延续性护理干预对冠心病介入治疗患者预后质量的影响及临床分析  

The effect and clinical analysis of continuous nursing intervention on prognosis of patients with coronary heart disease

作　　者：涂雪梅[1] 

机构地区：[1]重庆三峡中心医院心血管内科,重庆404000

出　　处：《实用临床医药杂志》2015年第6期4-6,19,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨延续性护理干预对冠心病介入治疗患者预后质量的影响。方法选取实施经皮冠状动脉介入治疗(PCI)的116例冠心病患者,随机将其分为对照组(常规护理)和观察组(延续性护理干预)各58例,护理12个月后,根据健康状况调查问卷(SF-36)对2组患者生理评分、心理评分、社会评分、总体生活质量评分进行比较,并观察2组焦虑(SAS)、抑郁(SDS)情绪、治疗依从性、护理满意度、心脏事件及左室射血分数(LVEF)。结果与对照组相比,观察组患者生理评分、心理评分、社会评分、总体生活质量评分均显著提高(P<0.05),SAS和SDS评分均显著降低(P<0.05),治疗依从性及护理满意度显著提高(P<0.05),心脏事件发生率显著降低、LVEF显著提高(P<0.05)。结论对于经皮冠状动脉介入治疗的冠心病患者,延续性护理干预能够明显提高预后质量、改善心功能,并提升患者对护理服务的满意度,值得临床推广。Objective To study the effect of continuous nursing intervention on prognosis of patients with coronary heart disease. Methods A total of 116 patients with coronary heart disease by the treatment of percutaneous coronary intervention（ PCI） were randomized into control group（ routine nursing） and observation group（ continuous nursing intervention）,with 58 patients per group.After 12 months of nursing,the psychological scores,physiological scores,society scores and overall life quality scores according to the survey of health status questionnaire（ SF-36） were compared,and the scores of Self-rating Anxiety Scale（ SAS） and Self-rating Depression Scale（ SDS）,treatment compliance and nursing satisfaction degree,the cardiac incidents and the left ventricular ejection fraction（ LVEF） in the two groups were observed and compared. Results Compared with the control group,the psychological scores,physiological scores,society scores and overall life quality scores in the observation group significantly increased in the observation group（ P 0. 05）. The SAS and SDS scores obviously decreased,treatment compliance and nursing satisfaction were obviously improved in the observation group（ P 0. 05）. The incidence of cardiac incidents were significantly reduced and the LVEF was significantly increased in the observation group（ P 0. 05）. Conclusion Continuous nursing intervention for patients with coronary heart disease can significantly increase the prognosis,heart function and nursing satisfaction,so it is worthy of clinical promotion.

关 键 词：延续性护理干预 PCI 冠心病 生活质量 

分 类 号：R473.5[医药卫生—护理学]