专科护理门诊个案管理对永久性起搏器植入患者的影响

目的 探讨专科护理门诊个案管理对永久性起搏器植入患者复诊及服药依从的影响。方法 将首次植入永久起搏器患者134例采用随机数字表法分为对照组和干预组各67例。对照组给予微信或电话方式进行常规随访，干预组实施专科护理门诊个案管理，即通过线上及专科护理门诊方式对患者进行随访与个性化健康教育。比较两组出院后1、3、6个月的复诊率、服药依从性。结果 出院后1、3、6个月干预组复诊率、服药依从性显著高于对照组(P<0.05,P<0.01)。结论 对永久性起搏器植入患者实施专科护理门诊个案管理，促进患者出院后专业化护理的延续和全程管理，可以显著提高其术后复诊率、服药依从性。

Effect of case management model in specialized nursing clinics on patients with permanent pacemaker implantation

Objective To explore the effect of case management model in specialized nursing clinics on return visit and medication compliance for patients with permanent pacemaker implantation. Methods A total of 134 patients with permanent pacemaker implantation for the first time were divided into a control group and an intervention group using a random number table, with 67 cases in each group. The control group was given routine follow-up via WeChat or telephone, while the intervention group was followed up using case management model in specialized nursing clinics, which included follow up and individualized health education through online and specialized nursing clinics. The return visit rates and medication compliance between the two groups at 1, 3, and 6 months after discharge were compared. Results The return visit rate and medication compliance at 1, 3, and 6 months after discharge in the intervention group were significantly higher than those in the control group (P<0.05, P<0.01). Conclusion Implementing case management model in specialized nursing clinics for patients with permanent pacemaker implantation, promotes the transition and whole-process management of specialized nursing after discharge, and can significantly improve their postoperative return visit rate and medication compliance.