【摘要】 目的:探讨延续性院内-院外双护理方案在行冠状动脉介入术病人中的应用效果。方法:选取冠状动脉粥样硬化性心脏病病人86例,按照随机数字表法分为观察组和对照组,各43例。对照组采用常规护理,观察组在对照组基础上引入延续性院内-院外双护理方案。于入院时及出院后第1、3个月分别对2组病人进行冠心病认知水平问卷调查和冠心病危险因素控制评价,并比较2组病人不良事件发生率。结果:2组病人入院时康复知识和预防行为评分差异均无统计学意义(P> 0. 05);出院1、3个月后,观察组康复知识及预防行为评分均明显高于对照组(P <0. 01)。2组病人入院时血压、低密度脂蛋白、空腹血糖、戒烟及运动控制达标率差异均无统计学意义(P> 0. 05);出院1、3个月后,观察组血压、低密度脂蛋白、空腹血糖、戒烟及运动控制达标率均明显高于对照组(P <0. 01)。观察组病人急性心肌梗死和不稳定心绞痛发生率均明显低于对照组(P <0. 01)。结论:延续性院内-院外双护理方案有助于提高行冠状动脉介入术病人的疾病认知水平,控制不良行为,降低不良事件发生率,值得临床推广。更多还原

【Abstract】 Objective: To explore the application effects of continuous within hospital-out of hospital dual care programme in patients treated with coronary intervention. Methods: Eighty-six patients with coronary heart disease were randomly divided into the observation group and control group( 43 cases each group). The control group was nursed with routine method,and the observation group was additionally nursed with continuous within hospital-out of hospital dual care programme based on the routine nursing. The cognitive level and risk factor control evaluation in two groups were investigated using questionnaire at admission,and after 1 and 3 months of discharge. The incidence rate of adverse events between two groups was compared. Results: The differences of the scores of rehabilitation knowledge and prevention behavior between two groups at admission were not statistically significant( P > 0. 05). The scores of rehabilitation knowledge and prevention behavior in observation group were significantly higher than those in control group after1 and 3 months of discharge( P < 0. 01). The differences of the BP,LDL-C,FBG,smoking cessation and sport motion control rate between two groups at admission were not statistically significant( P > 0. 05). The levels of BP,LDL-C,FBG,smoking cessation and motion control rate in observation group were significantly higher than those in control group after 1 and 3 months of discharge( P <0. 01). The incidence rates of acute myocardial infarction and unstable angina in observation group were significantly lower than those in control group( P < 0. 01). Conclusions: The continuous within hospital-out of hospital dual care programme can improve the cognitive level of disease,control bad behaviour,and reduce the incidence rate of adverse event in patients treated with coronary intervention,which is worthy of promotion in clinic.更多还原