医护患协同模式对经皮冠状动脉介入治疗术后患者自我管理能力及心血管事件的影响  

The effect of doctor-nurse-patient collaborative nursing model on patients′self-management ability and cardiovascular events after PCI

作　　者：徐英 侯霁芯[1] 庄雪平 耿丽容 王沛坚[1] Xu Ying;Hou Qixin;Zhuang Xueping;Geng Lirong;Wang Peijian(Department of Cardiology,the First Affiliated Hospital of Chengdu Medical College,Chengdu 610500,China)

机构地区：[1]成都医学院第一附属医院心血管内科,610500

出　　处：《中国实用护理杂志》2021年第3期190-196,共7页Chinese Journal of Practical Nursing

基　　金：国家自然科学基金(81970262)。

摘　　要：目的探讨医护患协同模式对经皮冠状动脉介入治疗(PCI)术后患者远期自我管理能力及心血管事件的影响。方法连续纳入成都医学院第一附属医院心血管内科行PCI术的急性心肌梗死患者160例,按照随机数字表法分为对照组和试验组各80例,对照组采用传统护理管理模式,试验组采用医护患协同护理模式进行术后护理。通过慢性病系统管理软件、自我管理行为量表、明尼苏达生命质量表、科室自制的医护工作考评表及满意度问卷调查,评估2组患者PCI术后6个月、12个月的自我管理能力和心血管事件发生情况。结果试验组患者术后6个月不良嗜好管理、症状管理、情绪认知、急救管理、疾病知识管理、一般生活管理分别为96.3%(77/80)、73.8%(59/80)、80.0%(64/80)、91.3%(73/80)、85.0%(68/80)、81.3%(65/80),对照组分别为85.0%(68/80)、56.3%(45/80)、62.5%(50/80)、75.0%(60/80)、75.0%(60/80)、65.0%(52/80),2组比较差异有统计学意义(χ^2值为5.375~7.530,P<0.05);试验组患者术后12个月不良嗜好管理、症状管理、情绪认知、急救管理、疾病知识管理、一般生活管理、治疗依从性管理分别为91.3%(73/80)、78.8%(63/80)、82.5%(66/80)、93.8%(75/80)、87.5%(70/80)、86.2%(69/80)、93.8%(75/80),对照组分别为77.5%(62/80)、52.5%(42/80)、66.3%(53/80)、78.8%(63/80)、66.3%(53/80)、65.0%(52/80)、75.0%(60/80),2组比较差异有统计学意义(χ^2值为5.542~12.218,P<0.05或0.01)。试验组患者术后6个月、12个月发生心血管事件分别为12、38例次,对照组分别为28、60例次;试验组术后12个月再入院为13例次,对照组为27例次,2组比较差异有统计学意义(χ^2值为8.533、12.745、6.533,P<0.01或0.05)。试验组患者术后6个月、12个月生命质量评分为(31.26±8.39)、(26.39±4.76)分,医护工作质量评分为(77.44±8.21)、(71.50±5.73)分;对照组分别为(40.51±8.38)、(35.39±4.89)、(65.90±5.62)、(63.55±5.62)分,2组比较差�Objective To investigate the effect of doctor-nurse-patient collaborative nursing mode on long-term self-management ability and cardiovascular events of patients after percutaneous coronary intervention(PCI).Methods Totally 160 patients who received PCI from the department of cardiology of the First Affiliated Hospital of Chengdu Medical College were randomly assigned to control group(n=80)and experimental group(n=80).The traditional nursing model was adopted in the control group.However,the nursing mode of doctor-nurse-patient collaborative was adopted in experimental group.The self-management ability and cardiovascular events in patients after PCI at 6 months and 12 months in two groups were both measured by chronic disease management software,self-behavioral management scale,Minnesota Living Scale,self-made medical care work assessment scale and self-made satisfaction questionnaire.Results The rates of adverse habits management,symptom management,emotional cognition,emergency management,disease knowledge management,general life management,and therapy compliance management in the experimental groups,6 months after operation,were 96.3%(77/80),73.8%(59/80),80.0%(64/80),91.3%(73/80),85.0%(68/80),81.3%(65/80),respectively.In the control group,the above indexes were 85.0%(68/80),56.3%(45/80),62.5%(50/80),75%(60/80),75%(60/80),65%(52/80).The difference between the two groups was statistically significant(χ^2 value was 5.375-7.530,P<0.05).In the experimental group,12 months after PCI,the rates of the above indexes were 91.3%(73/80),78.8%(63/80),82.5%(66/80),93.8%(75/80),87.5%(70/80),86.3%(69/80),93.8%(75/80).While,the ratios in the control group were 77.5%(62/80),52.5%(42/80),66.3%(53/80),78.8%(63/80),66.3%(53/80),65.0%(52/80),75.0%(60/80),there was significantly difference between two groups(χ^2 value was 5.542-12.218,P<0.05).Furthermore,there were 12 and 38 cases of cardiovascular events at 6 months and 12 months after operation,and 28 and 60 cases in the control group,respectively.Meanwhile,the number of re-hospi

关 键 词：心肌梗死 医护患协同模式 经皮冠状动脉介入治疗术 自我管理能力 心血管事件 

分 类 号：R473.5[医药卫生—护理学]