张方霞 周国军 王艳华 王晨艳 宋 琼



延伸护理干预对急诊冠状动脉介入治疗患者生活质量的影响

张方霞 周国军 王艳华 王晨艳 宋 琼

【摘要】目的 探讨延伸护理干预对急诊冠状动脉介入治疗患者服药依从性和生活质量的影响，对比服药依从性与生活质量之间的关系。方法 选择2014年4～10月在我院CCU住院确诊急性心肌梗死并行急诊冠状动脉支架置入术的患者80例，将患者按出院先后顺序分为对照组40例和观察组40例，对照组在住院期间接收系统的健康教育及出院指导，观察组在健康教育及出院指导基础上采取延伸护理干预。结果 观察组在给予延伸护理干预后SF-36生活质量评分高于延伸护理干预前（P＜0.05），与对照组相比，高于对照组（P＜0.05）；观察组服药依从性高于对照组（P＜0.05），差异有统计学意义。结论 实施延伸护理干预能提高急诊冠状动脉介入治疗患者的服药依从性和生活质量。

【关键词】延伸护理干预；急诊冠状动脉介入；生活质量

Objective To explore the effect of extended nursing intervention on the compliance and quality of life of patients with emergency coronary intervention，and to compare the relationship between the compliance and quality of life. Methods From April to October 2014，80 patients with acute myocardial infarction who were hospitalized with acute myocardial infarction in our hospital were selected. The patients were divided into control group and observation group with 40 cases and observation group with 40 cases. Results The observation group was given extending nursing intervention of the SF-36 quality of life scores were higher than before extended nursing intervention（P＜0.05），compared with the control group，observation group was higher than that of the control group（P＜0.05）. observation group's compliance was higher than that of the control group （P ＜0.05），there was significant difference. Conclusion Extended nursing intervention can improve the compliance and quality of life of patients with emergency coronary intervention.

【Key words】 Extended nursing intervention，Emergency coronary intervention，Quality of life

急性心肌梗死属于冠心病最严重的类型，近几年来急性心肌梗死的发病率越来越高，已经成为影响大众健康的首要问题［1］。经皮冠状动脉介入治疗（PCI）是一种重要的治疗手段，但冠状动脉支架置入术后血管内再狭窄及支架内血栓影响其疗效，患者至少需要服药1年以上甚至终生服药，而坚持服药是保证其疗效的关键［2］。临床发现某些冠脉支架置入术后的患者以为放完支架冠心病就得以根治，出院后不遵医嘱服药、不定期门诊随访、生活方式不改变，造成许多不良的临床后果。……