延续护理干预对冠心病经桡动脉支架植入术后患者生活质量的相关性研究  

Correlation study of continuous nursing on quality of life in patients with coronary artery disease after transradial coronary intervention

作　　者：丁小伟[1] 陈海燕[1] 

机构地区：[1]江苏省镇江市第一人民医院,江苏镇江212002

出　　处：《实用临床医药杂志》2016年第22期5-7,14,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨延续护理干预模式对冠心病经桡动脉行冠状动脉支架植入术后生活质量的影响。方法选取经桡动脉行冠状动脉支架植入患者180例,随机分为对照组和观察组,对照组采用常规方法护理,观察组住院期间采用循证护理,出院后定期对患者进行问卷调查、采取电话随访、家庭随访、微信平台、面对面座谈会等延续护理干预模式。并通过冠状动脉支架术后1-3d并发症及不良反应、再入院率、心绞痛发作情况、遵医行为进行验证评价。结果观察组桡动脉局部麻木疼痛、肢体肿胀、烦躁失眠等不良反应及再入院情况显著低于对照组（P〈0.01）,遵医行为显著优于对照组（P〈0.01）,心绞痛发作率显著低于对照组。结论延续护理干预模式可以促进冠心病支架植入术后患者全面康复,降低了再入院率。Objective To investigate the effect of continuous nursing on quality of life in patients with coronary artery disease after transradial coronary intervention. Methods A total of 180 patients treated with transradial coronary intervention were randomly divided into control group and experimental group. Conventinal nursing was adopted in control group,while evidence-based nursign was givne to experiment group during hospitalization,including continuous nursing of questionnaire survey,telephone and home follow-up,Wechat and meeting. The incidence of complications and adverse reaction after transradial coronary intervention at one to three days,readmission,attack of angina pectoris,and compliance were observed and compared. Results The incidence of adverse reaction such as numbness,pain,swelling,insomnia and readmission,attack of angina pectoris,and compliance were significantly lower in experimental group than that control group（ P 〈 0. 01）. Conclusion Continuous nursing can promote rehabilitation with coronary artery disease after transradial coronary intervention and reduce readmission.

关 键 词：冠心病 桡动脉 支架植入 延续护理 生活质量 

分 类 号：R473.6[医药卫生—护理学]