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延续护理对老年冠状动脉介入术后患者康复效果的影响
潘媛媛,彭羽,陈萍
0
(四川省医学科学院·四川省人民医院 第三住院部老年心血管三病区,四川 成都610072;四川省医学科学院·四川省人民医院 .实用医院临床杂志编辑部,四川 成都610072)
摘要:
目的 探讨延续护理随访对老年患者冠状动脉介入术(PCI)后康复效果和生活质量的影响。方法 选取2015年6月~2016年2月于我院行PCI治疗的冠心病患者140例,随机分成对照组与观察组各70例。对照组采用常规护理,观察组予以延续护理,比较两组患者术后的康复效果及生活质量。结果 观察组心血管不良事件的发生率为5.71%,明显少于对照组的17.14%(P<0.05);两组患者出院12个月后心功能(LVEF)、6MVT距离均明显高于手术前,且观察组LVEF、6MVT距离明显高于对照组(均P<0.05);观察组患者在出院后6、12个月的SF-36评分中的生理、心理及社会功能和总体生活质量评分均明显高于对照组(P<0.05),且其分数呈上升趋势。结论 延续护理随访可提高老年患者PCI术后的康复效果和生活质量,可在临床推广应用。
关键词:  延续护理  冠状动脉介入术  生活质量  康复效果
DOI:
基金项目:四川省教育厅基金(ZYGX2016J175)
Effect of continuous nursing on the rehabilitation effect of elderly patients after percutaneous coronary intervention
PAN Yuanyuan,PENG Yu,CHEN Ping
(The Third Inpatient Cardiovascular Ward three, Sichuan Provincial People's Hospital Sichuan Academy of Medical Sciences, Chengdu 610072, China;Editorial Department of Journal of Clinical Utility Hospital, Sichuan Provincial People's Hospital Sichuan Academy of Medical Sciences, Chengdu 610072, China)
Abstract:
Objective To explore the effect of transitional followup care on rehabilitation and life quality of old patients after percutaneous coronary intervention(PCI).Methods From June 2015 to February 2016, 140 patients in our hospital after PCI infection with coronary heart disease were divided randomly into control group and observation group. The control group used conventional methods, while the observation group used transitional follow-up care. The rehabilitation and life quality of old patients after PCI were observed. Results The incidence of the cardiovascular adverse events (5.71%) was significantly less than that of the control group (17.4%)(P<0.05). The heart function (the level of the LVEF) and the distance of 6MVT of two groups after 12 months were significantly higher than that before PCI and that in the observation group was significantly higher than control group(P<0.05). 6 months and 12 months after discharge, the scores of physiological, psychological and social function and the overall life quality in SF36 of observation group were significantly higher than the control group (P<0.05). Conclusion Transitional follow-up care can significantly improve the effect on the rehabilitation and life quality of old patients after percutaneous coronary intervention.
Key words:  Transitional follow up care  Percutaneous coronary intervention  Life quality

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