文章摘要
宫艳侠.延续性护理干预对急性心肌梗死病人经皮冠状动脉介入术后心理状态和服药依从性的影响[J].安徽医药,2017,21(4):765-768.
延续性护理干预对急性心肌梗死病人经皮冠状动脉介入术后心理状态和服药依从性的影响
Influences of continuous aftercare on mental state and medicationcompliance of patients with acute myocardial infarctionafter percutaneous coronary intervention
投稿时间:2016-07-28  
DOI:
中文关键词: 延续性护理  急性心肌梗死  服药依从性
英文关键词: Continuous aftercare  Acute myocardial infarction  Medication compliance
基金项目:
作者单位
宫艳侠 太和县人民医院心血管内科,安徽 太和 236600 
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中文摘要:
      目的 探讨急性心肌梗死病人行经皮冠状动脉介入术(PCI)术后延续性护理干预对其心理状态和服药依从性的影响。方法 选取接受PCI手术的心肌梗死病人272例,按照随机数字表法分为两组,观察组(136例)和对照组(136例),观察组和对照组入院后均给予入院全面评估、观察病情、用药指导、健康宣教等传统护理,观察组在传统护理的基础上给予采用延续性护理干预,比较两组护理后1、3、6个月焦虑、抑郁评分以及服用依从性、满意度情况。结果 对比分析发现:观察组护理后1个月焦虑评分(38.82±7.99)分和抑郁评分(35.34±6.38)分,低于对照组(40.02±6.90)分和(38.56±6.78)分,护理后3个月焦虑评分(36.11±6.28)分和抑郁评分(34.91±6.12)分,低于对照组(37.79±6.42)分和(36.95±5.44)分,护理后6个月焦虑评分(37.78±4.60)分和抑郁评分(33.38±6.00)分,低于对照组(37.78±4.60)分、(34.85±4.85)分,完全依从率87.50%和总依从率98.53%高于对照组65.44%、83.92%,非常满意率90.44%和总满意率99.26%高于对照组77.21%、92.65%,均差异有统计学意义(P<0.05)。结论 延续性护理干预对接受PCI治疗的急性心肌梗死病人具有较好临床效果,病人心理状态、服药依从性、满意度显著提高,建议推广应用。
英文摘要:
      Objective To investigate the effects of continuous aftercare on mental state and medication compliance of patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI).Methods Totally 272 AMI patients who required PCI treatment were recruited and randomly assigned into two groups (observation group and control group),with 136 patients in each group.The observation group was treated with continuous aftercare and the control group received traditional nursing.After 1,3 and 6 months of care,patients′self rating anxiety scale (SAS),self rating depression scale (SDS),medicationcompliance and satisfaction were compared between two groups.Results SAS and SDS scores in the observation group were lower than that in the control group after one-month care,38.82±7.99 points vs 35.34±6.38 points and 240.02±6.90 points vs 38.56± 6.78 points;36.11±6.28 points vs 34.91±6.12 points and 37.79±6.42 points vs 36.95 ±5.44 points after three-month care;36.16±5.56 points vs 33.38±6.00 points and 37.78±4.60 points vs 34.85±4.85 points after six-month care.The complete and total compliance rates in the observation group were 87.50% and 98.53% respectively,which were higher compared with the control group (65.44% and 83.92%).90.44% and 99.26% of great and total satisfaction rates were also higher in the observation group in comparison with the control group (77.21% and 92.65%).The differences above were statistically significant (P<0.05).Conclusions Continuous aftercare achieves good effects in clinic and AMI patients after PCI show good mental state and medication compliance and high degree of satisfaction and is up to popularization and application.
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