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延续护理对农村老年经皮冠状动脉介入治疗后患者服药依从性及预后的影响
作者:覃小旭1 周华2 
单位:(广西壮族自治区民族医院1.心血管内科三区 2.神经内科三区 南宁 530001) 
关键词:经皮冠状动脉介入治疗 延续护理 服药依从性 老年 
分类号:R541.4;R473.54
出版年,卷(期):页码:2019,47(6):436-439
摘要:

目的 观察延续护理对农村老年经皮冠状动脉介入(PCI)治疗后患者的服药依从性及预后的影响。方法 选择2016年12月~2017年12月因冠心病行PCI治疗的农村老年患者96例,随机分为对照组48例,干预组48例,对照组给予常规护理,干预组给予延续护理,观察比较1年后两组患者服药依从性、心绞痛的发生率、再住院率、靶血管再次血运重建率的差异。结果 经过1年的延续护理干预,干预组农村老年患者服药依从性计分为(97.42±3.75)分,明显高于对照组的(80.22±8.37)分,差异有统计学意义(P<0.05),干预组患者再次发生心绞痛及再次因冠心病住院次数均明显少于对照组,差异有统计学意义(P<0.05)。结论 延续护理可明显改善PCI治疗后农村老年冠心病患者的服药依从性,改善其临床预后。

Objective To observe the effect of continuous nursing on medication compliance and prognosis of elderly patients after percutaneous coronary intervention(PCI) in rural areas.Methods 96 elderly patients with coronary heart disease in rural areas undergoing PCI from December 2016 to December 2017 were randomly divided into control group(48 cases) and intervention group(48 cases).The control group were given routine nursing,while the intervention group were given continuous nursing.And then,the differences of medication compliance,incidence of angina pectoris,rehospitalization rates and target vessel revascularization rates between the two groups after one year were observed and compared.Results After one year of continuous nursing intervention,the score of drug compliance in the intervention group was(97.42±3.75),which was significantly higher than that in the control group(80.22±8.37),difference was statistically significant(P<0.05).The recurrence of angina pectoris and rehospitalization number due to coronary heart disease in the intervention group was significantly lower than that in the control group,difference was statistically significant(P<0.05).Conclusion Continuous nursing can significantly improve the medication compliance of elderly patients with coronary heart disease in rural areas after PCI,and thus improve their clinical prognosis.

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