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Effects of Continuous 4C Nursing on Self-Management, Cardiovascular Events and Social Function of Patients Undergoing Percutaneous Coronary Intervention |
ZHAO Ying, LIU Gui-hua, ZHANG Mei |
Intervention Room of Panzhihua Central Hospital, Sichuan Province, Panzhihua, 617067 |
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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.
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Received: 31 December 2018
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[1] 柏晓玲, 仲朝阳, 周诗维,等. 国内急性心肌梗死患者急诊经皮冠状动脉介入治疗术前护理文献分析及研究进展[J].中国实用护理杂志, 2017, 33(9):713-716. [2] 何翠竹, 梁欣, 曲银玲. 对急性心肌梗死冠脉介入治疗患者进行延续护理的效果观察[J].中国医药导报, 2016, 13(1):159-162. [3] 郑夏玲. 早期宫颈癌术后4C延续性护理干预对患者心理状况及生活质量的影响[J].检验医学与临床, 2016, 13(24):3500-3503. [4] 中华医学会心血管病学分会介入心脏病学组. 中国经皮冠状动脉介入治疗指南2012(简本)[J].中华心血管病杂志, 2012, 4(4):50-59. [5] 张作记. 行为医学量表手册. 中国行为医学科学[J].2001, 10(特刊):185-186. [6] 张明园, 朱紫青, 王善澄,等. 评估方法与量表应用[M]. 长沙:湖南科学技术出版社, 2009:281-298. [7] McHorney CA,Ware JE J,Lu JF,et al.The MOS 36-item Short-Form Health Survey (SF-36):Ⅲ. Tests of data quality, scaling assumptions, and reliability across diverse patient groups [J].Med Care,1994, 32(1):40-66. [8] 付广芳, 吴敏, 梁嘉琪. 经皮冠状动脉介入治疗患者心理状态及心理护理研究进展[J].中国医药导报, 2018, 15(2):39-42,53. [9] 刘青. 延续性护理对PCI术后病人生活质量及预后结局的影响[J].护理研究, 2017, 31(29):3741-3744. [10] 王永琼, 代昱虹, 何跃敏. 延续性护理对PCI术后冠心病患者依从性及不良事件的影响[J].实用临床医药杂志, 2017, 21(14):8-11. [11] 吴明英, 何燕, 青晓蓉. 慢性阻塞性肺疾病4C延续护理模式的实践[J].护理学报, 2013, 20(15):18-22. [12] 叶日春, 刘文硕, 莫苗苗,等. 4C延续性护理管理模式在脑卒中康复期患者中的应用效果[J].临床与病理杂志, 2017, 37(3):510-515. |
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