家庭式个体化护理干预对PCI术后患者生活方式影响.docVIP

家庭式个体化护理干预对PCI术后患者生活方式影响 　　【摘要】 目的：探讨家庭式个体化护理干预对PCI术后患者生活方式的影响。方法：将选取的140例患者按照随机数字表法分为对照组和试验组，各70例。对照组采用传统护理干预，试验组采用家庭式个体化护理干预，6个月后评价两组对生活方式的影响。结果：干预后试验组饮食、运动的达标率分别为90.00%和97.14%，明显高于对照组的40.00%和30.00%，差异均有统计学意义（P0.05）；试验组腹围、体质指数、收缩压、总胆固醇、低密度脂蛋白胆固醇控制情况均优于对照组，差异均有统计学意义（P0.05）。结论：家庭式个体化护理干预有利于PCI术后患者改变不良的生活习惯。 　　【关键词】 PCI； 生活方式； 家庭式个体化护理 　　Effect of Family Individualized Nursing Intervention for Lifestyle of Patients after PCI/ZENG Ling，XIA Hai-yan，YANG Li-min.//Medical Innovation of China，2017，14（26）：085-088 　　【Abstract】 Objective：To investigate the effect of family individualized nursing intervention for lifestyle of patients after PCI.Method：A total of 140 cases were selected and divided into the control group and the experimental group according to random number table method，70 cases in each group.The control group was given traditional nursing intervention，the experimental group was given family individualized nursing intervention.Six months later，the effects of two groups were evaluated.Result：The compliance rate of diet，exercise of the experimental group were 90.00% and 97.14%，higher than 40.00% and 30.00% of the control group，the differences had statistically significant（P0.05）.Abdominal circumference，body mass index，systolic blood pressure，total cholesterol and low-density lipoprotein cholesterol of the experimental group were better than those of the control group，the differences were statistically significant（P0.05）.Conclusion：Family individualized nursing interventions are in favor of PCI patients to change unhealthy habits. 　　【Key words】 PCI； Lifestyle； Family individualized nursing 　　First-author’s address：Meizhou City People’s Hospital，Meizhou 514031，China 　　doi：10.3969/j.issn.1674-4985.2017.26.022 　　?皮冠脉介入治疗（PCI）术能有效消除和缓解冠心病患者症状，是目前最为有效的治疗方法之一[1]。但PCI术仅能解除冠脉的机械狭窄，并不能治愈或阻止动脉粥样病变进展，因此PCI术后患者坚持二级预防治疗意义重大[2]。研究表明，冠心病是一种行为相关性疾病，术后良好的健康相关行为是确保手术效果、提高生活质量的主要因素[3-4]。有研究报道，出院后的定期随访能明显提高PCI术后患者的治疗依从性。住院期间多数患者受到正确的健康宣教能保持较好的健康行为，而部分患者出院后难以摒弃多年养成的不良习惯，如抽烟、