护理延伸服务对经皮冠状动脉内支架植入术患者自我管理行为的影响

目的探讨护理延伸服务对经皮冠状动脉内支架植入术(coronary stent implantation,CASI)患者自我管理行为的影响。方法采用便利抽样法选择湖北医药学院附属太和医院心内科2011年1-12月出院的CASI患者255例,按出院单双日分为对照组119例和干预组136例。对照组采用常规出院宣教,干预组实施6个月多途径、多方式的护理延伸服务,调查两组患者出院后自我管理行为的差异。结果出院6个月时,干预组CASI患者自我管理行为的指标得分率总水平为81.02%、临床医嘱行为为84.18%、生活改良行为为81.29%、应急处理行为为78.23%,与对照组各对应项目间的差异均有统计学意义(均P0.05)。结论提供护理延伸服务,可以提升CASI患者出院后的自我管理行为水平以及生活质量。

Effects of Extended Nursing Services on Self-management Behaviors of Patients with Coronary Stents

Objective To investigate the effects of extended nursing services on self-management behaviors of patients who underwent percutaneous coronary stent implantation （CAS!）. Methods By convenience sampling. a total of 255 cases of CASI patients discharged in January to December 2011 were divided into the control group（l19） and the intervention group（l36）. The former were educated conventionally upon discharge; the latter provided with six months of multi-way. multi-method extended nursing services. Difference in the self-management behavior after discharge between the two groups were investigated. Results Six months after dischagedvin intervention groupvthe overall level of self-management behavior was 81. 02 % , compliance behavior was 84. 18 % .Iiving behavior improvement was 81. 29 % ,emergency management behavior was 78. 23 %. The difference was significant for each level between the two groups （P 〈 0.05）. Conclusion The extended nursing services can enhance the self-management behavior. medical care quality and living quality for CASI patients.