| 尹姣,高欢筱,孙楠,史敏,王倩,王娟,卫攀.互联网+Teach-back在急性心肌梗死PCI术后患者延续护理中的应用效果研究[J].上海护理,2023,23(10): |
| 互联网+Teach-back在急性心肌梗死PCI术后患者延续护理中的应用效果研究 |
| Application effect of internet and Teach-back method in continuous nursing of patients with acute myocardial infarction after PCI |
| DOI： |
| 中文关键词: 互联网 回授法 急性心肌梗死 延续护理 |
| 英文关键词:Internet Teach-back Acute Myocardial Infarction PCI Continuation of care |
| 基金项目:空军军医大学第二附属医院护理科研课题基金 |
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| 中文摘要: |
| 目的 探讨互联网+Teach-back在急性心肌梗死PCI术后患者延续护理中的应用效果。方法 采用随机数字表法，将某三级甲等医院心血管内科住院的100例急性心肌梗死多支病变行PCI术的患者分为对照组和试验组，对照组应用Teach-back延续护理，试验组应用互联网+Teach-back延续护理模式，分别于出院即刻、术后3个月、6个月对研究对象进行生活质量评定、延续护理成效、六分钟步行实验、心血管不良事件及非计划再入院率评价。结果 试验组3、6个月生活质量改善幅度明显大于对照组，在体力状况、病情、一般生活三个维度显著提高（P＜0.001）；试验组3、6个月延续护理成效改善幅度明显大于对照组，在生理状况及健康行为两个维度显著提高（P＜0.001）；两组患者出院后3、6个月六分钟步行实验距离均显著增加（P＜0.01），且试验组改善幅度明显大于对照组；试验组心绞痛发生率（14.0%）、充血性心力衰竭发生率（2.0%）、非计划再入院发生率（6.0%）低于对照组（32.0%，14.0%，22.0%）且差异有统计学意义（P＜0.05），两组患者在非致命性心肌梗死发生率、严重心律失常发生率、血运重建发生率差异无统计学意义（P＞0.05）。结论 互联网+Teach-back延续护理模式有利于PCI术后患者的康复，对提高患者术后生活质量、延续护理成效及心血管不良事件发生率及非计划再入院率有积极的意义。 |
| 英文摘要: |
| Objective To explore the application effect of Internet and Teach-back method in the continuous nursing of patients with acute myocardial infarction after PCI. Methods A total of 100 patients with acute myocardial infarction who underwent PCI were divided into two groups: Control Group and Experiment Group. Teach-back extended nursing was used in the control group, the experimental group was using the Internet + Teach-back Continuum of Care Model. The quality of life, effect of continuous nursing, six-minute walk experiment, adverse cardiovascular events and unplanned readmission rate were evaluated at immediate discharge and 3 months and 6 months after operation. Results The improvement of the quality of life of the experimental group at 3 and 6 months was significantly greater than that of the control group, and the three dimensions of physical status, illness, and general life were significantly improved (P<0.001);The improvement of continuous nursing effect in the experimental group was significantly greater than that of the control group at 3 and 6 months, and the two dimensions of physiological status and healthy behavior were significantly improved (P<0.001). The experimental distance of 6-minute walking increased significantly in both groups at 3 and 6 months after discharge（P＜0.01）,and the improvement rate in the experimental group was significantly greater than that of that in the control group; the incidence of angina pectoris (14.0%), congestive heart failure (2.0%), and unplanned readmission (6.0%) in the experimental group were lower than those in the control group (32.0%, 14.0%, 22.0%) The difference was statistically significant (P<0.05). There was no significant difference in the incidence of non-fatal myocardial infarction, serious arrhythmia and revascularization between the two groups (P>0.05). Conclusion The Internet + Teach-back continuous nursing model is beneficial to the recovery of patients after PCI, and has positive significance in improving the quality of life of patients after PCI, continuing the nursing effect, and reducing the incidence of postoperative cardiovascular adverse events and unplanned readmission rates. |
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