Application of outcome guided bicardiac service in patients with unstable angina pectoris of coronary heart disease during the perioperative period of PCI
Objective To investigate the application effect of outcome guided bicardiac service in the perioperative period of percutaneous coronary intervention(PCI)for patients with unstable angina pectoris(UAP).Methods It was a randomized controlled trial.A total of 100 patients with UAP undergoing PCI in Wuxi Second People's Hospital from October 2020 to February 2022 were randomly divided into a control group and a study group,with 50 cases in each group.The age of the study group was(53.68±7.22)years old;there were 31 males and 19 females;the body mass index(BMI)was(24.28±3.12)kg/m2;the course of disease was(3.02±0.61)years;the New York Heart Association(NYHA)classification was grade Ⅰ in 21 cases,grade Ⅱ in 15 cases,and grade Ⅲ in 14 cases;the number of coronary artery lesions was single vessel in 17 cases,double vessels in 20 cases,and three or more vessels in 13 cases.The control group was(55.32±5.76)years old;there were 28 males and 22 females;the BMI was(23.89±3.18)kg/m2;the course of disease was(2.89±0.57)years;the NYHA classification was grade Ⅰ in 23 cases,grade Ⅱ in 15 cases,and gradeⅢ in 12 cases;the number of coronary artery lesions was single vessel in 15 cases,double vessels in 23 cases,and three or more vessels in 12 cases.The control group received the routine nursing mode during the perioperative period,and the study group received the outcome guided bicardiac service mode on the basis of the control group.Both groups were intervened till discharge.The anxiety and depression,cardiac function indexes[left ventricular ejection fraction(LVEF)and B-type natriuretic peptide(BNP)],complications,and Seattle Angina Questionnaire(SAQ)scores of the two groups were compared before and after intervention.t test was used for the measurement data,x2 test or Fisher exact probability method for the count data,and rank sum test for the rank data.Results After intervention,the scores of Self-rating Anxiety Scale(SAS)[(38.74±7.13)points]and Self-rating Depression Scale(SDS)[(42.26±8.03)points]of the study group were lower than those of the control group[(42.38±7.54)and(47.78±8.12)points](t=2.480 and 3.418,P=0.015 and 0.001).After intervention,the LVEF of the study group was(69.33±6.89)％,which was higher than that of the control group[(58.93±6.42)％](t=7.809,P＜0.001);the BNP in the study group was(116.82± 14.25)ng/L,which was lower than that in the control group[(138.75±12.46)ng/L](t=8.192,P＜0.001).The incidence of complications in the study group was lower than that in the control group[6.00％(3/50)vs.22.00％(11/50)](x2=4.070,P=0.044).After intervention,the scores of physical activity restriction[(79.63±8.76)points],angina stable state[(57.76±9.32)points],angina pectoris attack[(70.37±7.11)points],treatment satisfaction[(82.23±8.04)points],and disease cognition[(70.12±9.07)points]of the SAQ in the study group were higher than those in the control group[(67.12±8.07)points,(53.35±8.22)points,(63.18±8.02)points,(69.35±9.33)points,and(54.62± 8.74)points](t=7.427,2.509,4.744,7.395,and 8.701;all P＜0.05).Conclusion The implementation of outcome guided bicardiac service in the perioperative period of PCI for UAP patients can reduce the patients'anxiety and depression,improve their cardiac function,reduce the occurrence of complications,alleviate the clinical symptoms,improve the quality of life,and promote the prognosis.
Coronary heart diseaseUnstable angina pectorisPercutaneous coronary interventionAnxietyDepressionCardiac functionOutcome guidedBicardiac service
万方数据
维普
