【摘要】 [目的]探讨出院干预计划对行经皮冠状动脉介入治疗的冠心病病人自我护理及生活质量的影响。[方法]将100例冠心病病人采用随机数字表法分为对照组和观察组各50例,两组病人出院时接受常规的出院康复指导,观察组在此基础上给予出院干预,成立干预队伍,制订出院计划,于病人出院后1个月、3个月、6个月、1年分别进行访视,督促和指导出院护理计划的实施。比较1年后两组病人自我护理能力,并采用西雅图心绞痛生存质量测量量表(SAQ)、再入院率分别对两组病人进行评估。[结果]观察组自我护理能力、生活质量改善情况与对照组比较,差异有统计学意义(P<0.01),再次入院率低于对照组(P<0.01)。[结论]冠心病病人经皮冠状动脉介入术后出院计划护理方案的临床应用,能够降低冠心病病人再次入院率,提高病人自我保健意识并规范病人行为,解决了病人出院后护理支持不足的问题,提高病人出院后的生活质量。更多还原

【Abstract】 Objective:To probe into the influence of discharge intervention program on self care and quality of life of coronary disease patients after percutaneous coronary intervention.Methods:A total of 100 patients with coronary disease were divided into control group and observation group by the method of random digits table,50 cases in each.The patients in two groups received the routine rehabilitation guidance when they leaved hospital,while the patients in observation group received discharge intervention on the basis of that,to establish intervention team,formulate discharge program,and the patients were interviewed after they leaved hospital for 1month,3months,6months and 1year,to supervise and guide the implementation of discharge nursing program.The patients’ self-care ability was compared between both groups in 1year after discharging and they were evaluated by using Seattle angina assessment of quality of life scale(SAQ)and readmission rate in two groups.Results:There was statistically significant difference in the patients’ self care ability and development of life quality between both groups(P<0.05,P<0.01),the patients’ readmission rate in observation group was lower than that in control group(P<0.05).Conclusion:The clinical application of discharge nursing program for patients with coronary disease after percutaneous coronary intervention can reduce their readmission rate,improve their self-care consciousness and standardize their behaviors.It sloves the problem of insufficient nursing support and improves patients’ quality of life after they leaved hospital.更多还原