摘要
目的浅析急性心肌梗死经皮冠状动脉介入术(PCI)后采取延续护理模式对患者生活质量的影响。方法将2022年1月至2022年12月于郑州大学第二附属医院行经皮冠状动脉介入术的患者105例,依据随机数表法分为对照组(52例)与观察组(53例),对照组接受常规护理,观察组在对照组的基础上接受延续护理,就两组患者遵医行为、不良情绪、生活质量、再发心肌梗死及不良心血管事件发生率进行比较。结果观察组患者遵医行为均高于对照组,差异有统计学意义(P<0.05)。护理后,两组患者生活质量各项指标均有所改善,且观察组高于对照组,差异有统计学意义(P<0.05)。护理后,两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均有所降低,且观察组评分低于对照组,差异有统计学意义(P<0.05)。观察组再发心肌梗死、不良心血管事件发生风险均低于对照组,差异有统计学意义(P<0.05)。结论对于急性心肌梗死PCI术后患者开展延续护理模式具有积极意义,有效提高其遵医行为,缓解不良情绪,提高生活质量,降低不良心血管事件发生风险,具有良好的临床价值。
Objective To analyze the impact of adopting continuous nursing model after percutaneous coronary intervention(PCI)on the quality of life of patients with acute myocardial infarction.Methods A total of 105 patients who underwent percutaneous coronary intervention at the Second Affiliated Hospital of Zhengzhou University from January 2022 to December 2022 were randomly divided into control group (52 cases) and observation group (53 cases) using a random number table method. The control group received routine nursing, while the observation group received continuous nursing on the basis of the control group. The compliance behavior, adverse emotions, quality of life, incidence of recurrent myocardial infarction, and adverse cardiovascular events of the two groups of patients were compared. Results The compliance behavior of the observation group patients was higher than that of the control group, and the difference was statistically significant (P < 0.05). After nursing, all quality of life indicators of the two groups of patients improved, and the observation group was higher than the control group, with statistical significance (P < 0.05). After nursing, the scores of the Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) in both groups of patients decreased, and the observation group had lower scores than those in the control group, with statistical significance (P < 0.05). The risk of recurrent myocardial infarction and adverse cardiovascular events in the observation group was lower than that in the control group, and the difference was statistically significant (P < 0.05). Conclusion It is of positive significance for patients with acute myocardial infarction to carry out continuous nursing mode after PCI, effectively improve their compliance behavior, relieve bad mood, improve quality of life, and reduce the risk of adverse cardiovascular events, it has good clinical value.
作者
刘永莉
LIU Yongli(Second Affiliated Hospital of Zhengzhou University,Third Ward of Cardiovascular Department,Zhengzhou Henan 450000,China)
出处
《临床研究》
2024年第6期164-167,共4页
Clinical Research
关键词
延续护理
生活质量
遵医行为
经皮冠状动脉介入术
continuing nursing
quality of life
compliance behavior
percutaneous coronary intervention
作者简介
刘永莉,女,主管护师,本科。研究方向:心血管疾病相关护理方面。
