出院计划模式在冠状动脉内支架植入患者中应用的效果评价

摘要

目的：评价出院计划服务模式在冠脉支架置入患者中的应用效果。方法将106例冠脉支架置入患者分为干预组和对照组，其中干预组实施出院计划服务，对照组接受心内科常规护理和随访，干预时间为6个月。对2组患者住院天数、住院费用、心血管事件发生率及再入院率、遵医行为、相关临床指标及生活质量进行比较。结果出院计划干预组和常规护理组相比，前者心血管事件发生率及再入院率低于后者（P<0.05）；出院计划组戒烟率、每周康复运动次数及冠心病二级预防药物的使用率方面优于常规组（P<0.05）；出院计划组左室射血分数、血脂达标率及生活质量优于常规组（P<0.05）。结论出院计划干预可降低冠脉支架植入患者心血管事件发生率及再入院率、改善心室功能、提高其遵医行为并改善生活质量。%Objective To evaluate the effect of discharge planning service mode in patients with intracoronary stent implantation. Methods Total⁃ly 106 patients with intracoronary stent implantation were divided into intervention group and control group,the intervention group received discharge planning services. The control group received routine nursing and follow⁃up of Department of Cardiology. The intervention lasted 6 months. Compari⁃son of two groups of patients in hospitalization days,cost of hospitalization and cardiovascular events and the rate of readmission and Compliance be⁃havior and clinical indicators and quality of life. Results The incidence rate of cardiovascular events and readmission rate in discharge planning group is lower than the routine nursing group(P<0.05);Discharge planning group of smoking cessation rates,weekly rehabilitation exercise times and coronary heart disease in two level prevention drug use rate is superior to that of routine group(P<0.05). Discharge planning group,left ventric⁃ular ejection fraction,success rate of blood lipids and the quality of life is better than the routine group(P<0.05). Conclusion Discharge plan⁃ning intervention can reduce the incidence of cardiovascular events and readmission rate,improve ventricular function and the compliance behavior and the quality of life in patients with coronary stent implantation.