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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
纸质出版日期:2021,
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王焕, 张军, 郑珂. 医护一体化护理在冠心病PCI术后护理中的应用[J]. 保健医学研究与实践, 2021,18(5):133-137.
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, 2021,18(5):133-137.
目的探讨医护一体化护理在冠心病经皮冠状动脉介入手术(PCI)术后护理中的应用效果。方法选取2018年6月-2019年6月辽宁省某医院收治的90例行PCI治疗的冠心病患者
采用随机数字表法分为一体化组与对照组
每组45例。对照组患者术后采用常规护理
一体化组患者术后采用医护一体化护理
术后随访1年。比较2组患者护理干预前后自我管理能力
血压、血糖及血脂水平
生活质量
术后1年药物服药达标率
支架狭窄及主要不良心脏事件发生情况。结果一体化组患者护理干预后冠心病自我管理行为量表(CSMS)各维度得分及总分高于护理干预前且高于对照组
差异均有统计学意义(P<0.05)。一体化组患者术后1年降糖药物服药达标率高于对照组
差异有统计学意义(P<0.05)。一体化组患者护理干预后收缩压、舒张压及总胆固醇水平均低于干预前且低于对照组
差异均有统计学意义(P<0.05)。一体化组患者护理干预后生存质量简表(SF-36)中生理机能、生理职能、活力、社会功能、情感职能、精神健康及一般健康状况维度得分高于护理干预前且高于对照组
差异均有统计学意义(P<0.05);2组患者护理干预后SF-36量表中躯体疼痛维度得分低于护理干预前且一体化组低于对照组
差异均有统计学意义(P<0.05)。对照组患者术后1年心绞痛复发率高于一体化组
差异有统计学意义(P<0.05)。结论医护一体化护理能有效建立冠心病患者PCI术后的自我护理意识
提高其疾病自我管理能力
有助于减少术后不良心血管事件发生风险。
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.
医护一体化护理冠心病经皮冠状动脉介入术护理效果
Integrated nursing of doctors and nursescoronary heart diseasePercutaneous coronary interventionNursing effect
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