| 丁飚.延续护理干预对改善行PCI术后老年患者自我管理行为的效果评价[J].上海护理,2018,18(8): |
| 延续护理干预对改善行PCI术后老年患者自我管理行为的效果评价 |
| Effect evaluation of the self management behavior of the PCI postoperative elderly patients who accept the continuation of nursingcare |
| 投稿时间：2017-02-21 修订日期：2017-12-11 |
| DOI： |
| 中文关键词: 延续护理 冠状动脉介入 老年患者 自我管理 |
| 英文关键词:continuation of carecoronary artery interventionelderly patientsself management |
| 基金项目:上海杉达学院国际医学技术学院科研课题（编号：2015YJ01） |
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| 中文摘要: |
| 目的：分析延续护理对行老年PCI术后患者自我管理行为的影响
方法：将2016年1月-2016年6月收治的108例行PCI术后老年患者随机编号分组，对照组（n=54）给予患者常规出院指导和随访；观察组（n=54）实施延续护理模式，将健康教育、电话随访、门诊随访、来院授课、定期复查等护理工作延续到家庭中。应用冠心病自我管理量表评估随访期间的延续护理效果。结果：实施延续护理后，2组患者出院后6个月实验室检查结果均有统计学意义，P值<0.05，空腹血糖（mmol/L）、总胆固醇（mmol/L）、甘油三酯（mmol/L）、低密度脂蛋白（mmol/L）、高密度脂蛋白（mmol/L）分别是：5.535±0.558；3.738±1.090；1.106±0.837；1.634±0.607；1.498±0.700；差异均有统计学意义，T值分别为4.928；4.390；2.083；8.859；-4.599。2组患者出院后3个月、6个月自我管理行为均有统计学意义，P值<0.01，其自我管理总分、不良嗜好、日常生活、症状、疾病知识、治疗依从性、急救、情绪认知管理得分分别是：97.981±10.450、97.944±10.543；15.481±2.305、15.519±2.247；16.222±3.225、16.148±3.201；12.926±2.641、12.963±2.599；19.593±3.595、19.630±3.599；7.704±1.513、7.778±1.526；10.778±1.930、10.815±1.854；15.278±2.825、15.093±3.030；T值分别是：-4.329、-6.360；-3.498、-5.101；-3.444、-3.420；-1.635、-4.594；-4.296、-6.504；0.799、-1.496；0.374、-4.165；-3.046、-4.010。结论：延续护理能提高老年PCI术后患者的自我管理行为，减少心血管不良事件的发生，提高患者的生存质量。 |
| 英文摘要: |
| Objective: Effect evaluation of the self management behavior of the PCI postoperative elderly patients who accept the continuation of nursingcare.Methods:In January 2016 - June 2016, 108 of PCI postoperative elderly patients with random number group, control group (n = 54) giving patients with conventional discharge guidance and follow-up.Observation group (n = 54) continue nursing mode, health education, telephone follow-up, outpatient follow-up, to school teaching, nursing work such as the continuation of periodic review to the family.Application of coronary heart disease self-management scale to evaluate the continuation of the nursing effect during the follow-up period.Results:Continue nursing after 6 months after two groups of patients discharged from hospital laboratory results were statistically significant, P values < 0.05, fasting plasma glucose (mmol/L), total cholesterol (mmol/L), triglycerides (mmol/L), low density lipoprotein (mmol/L), high-density lipoprotein cholesterol (mmol/L), respectively is: 5.535±0.558；3.738±1.090；1.106±0.837；1.634±0.607；1.498±0.700; Differences were statistically significant, T value were 4.928；4.390；2.083；8.859；-4.599.2 groups of patients discharged from hospital after 3 months, 6 months self-management behavior were statistically significant, P values < 0.01, the total score, self management bad habits, daily life, symptoms, disease knowledge, treatment adherence, first aid, mood, cognitive management score, respectively is: 97.981±10.450、97.944±10.543；15.481±2.305、15.519±2.247；16.222±3.225、16.148±3.201；12.926±2.641、12.963±2.599；19.593±3.595、19.630±3.599；7.704±1.513、7.778±1.526；10.778±1.930、10.815±1.854；15.278±2.825、15.093±3.030; T value are: -4.329、-6.360；-3.498、-5.101；-3.444、-3.420；-1.635、-4.594；-4.296、-6.504；0.799、-1.496；0.374、-4.165；-3.046、-4.010.Conclusion: Continue nursing can improve the old patients with PCI postoperative self-management behavior, reduce the occurrence of cardiovascular adverse events, improve the quality of life of patients. |
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