基于微信平台应用中医综合延续性护理干预经皮冠状动脉介入术后出院患者临床研究
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R248.1;R473.54

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Clinical Study on Chinese Medicine Comprehensive Continuous Nursing Based on Wechat Platform Intervening Discharged Patients After Percutaneous Coronary Intervention
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    摘要:

    目的:观察基于微信平台应用中医综合延续性护理干预对经皮冠状动脉介入术(PCI)后出院患者的康复效果。方法:选取PCI 治疗的120 例急性心肌梗死患者,按随机数字表法分为对照组和观察组各60 例。对照组给予常规延续性护理,观察组给予基于微信平台的中医综合延续性护理。出院3 个月后,比较2 组护理满意度、心肌梗死知识知晓率、治疗依从率、心绞痛发作次数和持续时间;比较2 组干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS) 评分变化。结果:观察组护理满意率为93.33%,对照组为78.33%,2 组比较,差异有统计学意义(P<0.05)。干预后,观察组心肌梗死知识知晓率、治疗依从率均高于对照组,心绞痛发作次数、持续时间小于对照组,差异均有统计学意义(P<0.05)。干预前,2 组SAS、SDS 评分比较,差异无统计学意义(P>0.05);干预后,2 组SAS、SDS 评分均较干预前降低(P<0.05),且观察组SAS、SDS 评分低于对照组(P<0.05)。结论:基于微信平台对PCI 术后出院患者开展中医综合延续性护理,可提高患者护理满意率、心肌梗死知识知晓率及治疗依从性,改善患者心绞痛症状和不良情绪。

    Abstract:

    Abstract:Objective:To observe the rehabilitation effect of Chinese medicine comprehensive continuous nursing based on Wechat platform intervening discharged patients after percutaneous coronary intervention(PCI). Methods: A total of 120 cases of patients with acute myocardial infarction treated by PCI were divided into the control group and the observation group according to the random number table method, 60 cases in each group. The control group was given routine continuous nursing, and the observation group was given Chinese medicine comprehensive continuous nursing based on Wechat platform. Three months after discharge, the nursing satisfaction, the knowledge awareness of myocardial infarction,the treatment compliance and the attack and duration of angina pectoris in the two groups were compared. Before and after intervention,the changes in scores of Self-rating Anxiety Scale(SAS) and Self-rating Depressing Scale(SDS) in the two groups were compared. Results:The nursing satisfaction rate was 93.33% in the observation group and 78.33% in the control group, the difference being significant(P<0.05). After intervention, the knowledge awareness of myocardial infarction and the treatment compliance in the observation group were higher than those in the control group,and the attack and duration of angina pectoris were less then those in the control group, differences being significant(P<0.05). Before intervention,there was no significant difference being found in the comparison of scores of SAS and SDS between the two groups(P>0.05). After treatment,the scores of SAS and SDS in the two groups were decreased when compared with those before intervention(P<0.05), and the two scores in the observation group were lower than those in the control group(P< 0.05). Conclusion:Based on Wechat platform,Chinese medicine comprehensive continuous nursing for discharged patients after PCI can improve the nursing satisfaction, the knowledgeawareness of myocardial infarction, the treatment compliance,the symptoms of angina pectoris and bad emotions of patients.

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曾亚平.基于微信平台应用中医综合延续性护理干预经皮冠状动脉介入术后出院患者临床研究[J].新中医,2021,53(13):185-189

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  • 在线发布日期: 2021-07-11
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