护理延伸服务对经皮冠状动脉内支架植入术患者依从性及生活质量的影响

目的 探讨护理延伸服务对经皮冠状动脉内支架植入术(PCI)患者依从性及生活质量的影响.方法 选择2015年3月至2016年8月期间深圳市龙华区人民医院心血管内科心内科收治的224例冠心病患者为研究对象,所有患者均接受PCI治疗,根据随机数表法分为观察组和对照组,每组112例,对照组予常规护理及随访,观察组应用护理延伸服务,干预时间为6个月.比较两组患者干预后治疗依从率及生活质量评分(GQOL-74).结果 干预后,观察组患者的治疗依从率为88.39%,明显高于对照组患者的75.00%,差异有统计学意义(P<0.05);观察组患者生活质量评分量表中躯体功能、心理功能、物质生活功能和社会功能评分分别为(55.6±14.2)分、(58.4±16.4)分、(57.1±16.4)分、(56.2±16.8)分,均明显高于对照组的(50.2±12.9)分、(53.2±13.7)分、(51.5±13.3)分、(50.4±12.4)分,差异均有统计学意义(P<0.05).结论 对经皮冠状动脉内支架植入术患者应用护理延伸服务,可以有效提高患者的治疗依从性,改善患者的生活质量.

Effect of extended care service on the compliance and quality of life of patients undergoing percutaneous coronary intervention

Objective To explore the effect of extended care service on the compliance and quality of life of patients undergoing percutaneous coronary intervention (PCI). Methods A total of 224 cases of patients with coronary heart disease, who admitted to Department of Cardiology in our hospital from March 2015 to August 2016, were selected as the research objects. These patients were treated with PCI and divided into the observation group and the control group according to random number tables, with 112 cases in each group. The control group received routine care and fol-low-up, and the observation group was performed with extended care services. The intervention time was 6 months. The treatment compliance and quality of life score (GQOL-74) were compared between the two groups. Results After the intervention, the compliance rate in the observation group was 88.39%, which was significantly higher than 75.00%in control group (P<0.05). The scores of quality of life including body function, psychological function, material life and social function in the observation group were (55.6 ± 14.2), (58.4 ± 16.4), (57.1 ± 16.4), (56.2 ± 16.8), respectively, which were significantly higher than corresponding (50.2±12.9), (53.2±13.7), (51.5±13.3), (50.4±12.4) in the control group (P<0.05). Conclusion The application of extended care service for patients with percutaneous coronary stent implantation can effectively improve the treatment compliance and the quality of life.