摘要
目的探讨延伸护理模式对老年冠心病经皮冠状动脉支架植入术后患者用药依从性的影响。方法选择2018年1月至2019年9月徐州市中医院收治的90例老年冠心病经皮冠状动脉支架植入术后患者作为研究对象,按照随机数字表法分为对照组(n=45)和观察组(n=45)。对照组采用常规护理模式干预,观察组采用延伸护理模式干预。比较两组干预后生存质量、不同阶段用药依从性,不良事件发生率和药物不良反应。结果干预后1年观察组生理、心理、社会关系及环境领域评分均高于对照组,差异有统计学意义(P <0.05);观察组出院后1、2、6个月的用药剂量、用药间隔时间及用药次数的依从性明显优于对照组,差异有统计学意义(P <0.05);观察组随访1年内出现心血管不良事件(心绞痛,冠脉再狭窄)及再次住院的发生率均低于对照组,差异有统计学意义(P <0.05);观察组用药1年内不良反应发生率均低于对照组,差异有统计学意义(P <0.05)。结论在老年冠心病经皮冠状动脉支架植入术后患者实施延伸护理模式进行干预取得了显著的效果,能够提高患者的依从性,减少药物不良反应,降低不良事件发生的风险,改善患者的生存质量,获得良好的预后,值得推广应用。
Objective To explore the influence of extended nursing mode on medication compliance of elderly patients with coronary heart disease after percutaneous coronary stent implantation. Methods A total of 90 elderly patients with coronary heart disease after percutaneous coronary stent implantation from January 2018 to September 2019 in Xuzhou Hospital of Traditional Chinese Medicine were selected and randomly divided into control group(n=45) and observation group(n=45).The control group was intervened by routine nursing mode, while the observation group was intervened by extended nursing mode.The quality of life, medication compliance at different stages, incidence of adverse events and adverse drug reactions were compared between the two groups. Results One year after the intervention, the scores of physiological, psychological, social relations and environmental fields of the observation group were higher than those of the control group,the difference was statistically significant(P < 0.05);The compliance of medication dosage, interval time and frequency of medication in the observation group at 1 month, 2 months and 6 months after discharge was significantly better than that of the control group,the difference was statistically significant(P < 0.05);The incidence of adverse cardiovascular events(angina pectoris, coronary restenosis) and rehospitalization in the observation group were lower than those in the control group within 1 year of follow-up,the difference was statistically significant(P < 0.05);The incidence of adverse reactions in the observation group within one year was lower than that in the control group,the difference was statistically significant(P < 0.05). Conclusion The implementation of extended nursing intervention in elderly patients with coronary heart disease after percutaneous coronary stent implantation has achieved significant effect, which can improve the compliance of patients, reduce adverse drug reactions, reduce the risk of adverse events, improve the quality of life of patients, and obtain a good prognosis, which is worthy of promotion and application.
作者
颜廷翠
王艺静
YAN Tingcui;WANG Yijing(Internal Medicine-Cardiovascular Department,Xuzhou Hospital of Traditional Chinese Medicine,Jiangsu,Xuzhou 221000,China)
出处
《中国医药科学》
2021年第6期126-129,141,共5页
China Medicine And Pharmacy
关键词
延伸护理模式
老年冠心病
经皮冠状动脉支架
生存质量
用药依从性
Extended care model
Elderly coronary heart disease
Percutaneous coronary stent
Quality of life
Medication compliance
