强化健康教育对经皮冠状动脉介入多血管病变患者的影响

目的 评估强化冠心病病人心脏康复(cardiac rehabilitation,CR)对经皮冠状动脉介入(percutaneous coronary intervention,PCI)多血管病变患者出院一年预后的影响.方法 对心脏内科108例冠脉病变PCI后患者随机分为两组,一组给予一般出院指导,另一组给予强化冠心病门诊恢复康复期教育,比较两组患者手术前后不良心血管事件(MACE)发生,血压,血脂,体重指数。结果 强化组无心脏不良事件(MACE:死亡、再次心肌梗死和靶血管再次血运重建率)发生,患者术后总胆固醇(TC)、甘油三脂(TG)、低密度脂蛋白胆固醇(LDL-c)、收缩压平均值水平明显低于术前P<0.05;对照组发生主要心脏不良事件,死亡1例,再次心肌梗死2例,同时血压,血脂,血糖,体重指数等无显著统计学P>0.05结论 长期、有效的强化健康教育可有效改善多血管病变患者经PCI治疗出院后一年预后疗效。     

三级医院门诊PICC专职岗位设置效果评价

目的探讨三级医院门诊设置经外周静脉置入中心静脉导管（PICC）专职岗位的效果。方法上海市某三级医院于2015年12月起在PICC门诊设置专职岗位,比较岗位设置前后PICC门诊病人就诊人次以及PICC并发症发生率、病人满意度和质量控制考核评分结果,探讨护士PICC专职岗位设立效果。结果设置PICC专职岗位后,门诊量增加25.72%,就诊病人PICC并发症总体发生率由8.21%下降到7.84%,差异有统计学意义（χ2=39.53,P < 0.01））;质量控制考核评分均分由（99.42±1.14）分提高到（99.98±0.10）分,差异有统计学意义（t'=2.24,P < 0.05）;病人满意度虽有所提高,但满意度评分较设置PICC专职岗位前差异无统计学意义（P>0.05）。结论三级医院设置PICC专职护士可以加强PICC导管管理,满足病人出院后PICC导管维护和健康教育需求,提高病人满意度。     

心力衰竭患者家庭关怀度与自我护理状况的相关性研究

Objective To investigate the correlation between family care and self-care in heart failure patients and to explore effective measures of improving self-care of heart failure patients. Methods The Family APGAR and Self-care of Heart Failure Index were used to investigate 144 heart failure inpatients. The correlation between family care and self-care was analyzed. Results Family care scores was high (7.49 ±3.03). The Level of total serf-care was low ( 156.23 ± 38.51 ): the score of self-care maintenance, self-care management and self-care confidence was (54.38 ± 10.41 ), (49.14 ± 21.33) and (53.02 ±13.74)respectively. Family care was positively correlated with self-care in heart failure patients (r =0.21 ,P ＜0.05 ).Conclusions Heart failure patients should enhance the skills and confidence of coping symptoms. Since family care has positive effect on self-care of patients, it is important to emphasize family function on caring heart failure patients.     

心力衰竭患者家庭关怀度与自我护理状况的相关性研究

目的探讨心力衰竭（心衰）患者的家庭关怀度与自我护理状况的相关性,为促进患者的自我护理提供依据。方法按方便抽样的原则,采用家庭关怀度指数问卷、心衰自我护理指数量表,测量144例住院心衰患者的家庭关怀度和自我护理状况,分析家庭关怀度与自我护理状况的相关性。结果本组心衰患者家庭关际度较好,总得分为（7．49±3．03）分;自我护理总体状况处于低水平,总得分为（156．23±38．51）分;其中,自我护理维持、自我护理管理和自我护理信心的得分分别为（54．38±10．41）分、（49．14±21．33）分和（53．02±13．74）分。家庭关怀度与自我护理状况呈正相关（r=0.21,P〈0.05）。结论心衰患者对症状的处理和信心有待提高。家庭关怀度对心衰患者的自我护理具有一定的促进作用,故在心衰患者自我护理的干预中应充分发挥家庭功能的作用。     

心力衰竭患者家庭关怀度与自我护理状况的相关性研究

Objective To investigate the correlation between family care and self-care in heart failure patients and to explore effective measures of improving self-care of heart failure patients. Methods The Family APGAR and Self-care of Heart Failure Index were used to investigate 144 heart failure inpatients. The correlation between family care and self-care was analyzed. Results Family care scores was high (7.49 ±3.03). The Level of total serf-care was low ( 156.23 ± 38.51 ): the score of self-care maintenance, self-care management and self-care confidence was (54.38 ± 10.41 ), (49.14 ± 21.33) and (53.02 ±13.74)respectively. Family care was positively correlated with self-care in heart failure patients (r =0.21 ,P ＜0.05 ).Conclusions Heart failure patients should enhance the skills and confidence of coping symptoms. Since family care has positive effect on self-care of patients, it is important to emphasize family function on caring heart failure patients.