居家护理平台在冠脉支架植入患者随访管理中的应用
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女,本科,主管护师

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Evaluation of the effect of home care platform on patients with coronary stent implantation after discharge
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    目的 探讨居家护理平台用于冠脉支架植入患者随访管理的效果。方法 将2019年6~12月确诊为冠心病并接受支架治疗的50例患者纳入对照组,将2020年6~12月确诊为冠心病并接受支架治疗的50例纳入观察组。对照组行常规出院后随访,观察组接受PCI居家护理平台管理,包括线上交流、线上科普宣教、患者数据上传及分析等。比较两组不良事件发生率、再住院率、药物用药率、生活方式改变依从性以及血脂、体质量、血糖、血压等达标情况。结果 两组1年内不良事件发生率与再入院率,抗栓药物(阿司匹林、替格瑞洛或氯吡格雷)、他汀类药物使用率,生活方式改变依从性,血脂、体质量、血糖、血压达标率等指标比较,差异有统计学意义(均P<0.05)。结论 居家护理平台的应用能较好地增强患者与医护人员之间的沟通与交流,减轻其经济负担与精神压力,提升患者生活质量。

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    Objective To explore the effect of following-up management by home care platform of patients with coronary stent implantation after discharge. Methods Fifty patients diagnosed with coronary heart disease and received stent therapy in our hospital from June to December 2019 were included in the control group, and 50 patients diagnosed with coronary heart disease and received stent therapy in our hospital from June to December 2020 were included in the observation group. The control group was followed up after routine discharge, and the observation group received PCI home care platform management, including online communication, online popular science education, patient data upload and analysis.The incidence of adverse events, rehospitalization rate, drug use rate, lifestyle change compliance, blood lipid, constitution, blood glucose and blood pressure were compared between the two groups. Results There were statistically significant differences between the two groups in the incidence of adverse events and readmission rate within one year, the use rate of antithrombotic drugs (aspirin, tigritol or clopidogrel), statins, compliance with lifestyle changes, blood lipid, body mass, blood glucose, blood pressure compliance rate and other indicators (P<0.05 for all). Conclusion Home care platform can enhance the communication between patients and medical staff, improve the quality of life of patients as a whole, reduce their economic burden and mental pressure, and avoid excessive waste of medical resources.

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赖春燕,林慕如,林小洁,刘时武,王少萍.居家护理平台在冠脉支架植入患者随访管理中的应用[J].护理学杂志,2023,38(10):9-12

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  • 收稿日期:2023-01-16
  • 最后修改日期:2023-03-29
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  • 在线发布日期: 2023-12-29