延续性护理对冠心病介入治疗患者预后影响.docVIP

延续性护理对冠心病介入治疗患者预后影响 　　【摘要】目的探讨延续性护理在冠心病介入治疗后患者中的应用价值。 　　方法以150例行介入治疗后的冠心病患者作为研究对象，将其随机分为两组，对照组75例，给予常规护理，观察组75例给予延续性护理，采用SF36健康调查量表中文版对患者的生活质量进行调查，对比两组患者生活质量的评分情况、治疗依从性、不良心脏事件的发生情况等。 　　结果观察组患者生理机能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神状态等8个维度的评分均高于对照组（Plt;0.05或0.01）。观察组患者在坚持服药、合理饮食、规律运动、定期复诊等治疗依从性方面均优于对照组（Plt;0.01），且不良心脏事件发生率显著低于对照组（Plt;0.01）。 　　结论对行介入治疗后的冠心病患者实施延续性护理可有效降低不良心脏事件的发生率，改善患者生活质量，值得推广。 　　【关键词】冠心病;介入治疗;生活质量;应用价值 　　中图分类号：R473.5文献标识码：ADOI：10.3969/j.issn2016.01.010 　　【Abstract】ObjectiveTo explore the value of continuing nursing in prognosis of patients with coronary heart disease （CHD） after intervention therapy. 　　Methods150 patients with CHD after intervention therapy were selected as study objects and randomly divided into control group and observation group with 75 cases in each group. The control group were given routine care， while the observation group were given continuing nursing. SF36 health survey questionnaire （Chinese version） was used to investigate patients’ life quality. Then， scores of patients’ life quality， treatment compliance， and occurrence of adverse cardiac events（ACE）， etc. were compared between groups. 　　Results Scores of patients’ life quality on eight dimensions including physical functions， somatic pain， general health status， energy， social function， emotional function， mental status of the observation group were all higher than those of the control group（Plt;0.05 or 0.01）. In addition， the observation group had better treatment compliance than the control group on taking all their medicine， reasonable diet， regular exercise and reexamination（Plt;0.01）.The incidence of ACE in the observation group was significantly lower than that of the control group（Plt;0.01）. 　　ConclusionContinuing nursing can effectively reduce incidence of ACE of CHD patients after interventional therapy， and improve patients’ life quality. Thus， it is worthy of promotion in clinical practice. 　　【Key words】coronary heart disease; interventio