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1. 郑州大学第一附属医院门诊部
2. 郑州大学第一附属医院心内科
3. 郑州大学第一附属医院介入科
纸质出版日期:2022,
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牛杜娟, 尚雯, 张红. 以FTS理论为指导的系统化护理模式对PCI术后患者心功能的影响[J]. 保健医学研究与实践, 2022,19(7):82-85.
Niu Dujuan, Shang Wen, Zhang Hong. Effect of FTS-guided systematic care model on cardiac function in patients after PCI[J]. Health Medicine Research and Practice, 2022,19(7):82-85.
目的 探讨以快速康复外科(FTS)理论为指导的系统化护理模式对经皮冠状动脉介入治疗(PCI)术后患者心功能的影响。方法 选取郑州市某医院2018年9月—2020年9月因心肌梗死接受PCI的155例患者为研究对象
采用随机数字表法分为观察组(n=78)和对照组(n=77)。对照组患者采用常规护理干预
观察组患者在对照组护理基础上采用以FTS理论为指导的系统化护理干预
比较2组患者护理前及护理12周时心功能指标[包括NYHA心功能分级和左心室射血分数(LVEF)]、自我护理能力(ESCA)评分
比较2组患者护理期间心血管事件发生情况。结果 干预前
2组患者ESCA评分、LVEF、NYHA心功能分级比较
差异均无统计学意义(P>0.05)。干预后
2组患者ESCA评分、LVEF均高于干预前
且观察组高于对照组
差异均有统计学意义(P<0.05)。干预后
2组患者NYHA心功能分级均低于干预前
且观察组低于对照组
差异均有统计学意义(P<0.05)。观察组患者护理期间心血管事件(心绞痛、心肌梗死、心力衰竭)发生率为7.69%
低于对照组的20.78%
差异有统计学意义(P<0.05)。结论 以FTS理论为指导的系统化护理模式可有效改善PCI术后患者心功能
提高患者自我护理能力
降低心血管事件发生率
对改善预后有积极作用
值得在临床上推广应用。
Objective To explore the effect of rapid rehabilitation surgery(FTS)-guided systematic care model on cardiac function in patients underwent percutaneous coronary intervention(PCI). Methods A total of 155 patients who after PCI for myocardial infarction in a hospital in Zhengzhou from September 2018 to September 2020 were selected as subjects and were assigned to an observation group(n=78) and a control group(n=77) using the random number table method. Patients in the control group received routine nursing interventions
while patients in the observation group systematic nursing interventions guided by FTS theory in addition to the routine nursing. The cardiac function parameters and Exercise of Self-Care Agency Scale(ESCA) scores before and at 12 weeks of care were compared between the two groups
and the occurrence of cardiovascular events during the nursing of the two groups was compared. Results Before the intervention
there were no statistically significant differences in ESCA score
Left Ventricular Ejection Fraction(LVEF)
and New York Heart Association(NYHA) functional classification between the 2 groups(P>0.05). After the intervention
the ESCA score and LVEF in both groups were higher than those before the intervention
and the observation group was higher than the control group
with statistical significance(P<0.05). After the intervention
the NYHA functional classification of patients in both groups was lower than that before the intervention
and the observation group was lower than the control group
with statistical significance(P<0.05). The incidence of cardiovascular events(angina pectoris
myocardial infarction
heart failure) of patients in the observation group during the nursing was 7.69%
which was lower than that in the control group(20.78%)
and the difference was statistically significant(P<0.05). Conclusion The FTS-guided systematic care model can effectively improve cardiac function
enhance patients’ self-care ability and reduce the incidence of cardiovascular events after PCI intervention
which has a positive impact on the prognostic effect. These advantages justify a wider application of this technique in clinical practice.
快速康复外科理论经皮冠状动脉介入治疗心功能护理模式
Rapid rehabilitation surgery theoryPercutaneous coronary interventionCardiac functionNursing model
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