醫(yī)患護陪共參與構建心臟康復護理模式在冠狀動脈粥樣硬化性心臟病PCI術后的應用

【摘要】 目的：探究醫(yī)患護陪共參與構建心臟康復護理模式在冠狀動脈粥樣硬化性心臟病經(jīng)皮冠狀動脈介入治療（PCI）術后的應用價值。方法：選取2021年1月—2022年2月于南昌大學第一附屬醫(yī)院治療的冠狀動脈粥樣硬化性心臟病PCI術后患者80例，按隨機數(shù)字表法分為觀察組與對照組，每組40例。對照組采取常規(guī)心臟康復護理，觀察組采用醫(yī)患護陪共參與的心臟康復護理模式。比較兩組干預前后心功能指標、生活質量、負面情緒的變化。結果：干預前，兩組心功能指標，差異均無統(tǒng)計學意義（Pgt;0.05）；干預后，兩組左心室射血分數(shù)（LVEF）均較干預前升高，且觀察組高于對照組，差異均有統(tǒng)計學意義（Plt;0.05）；兩組左心室舒張末期內(nèi)徑（LVEDD）、左室收縮末期內(nèi)徑（LVESD）比較，差異均無統(tǒng)計學意義（Pgt;0.05）。干預后，兩組西雅圖心絞痛調(diào)查量表（SAQ）各方面評分均較干預前高，且觀察組均高于對照組，差異均有統(tǒng)計學意義（Plt;0.05）；兩組漢密爾頓抑郁量表（HAMD）、漢密爾頓焦慮量表（HAMA）評分均低于干預前，且觀察組均低于對照組，差異均有統(tǒng)計學意義（Plt;0.05）。結論：醫(yī)患護陪共參與構建心臟康復護理模式在冠狀動脈粥樣硬化性心臟病PCI術后可幫助患者改善心功能、提高生活質量及減輕負面情緒。

【關鍵詞】 醫(yī)患護陪共參與 心臟康復護理模式 冠狀動脈粥樣硬化性心臟病 經(jīng)皮冠狀動脈介入治療術

Application of Doctor-patient-nurse-caregiver Co-participation in the Construction with Cardiac Rehabilitation Nursing Model on Coronary Atherosclerotic Heart Disease after PCI/CHEN Qunlian， XU Yuemei， WEI Xiaoying， LI Jiawei， DENG Yuqian， TU Can. //Medical Innovation of China， 2023， 20（31）： 0-095

[Abstract] Objective： To explore the application value of doctor-patient-nurse-caregiver co-participation in the construction of cardiac rehabilitation nursing model on coronary atherosclerotic heart disease after percutaneous coronary intervention （PCI）. Method： A total of 80 patients with coronary atherosclerotic heart disease after PCI who were treated in the First Affiliated Hospital of Nanchang University from January 2021 to February 2022 were selected and divided into the observation group and the control group according to the random number table method， with 40 cases in each group. The control group received routine cardiac rehabilitation nursing while the observation group was given cardiac rehabilitation nursing model with doctor-patient-nurse-caregiver co-participation. The changes in cardiac function indicators， quality of life and negative emotions were compared between the two groups before and after intervention. Result： Before intervention， there were no statistically significant differences in cardiac function indexes between the two groups （Pgt;0.05）; after intervention， the left ventricular ejection fraction （LVEF） of two groups were higher than those before intervention， and the observation group was higher than that of the control group， the differences were statistically significant （Plt;0.05）; there were no significant differences in left ventricular end-diastolic diameter （LVEDD） and left ventricular end-systolic diameter （LVESD） between the two groups （Pgt;0.05）. After intervention， the scores of all aspects of Seattle angina questionnaire （SAQ） of the two groups were higher than those before intervention， and those of the observation group were higher than those of the control group， the differences were statistically significant （Plt;0.05）; the scores of Hamilton depression scale （HAMD） and Hamilton anxiety scale （HAMA） of the two groups were lower than those before intervention， and those of the observation group were lower than those of the control group， the differences were statistically significant （Plt;0.05）. Conclusion： The construction of cardiac rehabilitation nursing model with doctor-patient-nurse-caregiver co-participation after PCI for coronary atherosclerotic heart disease can help to improve the cardiac function， enhance the quality of life and relieve the negative emotions.

[Key words] Doctor-patient-nurse-caregiver co-participation Cardiac rehabilitation nursing model Coronary atherosclerotic heart disease Percutaneous coronary intervention

First-author's address： The First Affiliated Hospital of Nanchang University， Nanchang 330006， China

doi：10.3969/j.issn.1674-4985.2023.31.021

冠狀動脈粥樣硬化性心臟病是常見的心血管疾病，其病理改變是由于脂質代謝發(fā)生異常而附著于動脈內(nèi)膜，斑塊形成使血管腔隙狹窄，導致血液循環(huán)不暢，心肌發(fā)生缺血缺氧而引發(fā)相關癥狀[1-2]。……