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目的探讨临床护理路径对冠心病经皮冠状动脉介入治疗术后患者自我管理能力及生活质量的影响。方法选取许昌市中心医院2014年9月—2016年3月收治的77例冠心病患者,所有患者均行经皮冠状动脉介入治疗,随机分为对照组38例和观察组39例。对照组根据常规护理模式展开护理,观察组根据临床护理路径展开护理。随访3个月,采用自制自我管理能力调查问卷从社会心理、躯体活动、治疗及饮食管理四个项目评估患者自我管理能力;采用GQLI/74(生活质量综合评定问卷)从躯体功能、心理功能、社会功能、物质生活状态四个维度评估患者生活质量。结果护理前,两组自我管理能力评分差异均无统计学意义(P>0.05);护理后,观察组社会心理管理评分、躯体活动管理评分、治疗管理评分、饮食管理评分,均高于对照组,差异有统计学意义(P<0.05);护理前,两组生活质量评分差异均无统计学意义(P>0.05);护理后,观察组躯体功能评分、心理功能评分、社会功能评分、物质生活状态评分,均高于对照组,差异有统计学意义(P<0.05)。结论临床护理路径应用于冠心病经皮冠状动脉介入治疗患者中,可有效提高患者术后自我管理能力及生活质量。
Objective To explore the influence of clinical nursing pathway on self-management ability and quality of life in patients with coronary artery disease after percutaneous coronary intervention. Methods 77 patients with coronary heart disease admitted from September 2014 to March 2016 in Central Hospital of Xuchang were enrolled. All patients underwent percutaneous coronary intervention were randomly divided into control group (38 cases) and observation group (39 cases). The control group started nursing according to the routine nursing mode, and the observation group started nursing according to the clinical nursing path. Follow-up for 3 months, self-management self-management questionnaire was used to evaluate the self-management ability of patients from four aspects: social psychology, physical activity, treatment and diet management. According to the questionnaire of physical function, psychological function, Social function, material life status of four dimensions to assess the quality of life of patients. Results Before nursing, there was no significant difference in scores of self-management ability between the two groups (P> 0.05). After nursing, the scores of social psychological management, physical activity management, treatment management and diet management in the observation group were higher than those in the control group (P <0.05). Before nursing, there was no significant difference in quality of life between the two groups (P> 0.05). After nursing, the physical function score, mental function score, social function score, Life status scores were higher than the control group, the difference was statistically significant (P <0.05). Conclusion The clinical nursing pathway is applied to patients with coronary artery disease treated by percutaneous coronary intervention, which can effectively improve self-management ability and quality of life of postoperative patients.