远程管理联合家庭参与式干预模式在急诊急性冠脉综合征患者出院后居家管理中的应用价值

doi:10.3969/j.issn.1671-7171.2024.03.033

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摘要【目的】探讨远程管理联合家庭参与式干预模式在急诊急性冠脉综合征(ACS)患者出院后居家管理中的应用价值。【方法】选取2020年6月至2022年6月在本院行经皮冠状动脉介入术(PCI)治疗的108例急诊ACS患者,根据随机数字表法将其分为观察组和对照组,每组54例。对照组实施远程管理联合医护主导居家管理,观察组实施远程管理联合家庭参与式居家管理。比较两组患者出院当日和出院8周的知识掌握度、自我管理能力及生存质量。【结果】出院8周,两组患者冠心病相关知识评价量表(PKS-CHD)各领域评分及总分高于出院当日,且观察组患者高于对照组,差异有统计学意义(P<0.05)。出院8周,两组患者冠心病自我管理量表(CSMS)各领域评分及总分高于出院当日,且观察组患者高于对照组,差异有统计学意义(P<0.05)。出院8周,两组患者慢性病患者生命质量测定量表体系之冠心病量表(QLICD-CHD)各领域评分及总分高于出院当日,且观察组患者高于对照组,差异有统计学意义(P<0.05)。【结论】远程管理联合家庭参与式干预模式有助于提高急诊ACS患者的知识掌握度和自我管理能力,改善其生存质量。

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	姜蒙
	李彤彤

关键词 ：急性冠状动脉综合征/护理, 急性冠状动脉综合征/康复

Abstract：【Objective】To explore the application value of remote management combined with family participatory intervention mode in home management of patients with acute coronary syndrome(ACS) after discharge. 【Methods】A total of 108 emergency ACS patients who underwent percutaneous coronary intervention(PCI) in our hospital from June 2020 to June 2022 were selected and divided into observation group and control group according to the random number table method, with 54 cases in each group. The control group implemented remote management combined with medical care led home management, while the observation group implemented remote management combined with family participatory home management. The knowledge mastery, self-management ability and quality of life of the two groups on the day of discharge and 8 weeks after discharge were compared. 【Results】 At 8 weeks after discharge, the scores of Perceived Knowledge Scale for the coronary heart disease(PKS-CHD) of the two groups were higher than those on the day of discharge, and the observation group was higher than that of the control group, the difference was statistically significant(P<0.05). At 8 weeks after discharge, the score and total score of coronary heart disease self-management scale(CSMs) of the two groups were higher than that of the day of discharge, and the observation group was higher than that of the control group, the difference was statistically significant(P<0.05). At 8 weeks after discharge, the Quality of Life Instruments for Chronic Diseases of the coronary heart disease scale(QLICD-CHD) of the two groups were higher than those on the day of discharge, and the observation group was higher than that of the control group, the difference was statistically significant(P<0.05). 【Conclusion】 The remote management combined with family participatory intervention mode is helpful to improve the knowledge mastery and self-management ability of emergency ACS patients, and to improve their quality of life.

Key words： Acute Coronary Syndrome/NU Acute Coronary Syndrome/RH

收稿日期: 2022-12-21

中图分类号:

R543.31

通讯作者: *E-mail:2812826366@qq.com

引用本文:

姜蒙, 李彤彤. 远程管理联合家庭参与式干预模式在急诊急性冠脉综合征患者出院后居家管理中的应用价值[J]. 医学临床研究, 2024, 41(3): 438-441.
JIANG Meng, LI Tongtong. Application Value of Remote Management Combined with Family Participatory Intervention Mode in Home Management of Patients with Acute Coronary Syndrome after Discharge. JOURNAL OF CLINICAL RESEARCH, 2024, 41(3): 438-441.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2024.03.033 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2024/V41/I3/438

[1] 蔡恒烜,于波.急性冠状动脉综合征患者非罪犯斑块稳定性的研究进展[J].中国介入心脏病学杂志,2020,28(1):44-46.
[2] 王培利,王少丽,张大武,等.急性冠脉综合征介入治疗后病人血瘀证及其变量与临床结局的相关性研究[J].中西医结合心脑血管病杂志,2020,18(7):1025-1030.
[3] 郑屹,刘彤.ESC心脏肿瘤学委员会急性冠脉综合征和急性心包疾病评估和管理共识解读[J].中国循证心血管医学杂志,2022,14(5):513-514.
[4] 张爱淋,柳明仁.共情在家庭参与式护理实践中的应用现状及发展趋势[J].护理研究,2020,34(7):1230-1233.
[5] 贾玉玲,马红梅,吴佼佼,等.家庭参与式护理模式在护理领域的应用现状[J].中国医药导报,2017,14(23):163-167.
[6] 中国医师协会急诊医师分会,国家卫健委能力建设与继续教育中心急诊学专家委员会,中国医疗保健国际交流促进会急诊急救分会.急性冠脉综合征急诊快速诊治指南(2019)[J].中国急救医学,2019,39(4):301-308.
[7] 肖美莲.住院冠心病患者个体化健康教育效果评价[D].长沙:中南大学,2007:7-8.
[8] 任洪艳,唐萍,赵庆华.冠心病自我管理量表的开发和评价[J].第三军医大学学报,2009,31(11):1087-1090.
[9] 杨瑞雪,潘家华,万崇华,等.慢性病患者生命质量测定量表体系之冠心病量表的研制及信度考评[J].中国全科医学,2007,10(21):1785-1787.
[10] HYUN K,NEGRONE A,REDFERN J,et al.Gender difference in secondary prevention of cardiovascular disease and outcomes following the survival of acute coronary syndrome[J].Heart Lung Circ,2021,30(1):121-127.
[11] Bryant-Lukosius D,Carter N,Reid K,et al.The clinical effectiveness and cost-effectiveness of clinical nurse specialist-led hospital to home transitional care: a systematic review[J].J Eval Clin Pract,2015,21(5):763-781.
[12] 林萍,张炜,张京蕾.家庭参与式个案管理结合远程指导对首诊2型糖尿病患者自我管理能力的影响[J].中国实用护理杂志,2021,37(27):2128-2134.
[13] 陈红,刘新,曹李瑶.家庭参与型远程护理模式在急诊患者出院后压疮管理中的应用效果[J].中华现代护理杂志,2019,25(6):742-747.
[14] 文倩,白雪,李传伟.“互联网+”护理全链条管理对ACS患者介入治疗后的应用效果[J].心血管康复医学杂志,2022,31(2):204-209.
[15] 冯晗博,张鑫,李小寒.辽宁省社区老年高血压患者自我管理能力和生活质量的相关性[J].中国医科大学学报,2020,49(4):331-335.