基于“全病程个案管理模式”的中西医结合护理在PCI术后的冠心病患者中的应用效果  

Application effect of integrated traditional Chinese and Western medicine nursing based on“whole course case management model”in patients with coronary heart disease after PCI

作　　者：朱文君[1] 沈轶[1] 蒋卫民[1] ZHU Wen-jun;SHEN Yi;JIANG Wei-min(Department of Cardiology,Jiangsu Province Hospital of Chinese Medicine,Nanjing,Jiangsu,210000,China)

机构地区：[1]江苏省中医院心内科,江苏南京210000

出　　处：《心血管康复医学杂志》2025年第2期256-260,共5页Chinese Journal of Cardiovascular Rehabilitation Medicine

基　　金：2021年度江苏省中医药科技发展计划专项支持(ZT202104)。

摘　　要：目的:探讨基于“全病程个案管理模式”的中西医结合护理在经皮冠状动脉介入治疗(PCI)术后冠心病(CHD)患者中的应用效果。方法:选择2022年2月到2023年5月就诊于江苏省中医院的首次行PCI术的98例CHD患者为研究对象,采用随机数字表法将患者分为干预组和对照组,各49例。干预组实施基于“全病程个案管理模式”的中西医结合护理方案,对照组患者接受PCI术后常规护理方案。比较两组患者6个月和12个月后Morisky服药依从性量表(MMAS-8)评分、心血管健康行为评分(CHS)、中国心血管病人生活质量评定问卷(CQQC)评分及心脏不良事件发生率。结果:干预后,与对照组比较,干预组患者的MMAS-8评分[6个月:(6.63±0.83)分比(5.96±0.95)分,12个月:(6.85±0.96)分比(5.84±0.91)分],CHS评分[(8.10±1.37)分比(7.45±1.28)分]和CQQC评分[(92.73±7.44)分比(88.16±2.88)分]均显著提高,心脏不良事件发生率(14.29%比36.73%)显著下降(P<0.05或<0.01)。结论:基于“全病程个案管理模式”的中西医结合护理干预方案可有效提高冠心病患者PCI术后服药依从性,强化心血管健康行为,降低心脏不良事件发生率,改善其生活质量。Objective:To explore the application effect of integrated traditional Chinese and Western medicine nursing based on“whole course case management mode”in patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI).Methods:This randomized controlled study enrolled 98 CHD patients who underwent PCI for the first time at Jiangsu Province Hospital of Chinese Medicine between February 2022 and May 2023.The patients were divided into intervention group(n=49)and control group(n=49).The patients in intervention group received whole course case management model-based integrated traditional Chinese and Western medicine nursing plan,while those in the control group received routine nursing care after PCI.Scores of Morisky Medication Adherence Scale(MMAS-8),Cardiovascular Health Score(CHS),China questionnaire of quality of life in patients with cardiovascular diseases(CQQC)and incidence of adverse cardiac events were compared between two groups after 6 and 12 months.Results:Compared with patients in control group after intervention,those in intervention group had significant higher scores of MMAS-8[6 months:(6.63±0.83)points vs.(5.96±0.95)points,12 months:(6.85±0.96)points vs.(5.84±0.91)points],CHS[(8.10±1.37)points vs.(7.45±1.28)points],CQQC[(92.73±7.44)points vs.(88.16±2.88)points],and significant lower incidence of adverse cardiac events(14.29%vs.36.73%)(P<0.05 or<0.01).Conclusion:The integrated traditional Chinese and Western medicine nursing intervention plan based on the whole course case management model could effectively improve medication compliance,strengthen cardiovascular health behavior,reduce the incidence of adverse cardiac events,and improve quality of life in CHD patients after PCI.

关 键 词：冠心病 血管成形术 气囊 冠状动脉 护理 

分 类 号：R541.4[医药卫生—心血管疾病]