延续性护理对冠心病合并2型糖尿病患者PCI术后预后影响.docVIP

延续性护理对冠心病合并2型糖尿病患者PCI术后预后影响 　　[摘要]目的 探讨延续性护理对冠心病合并2型糖尿病患者PCI术后预后的影响。方法 选取2014年5月～2016年4月在我院择期行冠脉内支架植入术（PCI术）治疗的冠心病合并2型糖尿病患者共220例，采取简单随机抽签法分为常规护理组及延续性护理组，每组110例。分别施予不同的护理方式，比较两组患者术后1年时服药依从性，血压、血脂、血糖等心血管危险因素控制水平，支架内再狭窄率等指标的差异。结果 延续性护理组患者术后1年时服药依从性高于常规护理组，1年内再住院次数，术后1年时血压、血脂、血糖水平及支架内再狭窄率均低于常规护理组，差异均有统计学意义（P0.05）。结论 在接受PCI治疗的冠心病合并2型糖尿病的患者中，延续性护理有利于增强患者自我管理水平，提高生活质量，改善预后。 　　[关键词]延续性护理；冠心病合并2型糖尿病；PCI 　　[中图分类号] R541.4 [文献标识码] A [文章编号] 1674-4721（2018）1（b）-0175-04 　　[Abstract]Objective To discuss the effect of continuous nursing on prognosis of patients with coronary heart disease complicated with type 2 diabetes treated by percutaneous coronary intervention（PCI）.Methods From may 2014 to April 2016，220 patients with coronary heart disease complicated with type 2 diabetes were enrolled in our hospital.Simple random draw method was used to divide into conventional nursing group and continuous nursing group，110 cases in each group. Different nursing methods were applied to compare the differences of medication compliance，control level of cardiovascular risk factors such as blood pressure，blood lipid，blood glucose and stent restenosis rate between the two groups at one year after operation.Results The medication compliance of the patients in the continuous nursing group was higher than that in the conventional nursing group，and the number of hospital stays in one year.The blood pressure，blood lipid，blood glucose level and stent restenosis rate were lower than those in the conventional nursing group （P0.05）.Conclusion The continuity of care improve the self-management level，quality of life and the prognosis in patients of coronary heart disease complicated with type 2 diabetes after PCI. 　　[Key words]Continuity of care；Coronary heart disease complicated with type 2 diabetes mellitus；Percutaneous coronary intervention 　　冠心病患者接受?皮冠脉内支架植入术（percutaneous coronary intervention，PCI）治疗后病情可以得到迅速好转，但在出院后的家庭自我管理的恢复过程中，多数患者缺乏有效而规范的专业指导。2型糖尿病是冠心病的重要危险因素之一，血糖控制满意与否与冠心病的发病率及预后密切相关，相比而言，合