摘要
目的:分析问题导向式健康教育联合心脏康复护理在冠脉介入术后患者中的应用效果。方法:选取2024年1月至12月在我院行经皮冠状动脉介入治疗(Percutaneous Coronary Intervention,PCI)的冠心病(Coronary Heart Disease,CHD)患者64例,随机分为对照组(32例,常规护理)和研究组(32例,问题导向式健康教育联合心脏康复护理),比较两组患者护理前后心肺功能[左室射血分数(Left ventricular Ejection Fraction,LVEF)、心脏指数(Cardiac Index,CI)、记录6 min步行距离(6-Minute Walk Distance,6MWD)]、情绪状态[中国成年人情绪性量表(Emotionality Scale for Chinese Adults,ESCA)评分]以及生存质量[西雅图心绞痛量表(Seattle Angina Questionnaire,SAQ)评分]的差异。结果:两组护理后LVEF、CI明显升高,6MWD显著延长,且研究组LVEF、CI值较对照组更高,6MWD对照组更长(P<0.05)。两组护理后ESCA、SAQ各维度评分均明显提高,且研究组护理后ESCA、SAQ各维度评分均高于对照组(P<0.05)。结论:问题导向式健康教育与心脏康复护理共同应用于实施了PCI术后的CHD病人中在改善肺功能、情绪状态及生存质量方面具有积极效果。
Objective:To analyze the application effect of problem-oriented health education combined with cardiac rehabilitation nursing in patients after coronary intervention.Method:Sixty-four patients with coronary heart disease(CHD)who underwent percutaneous coronary intervention(PCI)in our hospital from January to December 2024 were randomly divided into control group(32 cases,conventional care)and study group(32 cases,problem-oriented Health education combined with cardiac rehabilitation care).The ardiopulmonary function[left ventricular ejection fraction(LVEF),cardiac index(CI),6-minute walk distance(6MWD)]before and after nursing care in both groups.(6MWD),emotional state[emotionality scale for Chinese Adults(ESCA)score],and quality of life[Seattle angina questionnaire(SAQ)score]were compared between two groups.Result:After care,LVEF and CI were significantly higher and 6MWD was significantly longer in both groups,and LVEF and CI in the study group were higher than those in the control group,and 6MWD in the study group was longer than that in the control group(P<0.05).After care,the scores of ESCA and SAQ were significantly higher in both groups,and the scores of ESCA and SAQ dimensions in the study group were higher than those in the control grou(P<0.05).Conclusion:The joint application of problem-oriented health education and cardiac rehabilitation nursing in CHD patients after PCI has a positive effect on improving lung function,emotional state,and quality of life.
作者
刘敏
张立君
赵冰雪
袁慧娜
Liu Min;Zhang Li-jun;ZHao Bing-xue;Yuan Hui-na(Department of Cardiovascular Medicine,Luoyang Central Hospital Affiliated to Zhengzhou University,Luoyang 471000,Henan,China)
基金
2024年河南省医学科技攻关计划项目(编号:LHGJ20210844)。
关键词
问题导向
健康教育
心脏康复护理
冠脉介入术
生存质量
Problem-oriented
Health education
Cardiac rehabilitation nursing
Coronary intervention
Quality of life
