延续照护在农村地区PCI术后冠心病患者中的应用价值

目的探究延续照护在农村地区PCI术后冠心病患者中的应用价值。方法选取2017年2月-2018年2月于江苏省人民医院进行PCI手术的农村地区冠心病患者120例,并按照完全随机法分为一般护理组和延续照护组各60例。对一般护理组患者进行常规临床护理干预,对延续照护组患者在此基础上进行延续照护。采用生活质量评价表对患者生活质量进行评价,使用PSQI量表对患者睡眠质量进行评价,采用HAMD量表对患者的心理抑郁情况进行评定,采用HAMA量表评定患者焦虑情况,对比2组患者并发症发生率及家属满意情况。结果护理后延续照护组患者生活质量评分高于一般护理组,差异具有统计学意义(P<0.05);护理后延续照护组患者睡眠质量评分低于一般护理组,差异具有统计学意义(P<0.05);护理后延续照护组患者HAMA、HAMD评分低于一般护理组,差异具有统计学意义(P<0.05);延续照护组并发症发生率低于一般护理组,差异具有统计学意义(P<0.05);延续照护组患者家属总满意率显著高于一般护理组,差异具有统计学意义(P<0.05)。结论对农村地区PCI术后冠心病患者进行延续照护,能够明显改善患者生活质量、睡眠质量,舒缓患者负面情绪,降低患者并发症发生率,使患者家属更加满意。

Application of continuous care in patients with coronary heart disease after PCI in rural areas

Objective To explore the application value of continuing care in patients with coronary heart disease after PCI in rural areas. Methods A total of 120 patients with coronary heart disease in rural areas who underwent PCI in our hospital from February 2017 to February 2018 were selected and randomly divided into general nursing group and continuing care group, with 60 cases in each group. The general nursing group was given routine clinical nursing intervention, and the continuing care group was given continuing care on this basis. The patients' quality of life was evaluated by quality of life evaluation table, the patients' sleep quality was evaluated by PSQI scale, the patients' psychological depression was assessed by HAMD scale, and the patients' anxiety was assessed by HAMA scale. The incidence of complications and the satisfaction of family members were compared between the two groups. Results The scores of quality of life in patients with continuing care after nursing were higher than those in general nursing group, with statistical significance (P<0.05); the scores of sleep quality in patients with continuing care after nursing were lower than those in general nursing group, with statistical significance (P<0.05); and the scores of HAMA and HAMD in patients with continuing care after nursing were lower than those in general nursing group, with statistical significance (P<0.05). The incidence of complications in the continuing care group was lower than that in the general care group, with statistical significance (P<0.05); the total satisfaction rate of family members in the continuing care group was significantly higher than that in the general care group, with statistical significance (P<0.05). Conclusion Continuous care for patients with coronary heart disease after PCI in rural areas can significantly improve their quality of life and sleep, relieve their negative emotions, reduce the incidence of complications, and make their families more satisfied.