跟踪护理对氯吡格雷治疗急性PCI术后患者冠脉再狭窄的预防效果研究  

Study on the Preventive Effect of Tracking Nursing on Coronary Restenosis in Patients with Acute PCI After Clopidogrel Treatment

作　　者：刘亦杰 LIU Yi-jie(Tianjin Chest Hospital General Ward,Tianjin 300222,China)

机构地区：[1]天津市胸科医院综合病房,天津300222

出　　处：《医学信息》2023年第24期155-158,共4页Journal of Medical Information

摘　　要：目的观察氯吡格雷协同跟踪护理对急性PCI术后冠脉再狭窄的预防效果。方法选取2020年7月-2021年7月在我院诊治的52例急性PCI术后患者为研究对象,采用随机数字表法分为对照组和观察组,各26例。对照组术后给予常规护理,观察组在对照组基础上给予跟踪护理干预,比较两组再狭窄发生率、生活质量水平、并发症发生率、护理满意度、自我管理水平。结果观察组再狭窄发生率为3.85%,低于对照组的15.38%(P<0.05);观察组生活质量各维度评分均高于对照组(P<0.05);观察组并发症发生率为7.69%,低于对照组的19.23%(P<0.05);观察组护理满意度为96.15%,高于对照组的84.62%(P<0.05);观察组定期复查、生活规律、遵医嘱用药、合理饮食、规律运动评分均高于对照组(P<0.05)。结论氯吡格雷协同跟踪护理对PCI术后冠脉再狭窄预防具有积极的影响,可有效降低再狭窄、并发症发生率,提高患者生活质量,提升患者自我管理水平,促进和谐关系建立。Objective To observe the preventive effect of clopidogrel treatment collaborative tracking nursing on coronary restenosis after acute PCI.Methods A total of 52 patients with acute PCI who were treated in our hospital from July 2020 to July 2021 were selected as the research objects.They were divided into control group and observation group by random number table method,with 26 patients in each group.The control group was given routine nursing after operation,and the observation group was given follow-up nursing intervention on the basis of the control group.The incidence of restenosis,quality of life,complication rate,nursing satisfaction and self-management level were compared between the two groups.Results The incidence of restenosis in the observation group was 3.85%,which was lower than 15.38%in the control group(P<0.05).The scores of all dimensions of quality of life in the observation group were higher than those in the control group(P<0.05).The incidence of complications in the observation group was 7.69%,which was lower than 19.23%in the control group(P<0.05).The nursing satisfaction of the observation group was 96.15%,which was higher than 84.62%of the control group(P<0.05).The scores of regular review,regular life,medication according to doctor's advice,reasonable diet and regular exercise in the observation group were higher than those in the control group(P<0.05).Conclusion Clopidogrel treatment collaborative tracking nursing has a positive effect on the prevention of coronary restenosis after PCI,which can effectively reduce the incidence of restenosis and complications,improve the quality of life and the self-management level of patients,and promote the establishment of harmonious relationship.

关 键 词：氯吡格雷 跟踪护理 急性PCI术 冠脉再狭窄 

分 类 号：R473.5[医药卫生—护理学]