摘要
目的：探讨个案管理在急性心肌梗死介入术后患者中的应用效果。方法：将2015年1~12月收治的80例急性心肌梗死初次行介入术后患者按随机数字法分为观察组和对照组各40例,观察组实施个案管理措施,对照组实施常规护理措施。比较两组干预前及干预后3个月Barthel指数评分量表、汉密尔顿焦虑量表（HAMA）评分、心绞痛及心力衰竭发生情况、护理满意度。结果：观察组干预后3个月心绞痛及心力衰竭发生率均显著低于对照组（P〈0.05）;六分钟步行试验距离显著大于对照组（P〈0.05）;护理满意度评分显著高于对照组（P〈0.05）;两组HAMA评分均显著低于干预前（P〈0.05）,且观察组低于对照组（P〈0.05）;两组Barthel指数评分均显著高于干预前（P〈0.05）,且观察组高于对照组（P〈0.05）。结论：对急性心肌梗死介入术后患者实施个案管理,可以明显改善治疗效果及患者心理状态。
Objective： To explore the application effect of case management in patients with acute myocardial infarction（ AMI） after percutaneous coronary intervention（ PCI）. Methods： 80 AMI patients who received PCI from January to December 2015 were randomly divided into the observation group and the control group（ 40 cases in each group）. The patients in the observation group were provided case management measures and the patients in the control group received the routine nursing care,the Barthel index,the scores of HAMA,occurrence of angina pectoris and heart failure and satisfaction of nursing care were compared between the two groups before the intervention and after the intervention for 3 months. Results： The incidence of angina pectoris and heart failure in the observation group was significantly lower than the control group after the intervention for 3 months（ P〈0. 05）; the six- minute walking distance test was significantly longer in the observation group than that in the control group（ P〈0. 05）; the score of nursing satisfaction was significantly higher than the control group（ P〈0. 05）; HAMA scores were significantly lower after the intervention than those before the intervention in the two groups（ P〈0. 05）; HAMA scores were significantly lower in the observation group than the control group（ P〈0. 05）; Barthel index scores were significantly higher after the intervention than those before the intervention in the two groups（ P〈0. 05）; Barthel index scores were significantly higher in the observation group than the control group（ P〈0. 05）. Conclusion： Application of case management to patients with AMI after PCI can significantly improve the treatment effect and psychological status of the patients.
出处
《齐鲁护理杂志》
2016年第14期12-14,共3页
Journal of Qilu Nursing
基金
广州市越秀区科技和信息化局2014年度第九批科技计划项目(编号:2014-WS-028)
关键词
个案管理
冠心病
心肌梗死
介入治疗
护理
Case management
CHD
Myocardial infarction
Interventional therapy
Nursing
