| 李晓丹,常芸.延续性护理干预对经皮冠状动脉介入病人术后心脏康复的疗效研究[J].安徽医药,2017,21(6):1140-1143. |
| 延续性护理干预对经皮冠状动脉介入病人术后心脏康复的疗效研究 |
| Effect of continuation care in patients with coronary heart disease after PCI therapyLI Xiaodan,CHANG Yun (Department of Cardiology,Nanjing First Hospital,Nanjing Medical University,Nanjing,Jiangsu 210006,China) Abstract:Objective |
| 投稿时间：2017-01-23 |
| DOI： |
| 中文关键词: 延续性护理干预 冠心病 经皮冠状动脉介入 心脏康复 |
| 英文关键词: Continuation care Coronary heart disease Percutaneous coronary intervention Heart rehabilitation |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨延续性护理干预对经皮冠状动脉介入(PCI)病人术后心脏康复的疗效研究。 方法 选取120例行PCI治疗的冠心病病人作为研究对象,采用随机数字表法分为研究组和对照组,每组60例。对照组采取心内科常规护理干预,研究组采用依据延续性护理模式制定的心脏康复计划,跟踪随访6个月,比较两组研究对象的焦虑评分、生活质量、遵医情况、运动耐量的变化。 结果 干预前,两组间各评价指标比较,均差异无统计学意义(P>0.05)。干预后3个月和6个月,研究组病人的焦虑得分均显著低于对照组(P<0.05)；研究组运动耐量得分、遵医行为各项得分均显著高于对照组(P<0.05),且不同干预时间和干预方法之间差异有统计学意义(P<0.05)；干预后3个月,两组病人生活质量中躯体受限度、治疗满意度和疾病认知等得分比较,均差异有统计学意义(P<0.05),干预6个月后,两组病人生活质量得分各维度比较,均差异有统计学意义(P<0.05)。 结论 延续护理干预模式能有效地改善病人焦虑情绪,避免抑郁,培养病人遵医意识,提高病人生活质量和运动耐量。 |
| 英文摘要: |
| Objective To investigate the influence of continuation care in patients with coronary heart disease after percutaneous coronary intervention(PCI) therapy. Methods 120 patients admitted to hospital after PCI were chosen as the research object.They were randomly divided into study group and control group with 60 cases in each group.The control group was treated with routine nursing intervention,whereas the study group was taken heart rehabilitation program based on continuation care.Seattle angina questionnaire(SAQ),self-rating anxiety scale(SAS),exercise tolerance and according to the medical behavior were used to evaluated the effect of continuation care of two groups after 3 months,6 months intervention. Results Before intervention,the scores of SAS,SAQ,exercise tolerance and according to the medical behavior between study and control group were not statistically significant (P>0.05).After 3 months and 6 months,the scores of SAS in the intervention group were lower than those of the control group,there were significance difference (P<0.05).The exercise tolerance and according to the medical behavior in the study group were higher than the control group,there were significance difference (P<0.05).After 3 months intervention,the qualified rates of LDL-C,exercise and BMI were significantly higher in the study group than in the control group (P<0.05). Conclusions The heart rehabilitation program based on continuation care can not only reduce the negative emotion and avoid depression,but also improve the quality of life and exercise tolerance. |
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