延续性护理服务在下肢闭塞性动脉硬化症介入治疗患者中的应用效果  

Application effect of continuous nursing service in lower limb arteriosclerosis obliterans patients with interventional therapy

作　　者：叶璐娟[1] 刘珍英 董井秀[1] 刘燕[1] YE Lu-juan;LIU Zhen-ying;DONG Jing-xiu;LIU Yan(Department of Vascular Hernia Surgery,Ganzhou People′s Hospital,Jiangxi Province,Ganzhou341000,China)

机构地区：[1]江西省赣州市人民医院血管疝外科,江西赣州341000

出　　处：《中国当代医药》2020年第30期219-222,共4页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目(GZ2015ZSF189)。

摘　　要：目的探讨延续性护理服务在下肢闭塞性动脉硬化症(ASO)介入治疗患者中的应用效果。方法选取2017年11月~2019年11月我院收治的82例ASO患者作为研究对象,按照随机数字表法分为对照组(41例)和观察组(41例),对照组采用常规护理方法,观察组在对照组基础采用延续性护理方法。比较两组出院时及出院6个月后的自我管理能力测定量表(ESCA)、生活质量核心问卷(QLQ-C30)评分及疾病复发情况。结果观察组出院6个月的ESCA及QLQ-C30评分均高于对照组,差异有统计学意义(P<0.05)。观察组未发生再闭塞,对照组再闭塞发生率为14.63%;观察组再狭窄发生率为2.44%,低于对照组的19.51%,差异均有统计学意义(P<0.05)。结论延续性护理服务可有效提升ASO介入治疗患者的自我管理水平,改善生活质量,减少疾病复发。Objective To investigate the application effect of continuous nursing service in lower limb arteriosclerosis obliterans(ASO)patients with interventional therapy.Methods A total of 82 patients with ASO admitted to our hospital from November 2017 to November 2019 were selected as the research subjects.All the patients were divided into control group(41 cases)and observation group(41 cases)according to the random number table method.The control group was given routine nursing,while the observation group was given continuous nursing based on the control group.The scores of exercise of self-care agency scale(ESCA),quality of life questionnaire-core 30(QLQ-C30)on discharge and after discharge for 6 months,and the recurrence of disease were compared between the two groups.Results The scores of ESCA and QLQ-C30 in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).No reocclusion occurred in the observation group,and the incidence of reocclusion in the control group was 14.63%;the incidence of restenosis in the observation group was 2.44%,which was lower than 19.51%in the control group,and the differences were statistically significant(P<0.05).Conclusion Continuous nursing service in ASO patients with interventional therapy can effectively increase the level of self-management,improve quality of life,and reduce the recurrence of the disease.

关 键 词：下肢闭塞性动脉硬化 介入治疗 延续性护理 自我管理 生活质量 复发 

分 类 号：R473.6[医药卫生—护理学]