首页|多元化延续护理对经皮冠状动脉支架植入术患者健康行为和自我护理能力的影响

多元化延续护理对经皮冠状动脉支架植入术患者健康行为和自我护理能力的影响

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目的研究多元化延续护理对经皮冠状动脉支架植入术(PCI)患者健康行为和自我护理能力的影响.方法选取2021年1月-2022年1月于天津市胸科医院行PCI治疗的100例患者,采用随机数字表法分为对照组(50例)与观察组(50例).对照组给予常规延续护理,观察组应用多元化延续护理,比较两组健康行为量表(HPLP)评分、自我护理能力测定表(ESCA)评分、血脂水平[总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL-C)]、不良心脑血管事件(MACCE)、术后住院时间、出院准备度量表(RHDS)评分、延续护理测评量表(CTM)评分.结果 两组护理后HPLP、ESCA评分均高于护理前,且观察组高于对照组(P<0.05);两组护理后TC、TG、LDL-C水平均低于护理前,且观察组低于对照组(P<0.05);观察组MACCE发生率低于对照组,术后住院时间短于对照组,HPLP、ESCA评分高于对照组(P<0.05).结论 多元化延续护理可改善PCI患者的健康行为与自我护理能力,提升其血脂管理水平,降低MACCE风险,缩短术后住院时间,有利于出院准备度与护理质量的改善.
Effect of Diversified Continuous Nursing on Health Behavior and Self-care Ability of Patients Undergoing Percutaneous Coronary Stent Implantation
Objective To study the effect of diversified continuous nursing on health behavior and self-care ability of patients with percutaneous coronary stent implantation(PCI).Methods A total of 100 patients who underwent PCI in Tianjin Chest Hospital from January 2021 to January 2022 were selected and divided into control group(50 patients)and observation group(50 patients)by random number table method.The control group was given routine continuous nursing,while the observation group was given diversified continuous nursing.The health promoting lifestyle profile(HPLP)score,the exereise of self-care agency scale(ESCA)score,blood lipid level[total cholesterol(TC),triglyceride(TG),low density lipoprotein(LDL-C)],majoradverse cardiovascular and cerebrovascular events(MACCE),postoperative hospitalization time,the readiness for hospital discharge scale(RHDS)score,and care transitionsmeasure(CTM)score were compared between the two groups.Results The HPLP and ESCA scores of the two groups after nursing were higher than those before nursing,and those in the observation group were higher than those in the control group(P<0.05);the levels of TC,TG and LDL-C in the two groups after nursing were lower than those before nursing,and those in the observation group were lower than those in the control group(P<0.05).The incidence of MACCE in the observation group was lower than that in the control group,the postoperative hospitalization time was shorter than that in the control group,and the HPLP and ESCA scores were higher than those in the control group(P<0.05).Conclusion Diversified continuous nursing can improve the health behavior and self-care ability of PCI patients,improve their blood lipid management level,reduce the risk of MACCE,shorten the postoperative hospitalization time,and is conducive to the improvement of readiness for hospital dischargeand nursing quality.

Percutaneouscoronary stent implantationContinuing nursingHealth behaviorSelf-care abilityReadiness for hospital discharge

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天津市胸科医院心内科,天津 300222

经皮冠状动脉支架植入术 延续护理 健康行为 自我护理能力 出院准备度

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(5)
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