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目的观察延续性护理对冠心病患者介入术后自我管理的影响。方法 140例行介入术的冠心病患者,随机分为对照组与观察组,每组70例。对照组应用常规护理模式,观察组行延续性护理模式。应用本院自制问卷调查两组患者的自我管理能力。结果出院时两组定期复查、生活规律、遵医嘱用药、合理饮食、规律运动评分比较差异均无统计学意义(P>0.05),出院半年及1年观察组定期复查[(86±4)、(87±2)分]、生活规律[(85±5)、(92±3)分]、遵医嘱用药[(63±3)、(65±1)分]、合理饮食[(87±4)、(97±3)分]、规律运动评分[(76±3)、(87±3)分]均高于对照组定期复查[(71±3)、(63±2)分]、生活规律[(83±2)、(47±2)分]、遵医嘱用药[(46±2)、(28±1)分]、合理饮食[(81±3)、(49±2)分]、规律运动评分[(60±2)、(55±3)分],差异均具有统计学意义(P<0.05)。结论在行介入术冠心病患者的临床护理中,应用延续性护理能够有效提高患者的自我管理能力,预后良好,值得推广。
Objective To observe the effect of continuous nursing intervention on postoperative self-management in patients with coronary heart disease. Methods A total of 140 patients with coronary artery disease undergoing interventional therapy were randomly divided into control group and observation group, with 70 cases in each group. In the control group, the routine nursing model was used to observe the continuous nursing model in the group. Self-management questionnaire was used to investigate the self-management ability of two groups of patients. Results There was no significant difference in regular exercise, regular diet, reasonable diet and regular exercise scores between the two groups at discharge (P> 0.05). The patients in the six months and one year after discharge were regularly reviewed [(86 ± 4), (87 ± 2) points], and the regularity of life [(85 ± 5), (92 ± 3) points] and [63 ± 3 and 65 ± 1 points] ), (97 ± 3), and regular exercise scores (76 ± 3, 87 ± 3) were significantly higher than those in the control group (71 ± 3, 63 ± 2) (83 ± 2) and (47 ± 2) points, and the prescribed medication [(46 ± 2) and (28 ± 1) points, respectively, and the reasonable diet [81 ± 3 and 49 ± 2] , And regular exercise scores [(60 ± 2), (55 ± 3) points], the differences were statistically significant (P <0.05). Conclusion In the clinical interventional care of patients with coronary heart disease, the use of continuous care can effectively improve the self-management of patients with good prognosis, it is worth promoting.