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目的探究院外系统护理干预对冠状动脉支架植入(Percutaneous Coronary Intervention,PCI)术患者出院后的护理质量及生活质量的影响。方法以心内科2014年1月—2015年7月行PCI术的120例患者为研究对象,通过随机数字表法将120例分为实验组和对照组,每组各60例,对实验组采用强化系统院外护理干预,包括建立专门院外护理干预管理小组对出院患者进行持续的健康教育指导、心理指导、用药指导及饮食指导,对照组则采用常规术后院外随机访问护理干预,比较2组患者的性别、平均年龄、病史、合并症情况、术后1年内靶血管成形、再住院、不良事件的发生率,所有患者均术后随访1年并进行问卷调查,调查内容包括院外自我管理行为及护理满意度的情况。结果对照组的再住院率、心肌梗死等不良事件发生率都高于实验组,差异存统计学意义(χ2=16.752,P<0.05);对照组在院外自我管理行为表各维度评分中,各方面均低于实验组,差异存在统计学意义(t=7.974,P<0.05);对照组对护理的总满意率为86.21%,明显低于实验组的98.31%,差异存在统计学意义(χ2=5.926,P<0.05)。结论采用强化系统院外护理干预的方法可降低心脏不良事件发生的风险,提高患者的主观能动性、出院后的护理质量及生活质量,对临床推广具有积极意义,值得应用。
Objective To explore the effect of systematic nursing intervention on the quality of care and quality of life after discharge from hospital in patients undergoing Percutaneous Coronary Intervention (PCI). Methods From January 2014 to July 2015 in Cardiology, 120 patients undergoing PCI were enrolled. 120 cases were divided into experimental group and control group by random number table method, 60 cases in each group. The experimental group Intensified systematic hospital nursing intervention, including the establishment of specialized hospital care intervention management team for discharge of patients with continuous health education guidance, psychological guidance, medication guidance and diet guidance, the control group were used routine postoperative outpatient random access nursing interventions, the two groups of patients The average age, medical history and comorbidities, the target angioplasty, rehospitalization and the incidence of adverse events within 1 year after operation were retrospectively analyzed. All the patients were followed up for 1 year and were surveyed. The survey included the behaviors of hospital self-management and Nursing satisfaction. Results The incidence of adverse events such as rehospitalization rate and myocardial infarction were higher in the control group than in the experimental group (χ2 = 16.752, P <0.05). In the control group, among the scores of self-management behavior scale (T = 7.974, P <0.05). The total satisfaction rate of the control group to the nursing was 86.21%, which was significantly lower than that of the experimental group (98.31%), the difference was statistically significant (χ2 = 5.926, P <0.05). Conclusion The intensive nursing intervention can reduce the risk of adverse cardiac events, improve the patients’ subjective initiative, quality of care after discharge and quality of life, which is of great significance to clinical application.