CAJ | 학술논문

目的探讨医院、社区协同健康管理对老年冠心病患者经皮冠状动脉介入治疗(PCI)术后生活质量的影响.方法 PCI术后老年冠心病(CAD)患者147例,按照所在社区分为对照组(75例)和观察组(72例).对照组出院后转社区医疗组织管理,医院不再提供后续健康干预治疗；观察组出院后医院协同社区共同健康管理1年,比较两组患者在发生心脏事件方面的差异,并在统一指导语的前提下进行生活质量综合评定问卷( GQOLI-74)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分.结果与对照组比较,观察组患者焦虑(34±6 vs 41 ±7,t=2.714,P＜0.01)、抑郁心理评估分数(35 ±7 vs41 ±8,t=2.572,P＜0.05)明显降低,躯体健康度(63±12 vs 59±11,t=5.935,P＜0.01)、心理健康度(64±14 vs58±13,t=6.116,P＜0.01)、社会功能维系度(64±11 vs58±10,t=6.157,P＜0.01)均好于对照组,但心脏事件发生率及物质生活维系度两组差异无统计学意义(P＞0.05).结论医院、社区协同健康管理是老年PCI术后患者降低焦虑、抑郁状态,提高生活质量切实有效的方式.
목적 탐토의원、사구협동건강관리대노년관심병환자경피관상동맥개입치료(PCI)술후생활질량적영향.방법 PCI술후노년관심병(CAD)환자147례,안조소재사구분위대조조(75례)화관찰조(72례).대조조출원후전사구의료조직관리,의원불재제공후속건강간예치료；관찰조출원후의원협동사구공동건강관리1년,비교량조환자재발생심장사건방면적차이,병재통일지도어적전제하진행생활질량종합평정문권( GQOLI-74)、초필자평량표(SAS)、억욱자평량표(SDS)평분.결과 여대조조비교,관찰조환자초필(34±6 vs 41 ±7,t=2.714,P＜0.01)、억욱심리평고분수(35 ±7 vs41 ±8,t=2.572,P＜0.05)명현강저,구체건강도(63±12 vs 59±11,t=5.935,P＜0.01)、심리건강도(64±14 vs58±13,t=6.116,P＜0.01)、사회공능유계도(64±11 vs58±10,t=6.157,P＜0.01)균호우대조조,단심장사건발생솔급물질생활유계도량조차이무통계학의의(P＞0.05).결론 의원、사구협동건강관리시노년PCI술후환자강저초필、억욱상태,제고생활질량절실유효적방식.
Objective To assess the influence of community and hospital comprehensive Health management on quality of life in aged patients with coronary artery disease (CAD) after PCI.Methods 147 patients with CAD after PCI were divided into experimental group(72 cases) and control group (75 cases) accordance with their residential community.In control group,community health education was introduced.While in experimental group,hospital and community comprehensive healthy education lasted for one year.Before and after invention,major adverse cardiac events (MACE) was recorded and generic quality of life inventory (CQOLI-74),self-rating anxiety scale (SAS),and self-rating depression scale (SDS) were carried out on the basis of giving unite guiding words.Results The observation items of the SAS(34±6 vs41 ±7,t =2.714,P ＜0.01)and SDS(35 ±7 vs 41 ±8,t =2.572,P ＜0.05)scores in experimental group were lower than those in control group.Meanwhile the body health dimension(63 ± 12 vs 59 ±11,t =5.935,P ＜0.01 ),psychological health dimension(64 ± 14 vs 58 ± 13,t =6.116,P ＜0.01 ),social function dimension(64 ± 11 vs 58 ± 10,t =6.157,P ＜0.01 ) were higher than those in control group,but the difference of the material life dimension and the MACE rate were not statistically significant( P ＞0.05).Conclusions Community and Hospital comprehensive health management is a practical and valuable strategy for palliating the depression and anxiety and improving quality of life after PCI in aged patients.