摘要
目的探讨以微信平台为基础延续护理对冠心病经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后患者治疗依从性和生活质量影响。方法选取2017-01-01-2018-12-31焦作市第二人民医院收治的冠心病PCI术后患者为研究对象,根据性别、年龄和病程等因素组间平衡的原则选择观察组(182例)和对照组(180例)。对照组实施常规护理,观察组实施以微信平台为基础延续护理,干预6个月。比较两组患者用药依从性、冠心病危险因素控制情况、心血管不良事件发生情况和生活质量。结果干预后,观察组治疗依从性优良率为93.41%,高于对照组的77.22%,χ2=18.968,P<0.001;血压(blood pressure,BP)达标率、空腹血糖(fasting blood glucose,FBG)达标率、总胆固醇(total cholesterol,TC)达标率、低密度脂蛋白胆固醇(low density lipoprotein cholesterol,LDL-C)达标率、运动率及饮食控制率分别为66.48%、72.53%、73.63%、64.84%、66.48%和70.88%,均高于对照组的42.22%、45.00%、49.44%、45.00%、45.56%和48.90%,均P<0.001;吸烟率为23.63%,低于对照组的43.89%,χ2=16.629,P<0.001;再发心肌梗死、不稳定型心绞痛、室性心律失常及心跳骤停总发生率为13.33%,低于对照组的40.56%,χ2=34.558,P<0.001;生活质量各项评分均高于对照组,均P<0.001。结论以微信平台为基础的延续护理可提高冠心病PCI术后患者治疗依从性,有效控制危险因素,降低心血管不良事件的发生,改善生活质量。
OBJECTIVE This paper aims to explore the effect of continuous nursing based on WeChat platform on treatment compliance and quality of life of patients with coronary heart disease after percutaneous coronary intervention(PCI).METHODS From January 1,2017 to December 31,2018,patients with coronary heart disease after PCI in Jiaozuo Second People’s hospital were selected as the study objects.The observation group(182 cases)and the control group(180 cases)were selected according to the principle of the balance of sex,age,course of disease and other factors.The control group received routine nursing,while the observation group received continuous nursing based on WeChat platform,and the intervention lasted for 6 months.The compliance,risk factors control,cardiovascular events and quality of life were compared between the two groups.RESULTS After intervention,the excellent rate of treatment compliance in the observation group was 93.41%,higher than that in the control group(77.22%),χ2=18.968,P<0.001.After intervention,the blood pressure,fast blood glucose,total cholesterol,low density lipoprotein cholesterol control rate,exercise rate and food control rate in the observation group were 66.48%,72.53%,73.63%,64.84%,66.48%and 70.88%,higher than those in the control group(42.22%,45.00%,49.44%,45.00%,45.56%and 48.90%),all P<0.001.The total incidence of recurrent myocardial infarction,unstable angina,ventricular arrhythmia and cardiac arrest in the observation group was 13.33%,lower than 40.56%in the control group,χ2=34.558,P<0.001.After intervention,the scores of quality of life in the observation group higher than those in the control group,all P<0.001.CONCLUSION Continuing nursing based on WeChat platform can improve the treatment compliance of patients with coronary heart disease after PCI,effectively control risk factors,reduce the occurrence of adverse cardiovascular events,and improve the quality of life.
作者
乔宁宁
丁美幸
王宁
路利慧
QIAO Ning-ning;DING Mei-xing;WANG Ning;LU Li-hui(First Cardiovascular District,Second People's Hospital of Jiaozuo City,Jiaozuo 454000,P.R.China;Cardiovascular Area I,Jiaozuo Central Hospital,Jiaozuo 454000,P.R.China;ICU,Jiaozuo People's Hospital(Southern District),Jiaozuo 454000,P.R.China)
出处
《社区医学杂志》
2020年第7期525-529,共5页
Journal Of Community Medicine
关键词
微信平台
延续性护理
冠心病
经皮冠状动脉介入治疗
依从性
生活质量
Wechat platform
continuous care
coronary heart disease
percutaneous coronary intervention
treatment compliance
quality of life
作者简介
第一作者:乔宁宁,女,河南焦作人,护师,主要从事心内科护理的研究工作。Tel:86-22-23340123-6119,E-mail:qiaoningningjz@163.com;通信作者:丁美幸,女,河南焦作人,副主任护师,主要从事全科护理的研究工作。Tel:86-22-23340123-6119,E-mail:408745625@qq.com
