摘要
目的探讨心脏康复对经皮冠状动脉支架植入(PCI)术后患者自我管理能力的影响。方法按照随机数字表法将2018年6—12月在邹平市人民医院实施PCI的60例患者分为观察组和对照组,每组各30例。对照组实施常规治疗和护理,观察组通过康复团队实施心脏康复管理。术后3个月均采用冠心病自我管理行为量表进行调查,比较两组患者自我管理良好率。结果对照组和观察组患者在PCI术后3个月的自我管理良好率分别为43.33%和76.67%,差异有统计学意义(P<0.05);观察组在自我管理7个维度中的规范率均高于对照组,差异有统计学意义(P<0.05);观察组患者的心功能指标优于对照组,差异有统计学意义(P<0.05);观察组PCI术后治疗及康复总满意度高于对照组,差异有统计学意义(P<0.05)。结论心脏康复可明显提高PCI术后患者自我管理良好率,帮助建立规范的自我管理行为,提高其生活质量。
Objective To explore the effect of cardiac rehabilitation on the self-management ability of patients after percutaneous coronary stent implantation(PCI).Methods A total of 60 patients admitted to the People’s Hospital of Zouping City and treated with PCI from June to December 2018 were divided into the observation group(n=30)and the control group(n=30)according to the random number table method.The control group was given conventional treatment and nursing,while the observation group was given cardiac rehabilitation management through rehabilitation team.Three months after operation,the self-management behavior scale of coronary heart disease was applied to investigate and compare the superiority rates of self-management between the two groups of patients.Results The superiority rates of self-management of patients in the control group and the observation group after PCI were 43.33%and 76.67%,respectively,with statistically significant difference(P<0.05).The standardized rates in the seven dimensions of self-management in the observation group was higher than that in the control group(P<0.05).The cardiac function indexes of the two groups of patients in the observation group were superior than those in the control group,and the differences were statistically significant(P<0.05).The total satisfactory degrees of treatment and rehabilitation after PCI in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Cardiac rehabilitation can significantly improve the superiority rates of self-management of patients after PCI,help establish standardized self-management behavior and improve their qualities of life.
作者
宋翠华
张秋玲
许平
王丽霞
李林清
SONG Cuihua;ZHANG Qiuling;XU Ping;WANG Lixia;LI Linqing(Department of Nursing,the People's Hospital of Zouping City,Shandong,Zouping 256200,China;Department of Cardiology,the People's Hospital of Zouping City,Shandong,Zouping 256200,China;Department of Cardiac Surgery,the People's Hospital of Zouping City,Shandong,Zouping 256200,China)
出处
《中国医药科学》
2021年第1期167-171,共5页
China Medicine And Pharmacy
关键词
心脏康复
经皮冠状动脉支架植入
自我管理
冠心病
影响
Cardiac rehabilitation
Percutaneous coronary stent implantation
Self-management
Coronary heart disease
Impact
