医院联合家庭无缝隙延续护理在冠脉搭桥术后的应用效果  

Application Effect of Hospital Combined with Family Seamless Continuous NursingAfter Coronary Artery Bypass Grafting

作　　者：刘琳 LIU Lin(The Second Department of Cardiac Surgery,Tianjin Chest Hospital,Tianjin 300222,China)

机构地区：[1]天津市胸科医院心外二科,天津300222

出　　处：《医学信息》2024年第17期158-161,共4页Journal of Medical Information

摘　　要：目的研究医院联合家庭无缝隙延续护理对冠脉搭桥术后患者恢复和预后的影响。方法选择2021年7月-2022年7月我院收治的冠脉搭桥术患者184例为研究对象,按照随机数字表法分为对照组和观察组,各92例。对照组给予常规护理,观察组在对照组基础上应用医院联合家庭无缝隙延续护理,比较两组服药依从性、自我护理能力测定表(ESCA)评分、心脏健康自我效能和自我管理量表(HH-SESM)评分及预后情况[再入院率、主要心血管不良事件(MACE)发生率]。结果观察组服药依从优良率高于对照组(P<0.05);两组护理后ESCA评分均高于护理前,且观察组ESCA评分高于对照组(P<0.05);两组护理后HH-SESM评分均高于护理前,且观察组HH-SESM评分高于对照组(P<0.05);观察组再入院率、MACE发生率小于对照组(P<0.05)。结论医院联合家庭无缝隙延续护理可有效提升冠脉搭桥术患者的服药依从性,增强其自护能力与自我效能,有利于预后质量的改善。Objective To study the effect of hospital combined with family seamless continuous nursing on the recovery and prognosis of patients after coronary artery bypass grafting.Methods A total of 184 patients with coronary artery bypass grafting admitted to our hospital from July 2021 to July 2022 were selected as the research objects.According to the random number table method,they were divided into control group and observation group,with 92patients in each group.The control group was given routine nursing,and the observation group was given hospital combined with family seamless continuous nursing on the basis of the control group.The medication compliance,Exercise of Self-Care Agency Scale(ESCA)score,Heart Health Self-Efficacy and Self-Management(HH-SESM)Scale score and prognosis[readmission rate,incidence of major cardiovascular adverse events(MACE)]were compared between the two groups.Results The excellent and good rate of medication compliance in the observation group was higher than that in the control group(P<0.05).The ESCA scores of the two groups after nursing were higher than those before nursing,and the ESCA scores of the observation group were higher than those of the control group(P<0.05).The HH-SESM scores of the two groups after nursing were higher than those before nursing,and the HH-SESM scores of the observation group were higher than those of the control group(P<0.05).The readmission rate and the incidence of MACE in the observation group were lower than those in the control group(P<0.05).Conclusion Hospital combined with family seamless continuous nursing can effectively improve the medication compliance of patients undergoing coronary artery bypass grafting,enhance their self-care ability and self-efficacy,and improve the quality of prognosis.

关 键 词：冠脉搭桥术 医院联合家庭无缝隙延续护理 服药依从性 自护能力 预后质量 

分 类 号：R473[医药卫生—护理学]