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郑州市第七人民医院心内九科二病区
纸质出版日期:2022,
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黄丹, 杨静怡, 李丽. 医院-社区-家庭三位一体化延伸护理在急性心肌梗死患者护理中的应用效果[J]. 保健医学研究与实践, 2022,19(3):42-46.
Huang Dan, Yang Jingyi, Li Li. E ffect of hospital-community-family triple-integrated extended care in the care of patients with acute myocardial infarction[J]. Health Medicine Research and Practice, 2022,19(3):42-46.
黄丹, 杨静怡, 李丽. 医院-社区-家庭三位一体化延伸护理在急性心肌梗死患者护理中的应用效果[J]. 保健医学研究与实践, 2022,19(3):42-46. DOI:
Huang Dan, Yang Jingyi, Li Li. E ffect of hospital-community-family triple-integrated extended care in the care of patients with acute myocardial infarction[J]. Health Medicine Research and Practice, 2022,19(3):42-46. DOI:
目的 探讨医院-社区-家庭三位一体化延伸护理在急性心肌梗死患者护理中的应用效果。方法 本研究选取2018年12月—2020年12月河南省某医院收治的90例急性心肌梗死患者为研究对象
采用随机数字表法将患者分为观察组(n=45)与对照组(n=45)。对照组患者采用常规护理
观察组患者在对照组基础上采用医院-社区-家庭三位一体化延伸护理。比较2组患者用药依从性;比较2组患者干预前及出院3个月时的贝克焦虑量表(BAI)、贝克抑郁量表(BDI-Ⅱ)评分;比较2组患者干预前及出院3个月时自我效能感量表(GSES)及日常生活能力量表(ADL)评分。比较2组患者不良心血管事件发生情况及再入院情况。结果 观察组患者用药总依从率为93.33%
高于对照组的77.78%
差异有统计学意义(P<0.05)。干预前
2组患者BAI、BDI-Ⅱ评分比较
差异无统计学意义(P>0.05);干预后
2组患者BAI、BDI-Ⅱ评分均低于干预前
且观察组低于对照组
差异均有统计学意义(P<0.05)。干预前
2组患者GSES、ADL评分比较
差异无统计学意义(P>0.05);出院3个月时
2组患者GSES评分均高于干预前
且观察组高于对照组;2组患者ADL评分均低于干预前
且观察组低于对照组
差异具有统计学意义(P<0.05)。观察组患者不良心血管事件发生率及再入院率为4.44%及2.22%
低于对照组的17.76%及17.76%
差异均有统计学意义(P<0.05)。结论 医院-社区-家庭三位一体化延伸护理应用于急性心肌梗死患者护理中
可提高患者PCI术后服药依从性
改善患者不良心理情绪
增强自我效能
提高日常生活能力
降低不良心血管事件发生率和再入院率
值得临床推广。
Objective To explore the effect of hospital-community-family triple-integrated extended care in the care of patients with acute myocardial infarction. Methods Ninety patients with acute myocardial infarction admitted to a hospital in Henan from December 2018 to December 2020 were selected for this study
and the patients were divided into an observation group(n=45) and a control group(n=45) using the random number table method. Patients in the control group received conventional care
and patients in the observation group were given hospital-community-family triple-integrated extended care on the basis of the control group. The medication compliance of the two groups was compared; the Beck Anxiety Inventory(BAI) and Beck Depression Inventory-Ⅱ(BDI-Ⅱ) scores before the intervention and at 3 months after discharge were compared; the General Self-Efficacy Scale(GSES) and the Activities of Daily Living(ADL) scores before the intervention and at 3 months after discharge were compared between the two groups. The incidence of adverse cardiovascular events and readmission were compared between the two groups. Results The overall medication compliance rate of patients in the observation group was 93.33%
which was higher than that of 77.78% in the control group
with a statistically significant difference(P<0.05). Before the intervention
there was no statistically significant difference between the BAI and BDI-Ⅱ scores of patients in the 2 groups(P>0.05); after the intervention
the BAI and BDI-Ⅱscores of patients in the 2 groups were lower than those before the intervention and lower in the observation group than in the control group
with statistically significant differences(P<0.05). Before the intervention
there was no statistically significant difference between the GSES and ADL scores of patients in the 2 groups(P>0.05); at 3 months after discharge
the GSES scores of patients in the 2 groups were higher than before the intervention
and the observation group was higher than the control group; the ADL scores of patients in the 2 groups were lower than before the intervention
and the observation group was lower than the control group. All differences were statistically significant(P<0.05). The incidence rate of adverse cardiovascular events and readmission rate of patients in the observation group were 4.44% and 2.22%
which were lower than those in the control group
17.76% and 17.76%
and thedifferences were statistically significant(P<0.05). Conclusion The application of hospital-community-family triple-integrated extended care in the care of patients with acute myocardial infarction can improve patients’ compliance with medication after PCI
improve patients’ adverse psychological mood
enhance self-efficacy
improve daily living ability
and reduce the incidence of adverse cardiovascular events and readmission rate. Therefore
it is worthy of clinical promotion.
急性心肌梗死医院-社区-家庭三位一体化延伸护理用药依从性心理状态
acute myocardial infarctionHospital-community-family triple-integrated extended careMedication compliancePsychological status
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