Effect of continuity of care on quality of life and prognosis in patients with coronary heart disease after stent implantation
延续性护理对冠心病支架术后患者生活质量及预后的影响

摘要

目的 探讨延续性护理对冠心病支架术后患者生活质量及预后的影响。方法 选取于本院接受经皮冠状动脉介入治疗（PCI）支架植入术的冠心病患者56例，对照组出院后常规指导，观察组并给予延续性护理干预，比较两组干预效果。结果 出院后6个月，观察组西雅图心绞痛量表（SAQ）各维度评分均高于对照组（P<0.05）。观察组Morisky服药依从性评分高于对照组分（P<0.05）。观察组主要不良心血管事件（MACE）发生率低于对照组，再住院率（3.57%）低于对照组（P<0.05）。结论 延续性护理能够改善冠心病支架术后患者的生活质量和服药依从性，降低MACE发生率和再住院风险。

Abstract

Objective To investigate the effect of continuity of care on quality of life and prognosis in patients with coronary heart disease after stent implantation.
Methods A total of 56 patients with coronary heart disease who underwent percutaneous coronary intervention (PCI) with stent implantation in our hospital were enrolled. The control group received routine post-discharge guidance, while the observation group additionally received continuity of care intervention. The intervention effects were compared between the two groups.
Results At 6 months after discharge, scores of all Seattle Angina Questionnaire (SAQ) dimensions in the observation group were higher than those in the control group (P<0.05). The Morisky medication adherence score in the observation group was higher than that in the control group (P<0.05). The incidence of major adverse cardiovascular events (MACE) in the observation group was lower than that in the control group, and the readmission rate (3.57%) was also lower than that in the control group (P<0.05).
Conclusion   Continuity of care can improve the quality of life and medication adherence in patients after coronary stent implantation, and reduce the risk of MACE and readmission.