冠脉综合征经皮冠状动脉介入延续性护理效果  

Continuous Nursing Effect of Percutaneous Coronary Intervention in Coronary Syndrome

作　　者：谢嘉怡[1] 孙兆青[1] 何微 孟海娜[1] XIE Jiayi;SUN Zhaoqing;HE Wei;MENG Haina(Second Department of Cardiology,Shengjing Hospital Affiliated to China Medical University,Shenyang Liaoning 110022,China)

机构地区：[1]中国医科大学附属盛京医院第二心血管内科,辽宁沈阳110022

出　　处：《中国继续医学教育》2019年第13期182-185,共4页China Continuing Medical Education

基　　金：辽宁省科学技术项目(2011225020)

摘　　要：目的探讨急性冠脉综合征经皮冠状动脉介入术后实施延续性护理的作用。方法随机将2017年3月—2018年2月于我院进行经皮冠状动脉介入治疗的120例急性冠脉综合征患者分为对照组和观察组,每组各60例,对照组患者住院期间给予常规心内科护理,观察组患者在常规心内科护理实施延续性护理,随访护理时间为1年,观察两组患者用药依从性、护理前后自我管理能力。结果观察组患者用药依从率为93.33%,对照组患者用药依从率为70.00%,观察组明显高于对照组,差异具有统计学意义(P <0.05);护理前,两组患者日常生活管理、疾病知识管理、不良嗜好管理各项自我管理能力评分差异无统计学意义(P> 0.05);护理后,观察组日常生活管理、疾病知识管理、不良嗜好管理各项自我管理能力评分明显优于对照组,差异具有统计学意义(P <0.05)。结论在急性冠脉综合征经皮冠状动脉介入术后患者中实施延续性护理能有效提升患者用药依从性,改善患者自我管理能力,值得临床借鉴。Objective To explore the role of continuous nursing after percutaneous coronary intervention in acute coronary syndrome(ACS).Methods 120 patients with acute coronary syndrome who underwent percutaneous coronary intervention in our hospital from March 2017 to February 2018 were randomly divided into control group and observation group,each group of 60 cases.Patients in the control group received routine cardiology nursing during hospitalization.The patients in the observation group received continuing nursing in routine cardiology nursing.The follow-up nursing time was 1 year.The drug compliance and selfmanagement ability before and after nursing were observed.Results The drug compliance rate of patients in the observation group was 93.33%,and that of patients in the control group was 70.00%,which was significantly higher in the observation group than in the control group(P<0.05).Before nursing,there was no significant difference in the scores of the patients'daily life management,disease knowledge management and bad habit management(P>0.05).After nursing,the self-management ability of the observation group was significantly superior to the control group in terms of daily life management,disease knowledge management and bad habit management,with statistically significant differences(P<0.05).Conclusion Continuous nursing in patients with acute coronary syndrome after percutaneous coronary intervention can effectively improve the patient's medication compliance and improve the patient's self-management ability.

关 键 词：急性冠脉综合征 延续性护理 经皮冠状动脉介入术 心血管疾病 护理效果 心内科护理 

分 类 号：R473[医药卫生—护理学]