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目的:探讨控制“关键点”原理对冠心病患者心脏事件发生的作用。方法:将200例冠心病患者随机分为观察组和对照组各100例,两组均进行心脑血管疾病内科常规治疗,在此基础上对照组采用传统的护理方式,观察组利用控制“关键点”原理进行护理;跟踪观察两组患者住院治疗及出院后的1年内复发再住院率、病死率、心脏事件发生率、住院时间。结果:观察组再住院率、病死率、心脏事件发生率明显低于对照组(P<0.01),住院时间明显短于对照组(P<0.01)。结论:采用控制“关键点”原理进行冠心病患者的疾病管理,可明显降低再住院率、病死率及心脏事件的发生率,缩短住院时间。
Objective: To explore the role of control “key points ” principle in the occurrence of cardiac events in patients with coronary heart disease. Methods: 200 patients with coronary heart disease were randomly divided into observation group and control group with 100 cases in each group. Both groups were treated routinely with cardiology and cerebrovascular disease. On the basis of this, the control group was treated with traditional nursing methods, Key points “principle of care; follow-up observation of two groups of patients hospitalized and discharged within 1 year of recurrence and re-hospitalization rate, mortality, the incidence of cardiac events, hospital stay. Results: The rehospitalization rate, mortality and the incidence of cardiac events in the observation group were significantly lower than those in the control group (P <0.01). The hospital stay was significantly shorter than that in the control group (P <0.01). Conclusion: The management of coronary heart disease by controlling the ”key points" principle can significantly reduce the incidence of rehospitalization, fatality and cardiac events and shorten the hospital stay.