中国当代医药2024,Vol.31Issue(12) :149-153.

延伸性护理模式在冠心病经皮冠状动脉介入术后患者中的应用效果

Application effect of extended nursing mode in patients with coronary heart disease after percutaneous coronary intervention

吕雅萱 宋洋 王志鑫 李俐 郭彦青
中国当代医药2024,Vol.31Issue(12) :149-153.

延伸性护理模式在冠心病经皮冠状动脉介入术后患者中的应用效果

Application effect of extended nursing mode in patients with coronary heart disease after percutaneous coronary intervention

吕雅萱 1宋洋 2王志鑫 1李俐 1郭彦青2
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作者信息

  • 1. 山西省心血管病医院血管医学精准实验室,山西太原 030024
  • 2. 山西省心血管病医院心内科,山西太原 030024
  • 折叠

摘要

目的 探讨基于延伸性护理模式在冠心病(CHD)经皮冠状动脉介入治疗(PCI)术后的护理效果.方法 选取2022年1月至12月山西省心血管病医院心内五病区105例PCI后的CHD患者作为研究对象,按照随机数字表法分为观察组(53例)与对照组(52例).对照组采用常规护理干预,观察组采用延伸性护理模式干预.6个月后,比较两组患者干预后的血脂、尿酸、心功能、自护能力及生活质量的评分结果.结果 干预后,观察组步行6 min试验(6MWT)、自我护理能力量表(ESCA)各项评分及总分、西雅图心绞痛量表(SAQ)各项指标(除心绞痛发作频率评分外)均高于对照组,差异有统计学意义(P<0.05).观察组的总胆固醇指数(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)与尿酸(UA)均低于对照组,差异有统计学意义(P<0.05).结论 延伸性护理模式在CHD患者PCI术后中的应用效果明显,可有效改善患者的心功能、血脂情况、提高自护能力以及生活质量.

Abstract

Objective To investigate the nursing effect of extended nursing mode in patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI).Methods A total of 105 patients with CHD after PCI in the Fifth Ward of Department of Cardiology of Shanxi Cardiovascular Hospital from January to December 2022 were selected as the research objects,and they were divided into observation group(53 cases)and control group(52 cases)according to random number table method.The control group received routine nursing intervention,and the observation group received extended nursing mode intervention.After 6 months,the scores of blood lipid,uric acid,cardiac function,self-care ability and quality of life were compared between the two groups after intervention.Results After intervention,the 6 min walking test(6MWT),exercise of self-care agency scale(ESCA)scores and total scores,and Seattle angina questionnaire(SAQ)indexes(except angina attack frequency score)of observation group were higher than those of the control group,with statistical significances(P<0.05).The total cholesterol(TC),triglyceride(TG),low density lipoprotein cholesterol(LDL-C)and uric acid(UA)in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).Con-clusion The application of extended nursing mode in CHD patients after PCI is effective,which can effectively improve the patients'heart function,blood lipid,self-care ability and quality of life.

关键词

延伸性护理/冠心病/经皮冠状动脉介入术后/自护能力/生活质量

Key words

Extended nursing mode/Coronary heart disease/Percutaneous coronary intervention/Self-care ability/Quality of life

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基金项目

山西省心血管病医院科研激励计划(XYS20210305)

出版年

2024
中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
参考文献量27
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