医学新知2024，Vol.34Issue(2)：129-136,8.DOI:10.12173/j.issn.1004-5511.202309024
专科护士主导的全程居家健康管理模式在冠心病患者PCI术后的应用
Application of nurses specialist-led whole-course home health management model in patients with coronary heart disease after PCI
摘要
Abstract
Objective To study effects of whole-course home health management based on specialist nurses on self-management ability and health-related behaviors of patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods Patients of coronary heart disease treated after PCI from January 2021 to December 2021 were collected and divided into observation group and control group.The control group given routine home health management,the observation group given whole-course home health education based on specialist nurses.Followed up for 12 months,self-management ability,health-related behaviors,major cardiovascular events were compared between two groups.Results 152 patients were collected and each group has 76 patients.During the trail,2 cases were excluded from the observation group and 4 cases were excluded from the control group,and finally 146 cases of the trial were completed,74 cases in the observation group and 72 cases in the control group.The observation group adverse habit management(17.54±2.36 vs.15.12±2.45),symptom management(14.25±2.35 vs.12.32±2.14),disease knowledge management(18.45±3.53 vs.15.72±3.45),daily life management(16.43±3.15 vs.14.72±3.08),treatment compliance management(12.36±1.54 vs.10.54±1.32),self-management ability total score(107.44±13.12 vs.95.56±12.43)were higher than that control group,the differences were statistically significant(P＜0.05);the observation group drug compliance(86.49%vs.72.22%),rational diet(85.14%vs.70.83%),regular exercise(81.08%vs.62.50%),quitting smoking(91.89%vs.80.56%),regular monitoring body mass(79.73%vs.63.89%)higher than that control group,the differences were statistically significant(P＜0.05);the observation group major cardiovascular events(9.46%vs.22.22%)lower than that control group(P＜0.05).Conclusion Whole-course home health management based on specialist nurses can improve self-management ability of patients with coronary heart disease after PCI,promote the formation of health-related behaviors,and reduce the incidence of major cardiovascular events.关键词
冠心病/经皮冠状动脉介入术/专科护士/自我管理能力/健康相关行为Key words
Coronary heart disease/Percutaneous coronary intervention/Specialist nurse/Self-management ability/Health-related behavior引用本文复制引用
金黎萍,徐菁,沈兰..专科护士主导的全程居家健康管理模式在冠心病患者PCI术后的应用[J].医学新知,2024,34(2):129-136,8.基金项目
国家自然科学基金青年科学基金项目(81900308) （81900308）
上海交通大学医学院护理科研项目(Jyhz2038) （Jyhz2038）
上海市胸科医院科技发展基金(YZ16-H02) （YZ16-H02）
