延续护理对经皮冠状动脉支架植入术后患者自我护理能力及健康行为的影响  

Effect of continuing nursing on the self-care ability and health behavior of patients after percutaneous coronary artery stent implantation

作　　者：高晓洁[1,2] 季梅丽[1,2] 杨阳[1,2] 俞颖[1,2] 

机构地区：[1]南京医科大学附属南京医院 [2]江苏省南京市第一医院老年医学科,210006

出　　处：《蚌埠医学院学报》2014年第12期1714-1717,共4页Journal of Bengbu Medical College

摘　　要：目的:探讨延续护理对经皮冠状动脉支架植入术后患者自我护理能力及健康行为的影响。方法:选择行经皮冠状动脉支架植入术治疗的患者158例,根据术后随访模式分为2组,79例实施传统门诊随访模式为对照组,79例实施延续护理随访模式为观察组,随访1年,采用自我护理能力测定量表评定患者的自我护理能力,采用健康行为量表评定患者的健康行为,比较2组患者随访前后的自我护理能力及健康行为,分析2组患者相关知识的掌握情况和满意度。结果:随访1年时,2组患者自我护理能力评分和健康行为评分均较出院时显著升高(P<0.01),观察组患者自我护理能力评分和健康行为评分均明显高于对照组(P<0.01),观察组患者相关知识的掌握情况和满意度情况均明显优于对照组(P<0.01)。结论:延续护理可显著提升经皮冠状动脉支架植入术后患者的自我护理能力及健康行为。Objective：To investigate the effects of continuing nursing on the self-care ability and health behavior of patients after percutaneous coronary artery stent implantation. Methods：One hundred and fifty-eight patients treated with percutaneous coronary artery stent implantation were divided into the control group（ treatment with traditional outpatient follow-up mode,79 cases） and observation group（ treatment with continuous nursing follow-up mode,79 cases） ,and followed up for 1 year. The self-care ability and health behavior in two groups before and after follow-up were evaluated using the self-care ability determination table and health behavior scale, respectively. Related knowledge and satisfaction between two groups were analyzed. Results：After 1 year of follow-up, the scores of selfcare ability and health behavior in two groups significantly increased（P〈0. 01）. After 1 year of follow-up,the scores of self-care ability and health behavior in observation group were significantly higher than those in control group（P 〈0. 01）,and the related knowledge and satisfaction in observation group were significantly better than those in control group（P 〈 0. 01）. Conclusions：Continuing nursing can significantly improve the self-care ability and health behavior of patients after percutaneous coronary artery stent implantation.

关 键 词：冠状动脉疾病 延续护理 经皮冠状动脉支架植入术 自我护理能力 健康行为 

分 类 号：R543.3[医药卫生—心血管疾病]