延续性护理对冠心病经皮冠状动脉介入治疗术后患者自护能力及心理状态的影响

摘要

Objective:To investigate the effects of continuity nursing on self-care ability and mental state of patients with coronary heart disease after percutaneous coronary intervention. Methods:Five hundred and six patients with coronary heart disease after PCI were randomly divided into observation group and control group, 253 cases in each. The control group patients were given routine nursing,the observation group patients were given continuity nursing on this basis. The rehabilitation knowledge,the self-care ability,the risk factors control compliance, the mental state and the life quality was compared between the two groups. Results:After nursing intervention 3,6 and 12 months,the rehabilitation knowledge score and the self-care ability score of the observation group patients were evidently higher than that in control group(P <0. 01). After nursing intervention 3,6 and 12 months,the compliance rates of the exercise,the low density lipoprotein,the quit smoking,the fasting blood glucose and the blood pressure control of the observation group patients were markedly higher than that in control group(P<0. 01). After nursing intervention 3,6 and 12 months,the anxiety score in the observation group patients was obviously lower than that of control group(P <0. 01). After nursing intervention 12 months,The score of each dimension in life quality in the observation group patients was observably higher than that of control group(P<0. 01). After nursing intervention 12 months,the diastolic blood pressure,the systolic blood pressure,the low density lipoprotein cholesterol,the triglyceride and the total cholesterol in the observation group patients were clearly lower than that of control group(P <0. 01). Conclusions:The continuity nursing can effectually improve the self-care ability,the mental state and the life quality of patients with coronary heart disease after PCI.%目的:探讨延续性护理对冠心病经皮冠状动脉介入治疗( PCI)术后患者自护能力及心理状态的影响. 方法:将506例冠心病PCI术后患者随机分为观察组与对照组,各253例. 对照组给予常规护理,观察组在对照组基础上给予延续性护理.比较2组患者的康复知识、自护能力、危险因素控制达标情况、心理状态及生活质量. 结果:护理干预3、6和12个月后,观察组患者的康复知识评分及自护能力评分均明显高于对照组(P<0. 01);护理干预3、6和12个月后,观察组患者的运动、低密度脂蛋白、戒烟、空腹血糖及血压控制达标率均显著高于对照组(P<0. 01);护理干预3、6和12个月后,观察组患者的焦虑评分均明显低于对照组(P<0. 01);护理干预12个月后,观察组患者的生活质量各维度评分均显著高于对照组(P<0. 01);护理干预12个月后,观察组患者的舒张压、收缩压、低密度脂蛋白胆固醇、三酰甘油及总胆固醇均明显低于对照组(P<0. 01). 结论:延续性护理能够有效提高冠心病PCI术后患者的自护能力,改善心理状态,提高生活质量.