经皮冠状动脉介入治疗患者多学科专业化护理实践与成效  

The practice and effect of professional multidisciplinary nursing for patients after percutaneous coronary intervention

作　　者：吴立新[1] 马萍[2] 汪苗 杨燕[1] 徐九云[4] 徐培培 WU Li -xin , MA Ping, WANG Miao, YANG Yan, XU Jiu - yun, XU Pei -pei.(Department of Nursing, Anqin Muticipal Hospital, Anqing 246003, Anhui, Chin)

机构地区：[1]安庆市立医院护理部,安徽安庆246003 [2]安庆市立医院心血管内科,安徽安庆246003 [3]皖南医学院护理学院,安徽芜湖241002 [4]安庆市立医院呼吸内科,安徽安庆246003

出　　处：《广东医学》2018年第6期942-947,共6页Guangdong Medical Journal

基　　金：教育部人文社会科学研究青年基金项目(编号:15YJCZH159)

摘　　要：目的探讨多学科专业化护理方案对经皮冠状动脉介入治疗(PCI)患者的康复效果。方法选取符合标准100例住院患者,随机分为对照组和观察组各50例,对照组接受心内科常规护理,观察组在常规护理基础上实施多学科专业化护理方案,观察两组患者出院后6个月主要心脏不良事件发生情况、健康行为和对医疗服务的满意度。结果出院后6个月,对照组失访7例,观察组失访3例,观察组主要心脏不良事件发生率低于对照组,且心绞痛复发率下降明显,差异有统计学意义(P<0.05);健康行为包括服药依从性、运动依从性和戒烟,观察组均优于对照组,差异有统计学意义(P<0.05);观察组患者满意度显著高于对照组,差异有统计学意义(P<0.01)。结论多学科专业化护理能够促进PCI患者履行健康行为,减少心脏不良事件的发生,提高心脏康复的效果以及对医疗服务满意度。Objective To investigate the rehabilitation effect of professional multidisciplinary nursing program for patients after percutaneous coronary intervention （PCI）. Methods Eligible patients （n = 100） were divided into experi- mental group and control group. Based on the routine nursing mode, the experimental group received additional profession- al multidisciplinary nursing program. The occurrence of major adverse cardiac events, healthy behaviors and the satisfac- tion of patients with medical services were observed 6 months after discharge. Results Six months after discharge, 7 cases lost follow - up in control group and 3 cases lost follow - up in experimental＇ group. The incidence of major adverse cardiac events and recurrence rate of angina in experimental group 0. 05）. Health behaviors, including medication compliance, were significantly lower than those in control group （P 〈 exercise compliance, smoking cessation and maintenance of healthy weight, were significantly better maintained in experimental group than control group （ P 〈 0. 05 ）. Patient satisfaction was significantly higher in experimental group than in control group （ P 〈 0. 01 ）. Conclusion Professional multidisciplinary care can promote the health behavior, reduce the incidence of adverse cardiac events, and improve the effectiveness of cardiac rehabilitation and satisfaction with medical services in PCI patients.

关 键 词：冠心病 经皮冠状动脉介入治疗 多学科团队 康复护理 

分 类 号：R473.5[医药卫生—护理学]