基于知识-行动框架的强化随访管理在冠心病患者PCI术后的应用  

Application of enhanced follow-up management based on knowledge-action framework in patients with coronary heart disease after percutaneous coronary intervention

作　　者：李裕强[1] 吴一新[1] 肖辉[1] LI Yu-qiang;WU Yi-xin;XIAO Hui(Department of Cardiology,Wuchuan People's Hospital,Zhanjiang 524500,Guangdong,CHINA)

机构地区：[1]吴川市人民医院心血管内科,广东吴川524500

出　　处：《海南医学》2022年第14期1789-1792,共4页Hainan Medical Journal

摘　　要：目的探讨基于知识-行动框架的强化随访管理在冠心病患者经皮冠状动脉介入(PCI)术后的应用效果。方法选择2018年3月至2019年3月吴川市人民医院收治的76例冠心病患者为研究对象,采用随机数表法将患者分为观察组和对照组各38例。两组患者均接受PCI治疗,对照组患者采用常规管理模式,观察组患者采用基于知识-行动框架的强化随访管理模式。比较两组患者管理前后左心室收缩末期内径(LVESD)、左心室舒张末期内径(LVEDD)、左心室射血分数(LVEF)、冠心病自我管理量表(CSMs)评分及世界卫生组织生活质量测定量表(WHOQOL-BREF)评分,统计心血管不良事件发生率。结果管理后,两组患者的LVESD、LVEDD均降低,且观察组分别为(35.79±3.52)mm、(46.20±7.02)mm,明显低于对照组的(38.13±4.11)mm、(49.12±3.12)mm,而LVEF升高,观察组为(69.17±5.22)%,明显高于对照组的(63.17±5.18)%,差异均有统计学意义(P<0.05);管理后,两组患者的不良嗜好、症状、情绪认知、疾病知识、一般生活、急救、治疗依从性、总分均升高,且观察组明显高于对照组,差异均有统计学意义(P<0.05);管理后,两组患者的生理、心理、社会关系、环境等评分均升高,且观察组明显高于对照组,差异均有统计学意义(P<0.05);观察组患者的心血管不良事件总发生率为5.26%,明显低于对照组的21.05%,差异有统计学意义(P<0.05)。结论基于知识-行动框架的强化随访管理可改善患者心功能,提高自我管理能力和生活质量,降低心血管不良事件发生率,可在临床推广运用。Objective To explore the application effect of strengthened follow-up management based on knowledge-action framework in patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods Seventy-six patients with coronary heart disease treated in Wuchuan People's Hospital from March 2018 to March 2019 were selected as the research objects.The patients were randomly divided into an observation group and a control group,with 38 patients in each group.The patients in the control group were treated with routine management mode,and the patients in the observation group were treated with enhanced follow-up management mode based on knowledge-action framework.The scores of left ventricular end systolic diameter(LVESD),left ventricular end diastolic diameter(LVEDD),left ventricular ejection fraction(LVEF),coronary heart disease self-management scale(CSMs),and the WHO Quality of Life Brief Scale(WHOQOL-BREF)were compared between the two groups before and after management.Results After management,LVESD and LVEDD of the two groups decreased,and LVESD and LVEDD in the observation group were(35.79±3.52)mm and(46.20±7.02)mm,respectively,significantly lower than(38.13±4.11)mm and(49.12±3.12)mm of the control group;after management,LVEF of the two groups increased,and LVEF in the observation group was(69.17±5.22)%,significantly higher than(63.17±5.18)% of the control group(P<0.05).After management,the bad habits,symptoms,emotional cognition,disease knowledge,general life,first aid,treatment compliance,and total scores of the two groups increased,and the scores in the observation group were significantly higher than those in the control group(P<0.05).After management,the scores of physiology,psychology,social relations,and environment of the two groups increased,and the scores in the observation group were significantly higher than those in the control group(P<0.05).The incidence of cardiovascular adverse events in the observation group was 5.26%,which was significantly lower than 21.05% in the contro

关 键 词：冠心病 经皮冠状动脉介入术 基于知识-行动转化的强化随访管理 心功能 自我管理能力 生活质量 

分 类 号：R541.4[医药卫生—心血管疾病]