延续护理理论指导的家庭护理干预在急性心肌梗死患者中的应用效果
Application and efficacy of family nursing intervention in acute myocardial infarction patients under the guidance of continuing nursing theory
目的 探讨以延续护理理论为指导的家庭护理干预对行PCI的急性心肌梗死(AMI)患者生活质量、遵医依从性及再入院率的影响.方法 将2014年1月—2015年7月收治的112例AMI患者随机分为干预组与对照组各56例,对照组患者予常规护理与随访,干预组在延续护理理论指导下给予家庭护理干预,包括出院前的患者评估、强化培训,出院后的家庭与电话访视、团体康复指导等,比较两组患者出院6个月和12个月后生活质量、依从性和再入院率.结果 干预组出院6个月和12个月规则服药比例、按时复诊比例、合理饮食、规律运动、戒烟比例均高于对照组,差异有统计学意义(P<0.05).干预组出院6个月、12个月MIDAS评分分别为(28.8±5.7)、(23.8±4.6)分,分别低于对照组的(33.1±6.5)、(30.0±5.9)分,差异均有统计学意义(P<0.05).干预组出院后12个月再入院率(3.6%)低于对照组(17.9%),差异有统计学意义(χ2=5.973,P<0.05).结论 在延续护理理论指导下,对AMI患者开展家庭护理干预可明显改善患者出院后遵医依从性与生活质量,降低再入院率,为慢性病的居家护理提供了借鉴.
更多Objective To explore the effects of family nursing intervention on quality of life, medical compliance and readmission rate of acute myocardial infarction (AMI) patients undergoing percutaneous coronary intervention(PCI) and receiving the guidance of continuing nursing theory.Methods A total of 112 AMI patients from January 2014 to July 2015 were selected and randomly divided into intervention group and control group, each group with 56 cases. The patients of control group received routine nursing and follow-up, while the patients of intervention group were given family nursing intervention under the guidance of continuing nursing theory, including patients evaluation and strengthen training before discharge, home and telephone visit after discharge, group rehabilitation guidance, etc. After interventions, quality of life, medical compliance and readmission rate of the two groups after 6 and 12 months′ discharge were compared.Results After discharge of 6 months and 12 months, the proportion of regular medication, timely return, reasonable diet, regular exercise, quitting smoking in the intervention group were significantly higher than those of control group (P<0.05). In the intervention group, MIDAS scores of 6 months(28.8±5.7) and 12 months (23.8±4.6) after discharge were significantly lower than (33.1±6.5) and (30.0±5.9) in the control group (P<0.05). Readmission rate (3.6%) of intervention group at 12 months after discharge was significantly lower than 17.9% of the control group (χ2=5.973, P<0.05).Conclusions Under the guidance of continuing nursing theory, family nursing intervention to AMI patients undergoing PCI can significantly improve patients′ medical compliance and quality of life after discharge, and reduce readmission rates, which provide a reference for the home care for chronic disease.
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