摘要
目的探讨基于LACE风险模型的院后护理对冠心病冠状动脉介入治疗(PCI)术后患者再入院率的影响。方法本研究选取2018年2月—2020年4月河南省某医院收治的78例冠心病患者为研究对象。按随机数字表法将患者分为观察组(n=39)与对照组(n=39)。对照组患者采用常规院后护理,观察组患者在对照组基础上采用基于LACE风险模型的护理干预。比较2组患者干预2个月时的遵医情况及二级预防知识知晓率;比较2组患者干预前及干预2个月时冠心病自我管理行为量表(CSMS)得分及6 min步行试验(6MWT)距离;比较2组患者干预2个月内的不良心脏事件发生率及再入院率。结果观察组患者遵医率为94.87%,高于对照组的79.49%,差异有统计学意义(P<0.05)。观察组患者二级预防知识知晓率为97.44%,高于对照组的79.49%,差异有统计学意义(P<0.05)。干预前,2组患者CSMS评分及6WMT距离比较,差异均无统计学意义(P>0.05);干预后,2组患者CSMS评分均高于干预前,且观察组高于对照组,同时2组患者6WMT距离均长于干预前,且观察组长于对照组差异均有统计学意义(P<0.05)。观察组患者不良心脏事件发生率为2.56%,低于对照组的20.51%,差异有统计学意义(P<0.05)。观察组患者再入院率为2.56%,低于对照组的23.08%,差异有统计学意义(P<0.05)。结论基于LACE风险模型的护理干预应用于冠心病PCI术后患者的院后护理中,可提高患者遵医行为和二级预防知识知晓率,提高患者自我管理能力和运动耐力,预防不良心脏事件的发生,降低再入院率,值得临床推广应用。
Objective To investigate the effect of post-hospital care based on the LACE risk model on the readmission rate of patients after percutaneous coronary intervention(PCI)for coronary artery disease.Methods Seventy-eight patients with coronary heart disease admitted to a hospital in Henan province from February 2018 to April 2020 were selected for this study.The patients were divided into observation group(n=39)and control group(n=39)according to the random number table method.Patients in the control group received conventional post-hospital care,and patients in the observation group were given nursing interventions based on the LACE risk model on the basis of the control group.The compliance status and secondary prevention knowledge rate of patients in the two groups at 2 months of intervention were compared;the coronary heart disease self-management scale(CSMS)scores and 6 min walk test(6MWT)distance before and at 2 months of intervention were compared;the incidence of adverse cardiac events and readmission rate of patients in the two groups at 2 months of intervention were compared.Results The compliance rate of patients in the observation group was 94.87%,which was higher than that of 79.49%in the control group,and the difference was statistically significant(P<0.05).The knowledge rate of secondary prevention was 97.44%in the observation group,higher than that of 79.49%in the control group,and the difference was statistically significant(P<0.05).After the intervention,the CSMS scores of patients in both groups were higher than those before the intervention,and the observation group had higher scores than the control group,while the 6WMT distance of patients in both groups was longer than that before the intervention,and the observation group had longer than control group,and the differences were statistically significant(P<0.05).The incidence of adverse cardiac events was 2.56%in the observation group,which was lower than 20.51%in the control group,and the difference was statistically significant(P<0.05).The readmission rate of patients in the observation group was 2.56%,lower than that of 23.08%in the control group,and the difference was statistically significant(P<0.05).Conclusion Nursing interventions based on LACE risk model applied to post-hospital care of patients with coronary artery disease after PCI can improve patients′compliance behavior and knowledge of secondary prevention,improve patients′self-management ability and exercise endurance,prevent adverse cardiac events and reduce readmission rate,and are worthy of clinical promotion.
作者
杨阳
黄柳
赵佩
Yang Yang;Huang Liu;Zhao Pei(Special Needs Ward, The First Affiliated Hospital of Nanyang Medical College, Nanyang Henan 473000, China)
出处
《保健医学研究与实践》
2022年第1期142-145,149,共5页
Health Medicine Research and Practice
基金
河南省科技攻关计划项目(201504009)。
关键词
冠心病
LACE风险模型
冠状动脉介入治疗
不良心脏事件发生率
再入院率
Coronary artery disease
LACE risk model
Percutaneous coronary intervention
Incidence of adverse cardiac events
Readmission rate
