延续性4C护理对经皮冠状动脉介入治疗患者自我管理能力、心血管事件及社会功能的影响

doi:10.3969/j.issn.1671-7171.2019.02.015

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摘要目的探讨延续性4C护理对经皮冠状动脉介入治疗(PCI)患者自我管理能力、心血管事件及社会功能的影响。方法选择2015年4月至2017年4月在本院诊治的112例PCI术治疗患者,按随机数表法将分为对照组与观察组。对照组采用常规护理,观察组采用延续性4C护理。比较两组患者自我管理能力、心血管事件、社会功能、生活质量及护理满意度。结果观察组伙伴关系、情绪处理、问题解决、自我护理及总分均显著高于对照组(P<0.05);观察组总心血管事件发生率为8.93%(5/56),显著低于对照组的28.57%(16/56),其差异有统计学意义(P<0.05);观察组社会功能缺陷筛选量表(SDSS)评分显著低于对照组(P<0.05);生活质量各项评分均显著高于对照组(P<0.05);观察组护理满意度为96.43%,显著高于对照组的76.79%(P<0.05)。结论延续性4C护理可显著提高PCI患者自我管理能力及社会功能,降低心血管事件发生率,改善生活质量,护理满意度高,值得临床推广应用。

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	赵颖
	刘桂华
	张眉

关键词 ：血管成形术, 经腔, 经皮冠状动脉/护理

Abstract：Objective To explore the effects of continuous 4C nursing on self-management ability, cardiovascular events and social function of patients undergoing percutaneous coronary intervention (PCI).Methods A total of 112 patients treated with PCI in our hospital from April 2015 to April 2017 were selected and divided into the control group and the observation group according to random number table method. Patients in the control group received routine nursing, while those in the observation group received continuous 4C nursing. Self-management ability, cardiovascular events, social function, quality of life and nursing satisfaction of the two groups were observed. Results The scores of partnership, emotional management, problem solving, self-care, and the total score in the observation group were significantly higher than those in the control group (P<0.05). The total incidence of cardiovascular events in the observation group was 8.93%, which was significantly lower than 28.57% in the control group (P<0.05). The score of social disability screening schedule (SDSS) in the observation group was significantly lower than that in the control group (P<0.05). The scores of various items of quality of life in the observation group were significantly higher than those in the control group (P<0.05). The nursing satisfaction of the observation group was 96.43%, which was higher than 76.79% of the control group (P<0.05). Conclusion Continuous 4C nursing can significantly improve the self-management ability and social function of patients with PCI, reduce the incidence of cardiovascular events, improve the quality of life, and result in high nursing satisfaction.

Key words： Angioplasty Transluminal Percutaneous Coronary/NU

收稿日期: 2018-12-31

PACS:

R814.47

引用本文:

赵颖, 刘桂华, 张眉. 延续性4C护理对经皮冠状动脉介入治疗患者自我管理能力、心血管事件及社会功能的影响[J]. 医学临床研究, 2019, 36(2): 264-264.
ZHAO Ying, LIU Gui-hua, ZHANG Mei. Effects of Continuous 4C Nursing on Self-Management, Cardiovascular Events and Social Function of Patients Undergoing Percutaneous Coronary Intervention. JOURNAL OF CLINICAL RESEARCH, 2019, 36(2): 264-264.

链接本文:

http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2019.02.015 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2019/V36/I2/264