CAJ | 학술논문

目的观察规范化随访管理对冠脉内支架植入(PCI)术后患者心理健康和生活质量的影响.方法选取136例PCI术后患者作为研究对象,随机分为观察组和对照组各68例.两组患者住院期间接受相同的治疗及护理,观察组采用为期1年的规范化随访管理,对照组常规随访管理,观察两组患者出院时、1年后的心理健康(SCL-90)评分和明尼苏达生活质量表(LiHFE)测评情况,进行比较分析.结果观察组1年后SCL-90各因子评分及总分(127.75±26.65),与出院时比较,差异均有极显著性(P＜0.01),与对照组比较,除敌对一项外,其它因子评分观察组降低更明显(P＜ 0.05); 1年后观察组生活质量各维度评分与总分(21.08±1.98),与出院时、对照组比较,差异均有显著性(P＜0.05).结论规范化随访管理能够改善PCI术后患者的心理健康状况,提高术后患者的生活质量.
목적 관찰규범화수방관리대관맥내지가식입(PCI)술후환자심리건강화생활질량적영향.방법 선취136례PCI술후환자작위연구대상,수궤분위관찰조화대조조각68례.량조환자주원기간접수상동적치료급호리,관찰조채용위기1년적규범화수방관리,대조조상규수방관리,관찰량조환자출원시、1년후적심리건강(SCL-90)평분화명니소체생활질량표(LiHFE)측평정황,진행비교분석.결과 관찰조1년후SCL-90각인자평분급총분(127.75±26.65),여출원시비교,차이균유겁현저성(P＜0.01),여대조조비교,제활대일항외,기타인자평분관찰조강저경명현(P＜ 0.05); 1년후관찰조생활질량각유도평분여총분(21.08±1.98),여출원시、대조조비교,차이균유현저성(P＜0.05).결론 규범화수방관리능구개선PCI술후환자적심리건강상황,제고술후환자적생활질량.
Objective To investigate the effects of standard follow-up management on mental health and quality-of-life of patients after Percutaneous coronary intervention (PCI) with coronary stenting.Methods A total of 136 patients after coronary stenting therapy were randomly selected and divided into observation group and control group,68 patients in each group.All the patients received the same therapy and nursing in hospital.Patients of control group received routine follow-up management,while,on the basis of that,patients of the observation group were given one year standard follow-up management.We compared and analyzed the mental health (SCL-90 score) and quality-of-life (LiHFE) evaluation between institutional release and one year follow-up in these two groups.Results After one year follow-up,the SCL-90 scores of observation group reduced and had significant difference compared to those at the time of discharge from hospital.The difference had a statistical significance (P＜ 0.01).Comparing to control group,except the score of hostility,all the other scores in observation group significantly reduced (P＜0.05).After one year follow-up,the quality-of-life of observation group had a significant difference compared to the institutional release and control group (P ＜ 0.05).Conclusions Standard follow-up management can improve the mental health and quality-of-life of patients after coronary stenting therapy.