延续性护理干预对急性心肌梗死支架术后患者健康自我管理能力的影响

[摘要] Abstract：Objective To investigate the effect of ontinuing nursing care on health self-management ability of patients with acute myocardial infarction undergoing intracoronary stent implantation.Methods A total of 126 acute myocardial infarction patients after intracoronary stent implantation were randomly divided into the observation group(n=61)and the control group(n=65). Both of two groups received routing health education on postoperative rehabilitation, and the continuing nursing care was applied in the observation. The self-management ability was assessed by the adults health self-management skill rating scale(AHSMSRS)at discharge, half year and 1 year after discharge. The physiological index, incidence of cardiovascular event and re-hospitalization were recorded.Results The AHSMSRS score was higher in the observation group than that of controls at one year after discharge, with a significant difference(P<0.01). Patients in the observation group had a better control on blood lipid, blood pressure and blood?glucose level compared with those in the control group at one year after discharge(P<0.05). There was no significant difference in incidence of cardiovascular event and re-hospitalization rate compared between two groups(P>0.05).Conclusion Continuing nursing care can improve the health self-management ability of patients with acute myocardial infarction after intracoronary stent implantation, showing a better effect on disease stabilization.

[学科分类] 护理学

[关键词] 延续性护理;急性心肌梗死;自我管理