冠状动脉支架植入术患者出院后护理干预措施研究

目的：探讨冠状动脉支架植入术患者出院后护理干预的具体措施及其临床应用效果。方法选取120例冠心病冠状动脉支架植入术治疗患者为研究对象，采用数字法随机分为观察组和对照组各60例，其中对照组给予常规术后院外随访护理干预，观察组则给予强化系统院外护理干预，观察比较两组患者出院1年内不良事件发生情况、自我管理行为及护理满意度。结果观察组的再住院、心绞痛及整体不良事件发生率均低于对照组，差异有统计学意义（P〈0.05）；在CSMS量表症状、不良嗜好、情绪、疾病知识、治疗依从性、急救管理、日常生活各维度评分及总分方面均高于对照组，其差异均有统计学意义（P〈0.05）；观察组总护理满意度为98.3%，显著高于对照组的86.2%，差异有统计学意义（P〈0.05）。结论通过系统的出院后护理干预能够有效的提高冠心病冠状动脉支架植入术患者院外遵医行为，避免心血管不良事件的发生，提高患者的生活质量，增强患者护理满意度，值得临床推广应用。

Study of nursing intervention measures for patients with coronary stenting after discharging.

Objective To explore the concrete steps and clinical effect of nursing intervention measures for patients with coronary stenting after discharging. Methods One hundred and twenty patients with coronary artery heart disease who were given coronary stenting were chosen as research objects. They were randomly divided into ob-servation group （n=60） and control group （n=60） with digital method. The control group was given routine postopera-tive follow-up care, while the observation group was given improved systemic nursing intervention after discharging. And then the adverse events of patients in two groups were observed and compared after discharging from hospital within 1 year. At the same time, self-managing behavior and satisfaction of nursing care were also observed and com-pared. Results The occurrence rates of rehospitalization, angina pectoris and overall adverse events in the observa-tion group were lower than those in the control group with statistical difference （P〈0.05）. The CSMS symptoms, bad habits, mood, disease knowledge, treatment compliance, emergency management, each dimension score of everyday life and the total in observation group were all higher than those in the control group with statistical difference （P〈0.05）. Total nursing satisfaction of the observation group was 98.3%, which was obviously higher than that of the control group with 86.2%, with a statistical difference （P〈0.05）. Conclusion The hospital nursing intervention after dis-charging can effectively improve the hospital medical behavior on patients with coronary heart disease after coronary stent implantation, which can also avoid the occurrence of cardiovascular adverse events, improve the quality of life, and strengthen the nursing satisfaction. Therefore, it is worthy of being widely applied in clinic.