.01),对照组干预前后无变化(P>0.05)。结论:医患通平台能有效地让PCI术后患者对危险因素进行控制,降低MACE的发生,改善患者的负性情绪,是较好的健康教育方式。Objective： To investigate the effect of platform for communication between paramedics and patients （PCBPP） on patients undergoing percutaneous coronary intervention （PCI）. Methods： 54 cases were randomly divided into control and experimental group, 27 cases in each group. The patients in control group received routine nursing care, experimental group were based on the use of PCBPP for nursing intervention. The control of blood pressure, lipid, blood glucose, and the incidence rate of MACE were observed. Before intervention and after intervention, HAMA and HAMD were used for mind state of patients in the two groups. Results： After intervention in experimental group, the control degree of blood pressure, lipid, blood glucose were superior to the contrasting group （P〈0. 05）, the incidence rate of MACE were lower than another （P〈0.05）. There were no difference on scores of llAMA and HAMD before intervention （P〉0.05）. And after intervention in experimental group, the scores of HAMA and HAMD decreased compared with that before and in the control group （P〈0.01）. There were no difference before and after intervention in control group （P〉0.05）. Conclusion： PCBPP could help patients to control the risk factor, decrease the incidence rate of MACE and improve the negative emotions, which would become a good method for health education.

关 键 词：医患通平台 经皮冠状动脉介入术 健康教育 护理观察 

分 类 号：R473.5[医药卫生—护理学]