过渡期护理计划模式对冠心病患者二级预防用药依从性与预后的影响  

Influence of transitional nursing plan model on themedication compliance in secondary preventionand prognosis of patients with coronary heart disease

作　　者：王刚 魏燕 谢伦芳[3] 丁芳芳[4] Wang Gang;Wei Yan;Xie Lunfang;Ding Fangfang(School of nursing,Anhui Sanlian college,Hefei,Anhui,230601,China.;Department of cardiology,Anhui provincial hospital,the first affiliated hospital of University of Science and Technology of China,Hefei,Anhui,230601,China.;School of nursing,Anhui Medical University,Hefei,Anhui,230601,China.;Department of cerebral surgery,the first affiliated hospital of Anhui Medical University,Hefei,Anhui,230601,China.)

机构地区：[1]安徽三联学院护理学院,安徽合肥230601 [2]中国科技大学附属第一医院安徽省立医院心内科 [3]安徽医科大学护理学院 [4]安徽医科大学第一附属医院脑外科

出　　处：《齐齐哈尔医学院学报》2022年第1期92-95,共4页Journal of Qiqihar Medical University

基　　金：2020年度安徽高校人文社会科学研究项目(SK2020A0628);安徽三联学院2021年度校级科研基金项目(PTZD2021010)。

摘　　要：目的探究过渡期护理计划模式对冠心病患者二级预防用药依从性与预后的影响。方法选择2019年1月—2021年1月本院收治的冠心病二级预防患者112例作为研究对象,依照随机数表法分为观察组和对照组两组,每组各56例。对照组患者给予常规的基础护理干预,观察组患者在对照组基础上给予过渡期护理计划模式干预,比较两组患者的用药依从性和预后情况的差异。结果从患者的用药依从性来看,干预前,两组患者Morisky服药依从性量表评分和非药物依从行为调查问卷评分比较差异均无统计学意义(P>0.05);干预后,两组患者评分均有所提高且观察组显著高于对照组,差异具有统计学意义(P<0.05)。干预前,两组SV、LVEF、6MWT比较无显著差异(P>0.05);干预后,两组SV、LVEF、6MWT虽均有所改善,但观察组显著高于对照组(P<0.05)。从患者的预后情况来看,观察组的CHD危险因素控制率明显优于对照组,复发率和心血管不良事件率明显低于对照组,差异均具有统计学意义(P<0.05)。结论冠心病患者二级预防采用过渡期护理计划模式能够有效提高患者的用药依从性,提高生存率,降低复发率和心血管事件不良发生情况。Objective To explore the influence of transitional care planning model on the medicationcompliance insecondary preventionand prognosis of patients with coronary heart disease.Methods A total of 112 patients who underwent secondary prevention of coronary heart disease in our hospital from January 2019 to January 2021 were selected as the research objects.According to the random number table method,they were divided into observation group and control group,with 56 cases in each group.Patients in the control group were given regular basic nursing intervention,and patients in the observation group were given transitional care plan intervention on the basis of the control group.The differences in medication compliance and prognosis of the two groups were compared.Results From the perspective of patients'medication compliance,there was no significant difference in the scores of the Morishy Medication Compliance Scale and the Non-Medicine Compliance Behavior Questionnaire between the two groups of patients before intervention(P>0.05).After the intervention,the scores of the two groups of patients were increased,and the observation group was significantly higher than the control group,and the difference was statistically significant(P<0.05).Before the intervention,there was no significant difference in SV,LVEF,and 6MWT between the two groups(P>0.05).After the intervention,SV,LVEF,and 6MWT were improved in the two groups,the observation group was significantly higher than the control group(P<0.05).From the perspective of prognosis of patients,the control rate of CHD risk factors in the observation group was significantly better than that of the control group,and the recurrence rate and the rate of cardiovascular adverse events was significantly lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusions The use of transitional care planning model during secondary prevention for patients with coronary heart disease could effectively improve medication compliance of patients,i

关 键 词：过渡期护理计划模式 冠心病 二级预防 用药依从性 预后 影响 

分 类 号：R473.5[医药卫生—护理学]