摘要
目的:评价居家护理平台对经皮冠状动脉介入治疗术(Percutaneous Coronary Intervention,PCI)术后患者自我管理的应用效果。方法:采用便利抽样法选取2018年9月至2019年8月在河南省某三级甲等医院5个冠心病病区住院的200例PCI术后患者作为研究对象,按随机数字表法分为实验组和对照组各100例。两组均接受常规的随访管理,实验组另外接受PCI术后居家护理平台管理。结果:干预后,实验组再住院率和不良事件发生率低于对照组(P<0.05)。实验组患者的抗栓药物、他汀类药物的二级预防药物用药率、生活方式改变(戒烟、康复运动)的依从性、血压、血糖、体质量、血脂的达标率均高于对照组(P<0.05)。结论:基于居家护理平台的管理可有效提高PCI术后患者的自我管理能力并促进生活方式改变。
Objective:To explore the application effect of Homecare Platform on self-management after Percutaneous Coronary Intervention(PCI)for patients with Coronary Heart Disease(CHD).Methods:A total of 200 patients with CHD after PCI in a tertiary grade A hospital in Henan province were recruited from September 2018 to August 2019,and were evenly divided into the control group and the experimental group according to the random number table method.Both groups were provided with routine follow-up management,while the experimental group was also provided with PCI Homecare Platform.Results:The rates of readmission and adverse events in the experimental group were lower than those in control group(P<0.05).In the experimental group,use rates of anti-thrombotic drugs,statin drugs and other secondary preventive drugs,compliance of lifestyle changes(smoking cessation,rehabilitation exercise),the standard rates for blood pressure,blood glucose,body weight and blood lipid were higher than those in the control group(P<0.05).Conclusion:Health management based on PCI Homecare Platform can effectively reduce the rates of readmission and adverse events of patients and improve their quality of life.
作者
乔秋萍
徐娟娟
杨巧芳
高宁
QIAO Qiuping;XU Juanjuan;YANG Qiaofang;GAO Ning(Department of Cardiology,Fuwai Central China Cardiovascular Hospital,Zhengzhou,451464,China)
出处
《中国护理管理》
CSCD
北大核心
2020年第8期1178-1182,共5页
Chinese Nursing Management
基金
河南省医学科技攻关计划项目(2018020471)。
关键词
居家护理平台
冠心病
介入治疗
自我管理
Homecare Platform
Coronary Heart Disease
postoperative interventional therapy
self-management
