基于互联网平台实施生命网院外延续护理对PCI术后患者的影响  

Effects of outside hospital transitional care of heart care network based on internet platform on patients after percutaneous coronary intervention

作　　者：赵红霞[1] 袁媛[2] Zhao HX;Yuan Y(Vasculocardiology Department Ward IV, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Chin;Internal Medicine Department, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China)

机构地区：[1]郑州大学第一附属医院心血管内科四病区,郑州450052 [2]郑州大学第一附属医院内科医学部,郑州450052

出　　处：《中华现代护理杂志》2018年第7期798-801,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探讨基于互联网平台实施生命网院外延续护理对PCI术后患者的影响.方法 采用简单随机抽样选取2014年10月—2016年10月于郑州大学第一附属医院住院符合入组条件的PCI术后患者180例,基于互联网平台施行生命网院外延续护理.采用健康行为能力自评量表和自我护理能力测量量表评价患者入网前后的健康行为能力和自我护理能力,并观察患者入网前后不良生活习惯的变化.结果 出网时患者健康行为能力4个分量表评分和总体评分均高于入网时评分,差异有统计学意义（t值分别为-15.117、-6.725、-15.666、-8.961、-11.971;P〈0.001）.出网时患者自我护理能力4个维度评分和总体评分均高于入网时评分,差异有统计学意义（t值分别为-8.868、-5.753、-33.345、-16.623、-19.796;P〈0.001）.与入网时相比,出网时存在吸烟、饮酒、缺乏锻炼及饮食结构不合理的患者所占比例降低,比较差异有统计学意义（χ2值分别为5.119、4.358、9.520、7.307;P〈0.05）.结论 基于互联网平台,在PCI术后患者中施行生命网院外延续护理可提高患者的健康行为能力和自我护理能力,进而改变患者不良的生活方式.Objective To discuss the influence of outside hospital transitional care of heart care network based on internet platform on the patients after percutaneous coronary intervention （PCI）. Methods A total of 180 cases of PCI patients after PCI in the First Affiliated Hospital of Zhengzhou University from October 2014 to October 2016 were selected and given outside hospital transitional care of heart care network based on internet. Self-Rated Abilities for Health Practices Scale （SRAHP） and Exercise of Self-Care Agency Scale （ESCA） were applied in the research to evaluate patients＇ health practices and self-Care ability respectively before and after intervention, and the change of unhealthy lifestyle was observed. Results The scores of the 4 subscales and the total score of SRAHP when the patients were discharged from the network were higher than those when they were admitted, and the differences were statistically significant （t=-15.117, -6.725,-15.666, -8.961, -11.971; P〈0.001）. The scores of the 4 dimensions and the total score of ESCA when the patients were discharged from the network were higher than those when they were admitted, and the differences were statistically significant （t=-8.868, -5.753, -33.345, -16.623, -19.796; P〈 0.001）. Compared with admission, the proportion of patients with smoking, drinking, lack of exercise and unreasonable dietary structure decreased, and the differences were statistically significant （χ2=5.119, 4.358, 9.520, 7.307; P〈0.05）. Conclusions Based on the internet platform, outside hospital transitional care of heart care network can improve patients＇ healthy behavior and self-care ability, so as to change the poor lifestyle of patients after PCI.

关 键 词：互联网 生命网 延续护理 经皮冠状动脉介入治疗 

分 类 号：R473.2[医药卫生—护理学]