梅桂英

    [摘要] 目的 探讨延续性护理对经皮冠状动脉介入术(PCI)后患者希望水平和自我管理能力的影响。 方法 选取2012年1月～2016年10月朝阳市中心医院收治的ST段抬高型急性心肌梗死行PCI治疗的患者93例，按抽签法将患者分为观察组(47例)和对照组(46例)。对照组采用常规护理，观察组采用延续性护理。评价两组患者住院时和出院6个月后希望水平和自我管理水平，并比较两组患者出院1年后主要心脏不良事件的发生率。 结果 两组患者住院时希望水平总评分、自我管理水平总评分比较差异均无统计学意义(P > 0.05)；出院6个月时观察组患者希望水平总评分、自我管理水平总评分均高于对照组，差异有统计学意义(P < 0.05)。出院后1年随访，观察组患者主要心脏不良事件发生率低于对照组，差异有统计学意义(P < 0.05)。 结论 延续性护理能提高PCI后患者自我管理能力，提高患者的希望水平，减少主要心脏不良事件的发生，值得临床推广应用。

    [关键词] 延续性护理；经皮冠状动脉介入术；希望水平；自我管理水平；主要心脏不良事件

    [中图分类号] R473.5 [文献标识码] A [文章编号] 1673-7210(2018)08(b)-0134-05

    [Abstract] Objective To explore the effect of continuous nursing on the level of hope and self management of patients after percutaneous coronary intervention (PCI). Methods From January 2012 to October 2016， in Central Hospital of Chaoyang City， 93 patients with ST segment elevation acute myocardial infarction who received PCI treatment were selected； according to ballot method， they were divided into observation group (47 cases) and control group (46 cases). The observation group was given continuous nursing and the control group was given routine nursing. The level of hope and self management of patients in two groups were evaluated in hospital and 6 months after discharge respectively. The incidence of major adverse events after 1 years of discharge in two groups was compared. Results There was no significant difference in the total score of hope and the level of self management between the two groups (P > 0.05). The total scores of hope and self management level of the patients in the observation group were higher than those in the control group at 6 months of discharge ......