许泓淼 方琴

【摘要】目的：对冠心病冠状动脉介入治疗术（PCI）后患者采取延续性护理干预的效果进行调查。方法：以我院64例冠心病PCI术治疗的患者为此次调查样本，将其随机分为对照组、观察组，两组患者数量相等，分别给予常规护理、延续性护理，比较两组患者护理效果。结果：两组患者出院时生活质量、心绞痛发作频率及血压水平无统计差异（P>0.05）；出院后2周、4周，观察组患者生活质量、心绞痛发作频率波动程度均优于对照组，血压波动程度低于对照组，统计有差异（P<0.05）。观察组患者再入院率、并发症发生率均低于对照组，统计有差异（P<0.05）。结论：冠心病PCI术后患者采取延续性护理干预能够改善患者生活质量。

【关键词】冠心病；PCI；延续性护理

[中图分类号]R473.5 [文献标识码]A [文章编号]2096-5249（2021）11-0008-02

Effect of continuous nursing intervention on patients with coronary heart disease after PCI

XU Hong-miao， FANG Qin* （The First Affiliated Hospital of Chongqing Medical University， Chongqing 400042， China）

[Abstract] Objective： To investigate the effect of continuous nursing intervention for patients with coronary artery disease after coronary intervention. Methods： 64 cases of patients with coronary heart disease treated by coronary intervention in our hospital were randomly divided into control group and observation group. The number of patients in two groups was equal， and routine nursing and continuous nursing were given respectively. Results： there was no statistical difference in quality of life， frequency of angina pectoris attack and blood pressure level between the two groups at discharge （P>0.05）； At 2 and 4 weeks after discharge， the quality of life and frequency fluctuation of angina pectoris in the observation group were better than those in the control group， and the blood pressure fluctuation degree was lower than that in the control group （P<0.05）. The readmission rate and complication rate of the observation group were lower than those of the control group （P<0.05）. Conclusion： continuous nursing intervention after coronary intervention can improve the quality of life of patients with coronary heart disease.

[Key words] Coronary heart disease； PCI； Continuous care

冠心病是臨床常见心血管疾病，本病的发生率非常高，对患者的健康有着非常不利的影响。经皮冠状动脉介入治疗（Percutaneous coronary intervention，PCI）是改善患者病情的主要方式，患者治疗后冠状动脉狭窄症状能够得到直接改善，病情治疗效果理想。但对于患者来说，术后生活方式、行为习惯对其病情的控制和维持有着直接的影响，若患者不能提升自我管理意识和能力则会导致病情进行性加重，甚至出现猝死[1]。因此针对PCI术患者开展术后管理十分重要。常规护理管理并不能够提供针对性、系统性随访，而延续性护理管理则不同，其能够在患者出院后之制定针对性随访管理，为患者提供专业指导和帮助。本次研究将针对延续性护理管理的干预效果进行调查。……