Application of integrated nursing of doctors and nurses in patients with coronary heart disease after PCI
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Application of integrated nursing of doctors and nurses in patients with coronary heart disease after PCI
Health Medicine Research and PracticeVol. 18, Issue 5, Pages: 133-137(2021)
作者机构:
1. 辽宁中医药大学附属第四医院心病科
2. 辽宁中医药大学附属第四医院介入科
作者简介:
基金信息:
DOI:
CLC:R473.5
Published:2021,
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Wang Huan, Zhang Jun, Zheng Ke. Application of integrated nursing of doctors and nurses in patients with coronary heart disease after PCI. [J]. Health Medicine Research and Practice 18(5):133-137(2021)
DOI:
Wang Huan, Zhang Jun, Zheng Ke. Application of integrated nursing of doctors and nurses in patients with coronary heart disease after PCI. [J]. Health Medicine Research and Practice 18(5):133-137(2021)DOI:
Application of integrated nursing of doctors and nurses in patients with coronary heart disease after PCI
Objective To explore the effect of integrated nursing of of doctors and nurses in patients with coronary heart disease(CHD) after percutaneous coronary intervention(PCI). Methods A total of 90 patients with CHD treated with PCI in a hospital in Liaoning Province from June 2018 to June 2019 were randomly divided into integrated groupand control group
with 45 cases in each group. The patients in the control group were given routine nursing after operation
and the patients in the integration group were treated with integrated nursing care after operation
and were followed up for 1 year. The self-management ability
blood pressure
blood glucose and blood lipid levels
quality of life
drug compliance rate 1 year after operation
stent stenosis and major adverse cardiac events were compared between the two groups before and after nursing intervention. Results After nursing intervention
the scores of all dimensions and total scores of coronary self-management scale(CSMS) in the integrated group were higher than those before nursing intervention and also higher than those in the control group
and the differences were statistically significant(P<0.05). One year after operation
the drug compliance rate of hypoglycemic drugs in the integration group was significantly higher than that in the control group
and the differences were statistically significant(P <0.05). After nursing intervention
the levels of systolic blood pressure
diastolic blood pressure and total cholesterol in the integration group were lower than those before intervention and also lower than those in the control group
and the differences were statistically significant(P<0.05). After nursing intervention
the scores of physiological function
role physical
vitality
social function
emotional function
mental health and general health of Shot Form 36(SF-36) in the integrated group were significantly higher than those before nursing intervention and also higher than those in the control group
and the differences were statistically significant(P<0.05). After nursing intervention
the score of body pain of SF-36 scale in the two groups was lower than that before nursing intervention
and that in the integration group was lower than that in the control group
and the difference was statistically significant(P<0.05). One year after operation
the recurrence rate of angina pectoris in the control group was significantly higher than that in the integrated group(P<0.05). Conclusion Integrated nursing care of doctors and nurses can effectively establish selfnursing awareness of patients with CHD after PCI
improve their disease self-management ability
and help to reduce the risk of postoperative adverse cardiovascular events.
关键词
医护一体化护理冠心病经皮冠状动脉介入术护理效果
Keywords
Integrated nursing of doctors and nursescoronary heart diseasePercutaneous coronary interventionNursing effect