医共体共享平台的延续性干预在冠状动脉内支架植入术后患者中的应用  

Application value of continuous nursing based on the medical community sharing platform in patients after intracoronary stent implantation

作　　者：李雅钗 李燕[1] 刘辉[1] LI Yachai;LI Yan;LIU Hui(Department of Cardiovascular Medicine,The First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453100,China)

机构地区：[1]新乡医学院第一附属医院心血管内科,453100

出　　处：《中国健康心理学杂志》2025年第3期411-415,共5页China Journal of Health Psychology

基　　金：2021年度河南省医学科技攻关计划联合共建项目(编号:LHGJ20210503)。

摘　　要：目的:回顾性分析基于医共体共享平台的延续性干预在冠状动脉内支架植入术后患者中的应用价值。方法:收集某院2023年1月-2024年1月120例冠状动脉内支架植入术后患者,1:1匹配设计按护理方法不同分为医共体组(n=60)、对照组(n=60),对照组进行常规延续性护理,医共体组在此基础上实施基于医共体共享平台的延续性护理。比较两组心功能[每搏输出量(SV)、左室舒张末期内径(LVEDD)、左室射血分数(LVEF)]、自护行为[自我护理能力测定量表(ESCA)]、健康行为[健康促进生活方式量表-Ⅱ(HPLP-Ⅱ)]、生活质量[生活质量综合评定问卷(GQOLI-74)]。结果:干预后医共体组SV、LVEF指标高于对照组,LVEDD指标低于对照组(t=36.411,6.286,8.272;P<0.05);与对照组相比,干预后医共体组ESCA评分升高幅度更大(t=6.022,7.712,9.263,5.477;P<0.05);干预后医共体组HPLP-Ⅱ评分高于对照组(t=21.005,P<0.05);与对照组相比,干预后医共体组GQOI-74评分升高幅度更大(t=9.164,P<0.05)。结论:对冠状动脉内支架植入术后患者实施基于医共体共享平台的延续性护理,能提高自护行为、健康行为,改善心功能,从而提高生活质量。Objective:To retrospectively analyze the application value of continuous nursing based on the medical community sharing platform in patients after intracoronary stent implantation.Methods:A total of 120 patients with intracoronary stent implantation in our hospital from January 2023 to January 2024 were selected and divided into medical community group(n=60)and control group(n=60)by 1:1 matching design according to different nursing methods.The control group received conventional continuous nursing,and the medical community group implemented continuous nursing based on the medical community sharing platform.The cardiac function[stroke volume(SV),left ventricular end diastolic diameter(LVEDD),left ventricular ejection fraction(LVEF)],self-care behavior[exercise of self-care agency scale(ESCA)],health behavior[Health promoting lifestyle profile-Ⅱ(HPLP-Ⅱ)]and quality of life[Generic Quality of Life Inventory-74(GQOLI-74)]were compared between the two groups.Results:After intervention,indexes of SV and LVEF in the medical community group were higher than those in the control group,while LVEDD index was lower than that in the control group(t=36.411,6.286,8.272;P<0.05);Compared with the control group,the ESCA score in the medical community group was increased significantly after intervention(t=6.022,7.712,9.263,5.477;P<0.05);After intervention,the HPLP-Ⅱ score in the medical community group was higher than that in the control group(t=21.005,P<0.05);Compared with the control group,the GQOLI-74 score in the medical community group was increased more significantly after intervention(t=9.164,P<0.05).Conclusion:The implementation of continuous nursing based on the medical community sharing platform for patients after intracoronary stent implantation can improve self-care behavior,health behavior,cardiac function and quality of life.

关 键 词：医共体共享平台 延续性护理 冠状动脉内支架植入术 自护行为 心功能 生活质量 

分 类 号：R395.5[哲学宗教—心理学] R749.92[医药卫生—医学心理学]