以临床预后为导向的居家延续护理方案对PCI术后患者心功能、自我管理行为能力的影响<sup>*</sup>

doi:10.3969/j.issn.1671-7171.2026.01.011

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摘要 【目的】 探讨以临床预后为导向的居家延续护理方案对经皮冠状动脉介入治疗(PCI)术后患者心功能、自我管理行为能力的影响。【方法】 选取2022年1月至2024年4月在本院行急诊PCI的881例患者,本院于2023年3月开展以临床预后为导向的护理干预,依据患者入院时间将患者分为对照组(2022年1月至2023年2月,n=417)和观察组(2023年3月至2024年4月,n=464)。对照组采用常规PCI术后护理,观察组采用以临床预后为导向的居家延续护理方案,比较两组患者术后心功能[6 min步行距离(6MWD)、左室射血分数(LVEF)、左心室舒张末内径(LVEDD)]、自我管理能力及主要心血管不良事件(MACE)发生情况。【结果】 出院后3个月,两组患者6MWD、LVEF均高于出院前1 d,LVEDD低于出院前1 d,且观察组6MWD、LVEF高于对照组,LVEDD低于对照组,差异有统计学意义(P<0.05)。出院后3个月,两组日常生活管理、疾病知识管理、遵医行为、情绪管理、急救技能评分及总分均高于出院前1 d,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组患者术后再次血运重建、室性心律失常、心肌梗死后心绞痛、支架内再狭窄发生率低于对照组,差异有统计学意义(P<0.05)。【结论】 以临床预后为导向的居家延续护理方案能够显著改善患者术后心功能,提升自我管理能力,降低PCI术后MACE发生风险。

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	杨真

关键词 ：血管成形术, 心脏功能试验, 延续性医护, 自我管理

Abstract：【Objective】 To explore the impact of a clinical prognosis-oriented home transitional care program on cardiac function and self-management ability in patients after percutaneous coronary intervention(PCI). 【Methods】 A total of 881 patients who underwent emergency PCI in our hospital from January 2022 to April 2024 were selected. The hospital launched the clinical prognosis-oriented nursing intervention in March 2023. According to the admission time, the patients were divided into a control group(January 2022 to February 2023, n=417) and an observation group(March 2023 to April 2024, n=464). The control group received routine postoperative nursing after PCI, while the observation group received the clinical prognosis-oriented home transitional care program. The postoperative cardiac function [6-minute walking distance(6MWD), left ventricular ejection fraction(LVEF), left ventricular end-diastolic diameter(LVEDD)], self-management ability, and the incidence of major adverse cardiovascular events(MACE) were compared between the two groups. 【Results】 At 3 months after discharge, the 6MWD and LVEF of both groups were higher than those on the 1st day before discharge, and the LVEDD was lower than that on the 1st day before discharge. Moreover, the 6MWD and LVEF of the observation group were higher than those of the control group, and the LVEDD was lower than that of the control group, with statistically significant differences(P<0.05). At 3 months after discharge, the scores of daily life management, disease knowledge management, treatment compliance, emotional management, first-aid skills and the total score of both groups were higher than those on the 1st day before discharge, and the scores of the observation group were higher than those of the control group, with statistically significant differences(P<0.05). The incidence rates of postoperative revascularization, ventricular arrhythmia, post-infarction angina pectoris and in-stent restenosis in the observation group were lower than those in the control group, with statistically significant differences(P<0.05). 【Conclusion】 The clinical prognosis-oriented home transitional care program can significantly improve postoperative cardiac function, enhance self-management ability, and reduce the risk of MACE after PCI.

Key words： Angioplasty Heart Function Tests Transitional Care Self－Management

收稿日期: 2025-01-15

中图分类号:

R541.4

基金资助:*河南省医学科技攻关联合共建项目(编号:LHGJ20220001)

引用本文:

杨真. 以临床预后为导向的居家延续护理方案对PCI术后患者心功能、自我管理行为能力的影响^*[J]. 医学临床研究, 2026, 43(1): 40-43.
YANG Zhen. Impact of Clinical Prognosis-Oriented Home Transitional Care Program on Cardiac Function and Self-Management Ability in Patients after PCI. JOURNAL OF CLINICAL RESEARCH, 2026, 43(1): 40-43.

链接本文:

http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2026.01.011 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2026/V43/I1/40

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