首页|"网络社群+电话与门诊随访"延续性干预护理在冠心病患者行冠脉介入治疗术后的应用及对生活质量的影响研究

"网络社群+电话与门诊随访"延续性干预护理在冠心病患者行冠脉介入治疗术后的应用及对生活质量的影响研究

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目的 探讨分析冠状动脉粥样硬化性心脏病(简称冠心病)行经皮冠状动脉介入(percutaneous coronary intervention,PCI)治疗患者接受"网络社群+电话与门诊随访"延续性干预护理的应用对生活质量的影响.方法 前瞻性随机选取2021年2月—2023年2月徐州医科大学附属医院心内科收治的90例冠心病行PCI治疗的患者为研究对象,依据不同护理方案分为对照组、观察组,各45例.对照组实施常规护理,观察组实施延续性干预护理.比较两组护理前后的生活质量和自我护理能力改善情况、遵医依从性.结果 护理前,两组生活质量评分、自我护理能力评分对比,差异无统计学意义(P均>0.05);护理后,两组自我护理能力评分、生活质量评分均高于护理前,观察组自我护理能力评分为(151.76±14.30)分,生活质量评分为(117.27±19.04)分,均高于对照组的(129.52±13.68)分、(95.68±16.53)分,差异有统计学意义(t=7.539、5.744,P均<0.05).观察组遵医依从性高于对照组,差异有统计学意义(P<0.05).结论 冠心病行PCI治疗患者实施"网络社群+电话与门诊随访"延续性干预护理,有利于提高其遵医依从性,强化自我护理能力,提高生活质量.
Study on the Effect of Continuous Intervention Nursing of "Online Com-munity+Telephone and Outpatient Follow-up" on the Quality of Life of Patients with Coronary Heart Disease after Coronary Intervention Therapy
Objective To investigate and analyze the effect of continuous intervention nursing of"network community+telephone and outpatient follow-up"on the quality of life in patients with coronary heart disease(CHD)undergoing percutaneous coronary intervention(PCI).Methods A total of 90 patients with CHD who underwent PCI in the Depart-ment of Cardiology,Affiliated Hospital of Xuzhou Medical University from February 2021 to February 2023 were se-lected prospectively and randomly as the research objects.According to different nursing schemes,they were divided into control group and observation group,with 45 cases in each group.The control group received routine nursing,and the observation group received continuous intervention nursing.The improvement of quality of life and self-care abil-ity and compliance before and after nursing were compared between the two groups.Results Before nursing,there was no significant difference in quality of life score and self-care ability score between the two groups(both P>0.05).After nursing,the self-care ability score and quality of life score of the two groups were higher than those before nursing,the self-care ability score of the observation group was(151.76±14.30)points,and the quality of life score was(117.27±19.04)points,which were higher than those of the control group(129.52±13.68)points,(95.68±16.53)points,the differences were statistically significant(t=7.539,5.744,both P<0.05).The compliance of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of"network community+telephone and outpatient follow-up"continuous intervention nursing for pa-tients with CHD undergoing PCI is conducive to improving their compliance with medical treatment,strengthening their self-care ability and improving their quality of life.

Coronary heart diseasePercutaneous coronary interventionOnline communityTelephone and outpatient follow-up Continuous intervention nursingQuality of life

陈凤、白甜甜、李洁

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徐州医科大学附属医院心内科,江苏 徐州 221000

冠状动脉粥样硬化性心脏病 经皮冠脉介入 网络社群 电话与门诊随访 延续性干预护理 生活质量

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(32)