Abstract: Objective To explore the effect of multiple continuous nursing on the cardiac rehabilitation of patients with coronary heart disease undergoing percutaneous coronary interventional therapy. Methods A total of 144 patients with coronary heart disease undergoing percutaneous coronary intervention in the department of cardiology of our hospital from January to December 2018 were randomly divided into two groups, 72 cases in each group. On the basis of routine health education, the continuous nursing group members used wechat, telephone, and patient health club to continue nursing for patients in the observation group, while the control group received routine health education. The compliance behavior, incidence of cardiovascular events, readmission rate, risk factors, patient satisfaction of the two groups at 3 months, 6 months, and 12 months after discharge were compared. Results The compliance behavior scores in the observation group at 3 months, 6 months, and 12 months after PCI were (6.05±0.85) points, (6.12±0.80) points, (5.97±0.88) points, which were significantly higher than those in the control group [(5.35±1.05) points, (5.15±1.12) points, (4.55±1.25) points] (all P<0.05). There were no statistically significant differences in the incidence of cardiovascular events and readmission rate between the two groups at 3 months after PCI (both P>0.05); there were statistically significant differences in the incidence of cardiovascular events and readmission rate between the two groups at 6, 12 months after PCI (all P<0.05). There was no statistically significant difference in risk factor control between the two groups at 3 months after PCI (P>0.05); there were no statistically significant differences in risk factor control between the two groups at 6, 12 months after PCI (all P<0.05). The total satisfaction rates in the observation group at 3 months, 6 months, and 12 months after PCI were 94.4%, 91.7%, 97.2%, which were significantly higher than those in the control group (86.1%, 83.3%, 80.6%) (all P<0.05). Conclusion The effect of multiple continuous nursing on the restoration of coronary heart disease after percutaneous coronary intervention is good, which should be popularized.

Key words: Coronary heart disease, Percutaneous coronary intervention, Cardiac rehabilitation, Continuous nursing

摘要： 目的 探讨运用多种形式的延续护理对冠心病患者介入术后心脏康复的影响。方法 选择2018年1月至12月在本院心内科行介入治疗的冠心病患者共144例作为研究对象,随机分为两组,各72例。观察组在常规出院健康宣教的基础上由延续护理小组成员运用微信、电话及患者健康俱乐部的方式对出院患者进行延续护理,对照组采用原来的出院健康宣教方式;分别比较两组患者出院后3个月、6个月、12个月的遵医行为、心血管事件发生率及再入院率、危险因素控制情况、患者满意度等指标。结果 观察组PCI术后3个月、6个月、12个月的遵医行为得分分别为(6.05±0.85)分、(6.12±0.80)分、(5.97±0.88)分,均高于对照组(5.35±1.05)分、(5.15±1.12)分、(4.55±1.25)分,差异均有统计学意义(均P<0.05);两组患者在PCI术后3个月时,心血管事件发生次数及再入院次数比较,差异均无统计学意义(均P>0.05);术后6个月、12个月,两组患者心血管事件发生次数及再入院次数比较,差异均有统计学意义(均P<0.05);PCI术后3个月,两组患者危险因素控制情况比较,差异均无统计学意义(均P>0.05);术后6个月、12个月,两组患者危险因素控制情况比较,差异均有统计学意义(均P<0.05);观察组3个月、6个月、12个月的总满意率分别为94.4%、91.7%、97.2%,均显著高于对照组86.1%、83.3%、80.6%,差异均有统计学意义(均P<0.05)。结论 多种形式延续护理对冠心病介入术后效果较好,值得推广。

关键词: 冠心病, 介入治疗, 心脏康复, 延续护理