标题：延续性护理对冠心病PCI术后患者氯吡格雷用药依从性及生活质量的影响

      作者：金秀，李屏，曹宏玲    (孝感市中心医院心内二科，湖北 孝感 432000)

      卷次： 2018年29卷23期

      【摘要】 目的 探讨延续性护理对冠心病经皮冠状动脉介入(PCI)术后患者氯吡格雷用药依从性及生活质量的影响，以为临床护理措施的选择提供依据。方法 选择2017年1~12月期间孝感市中心医院心内二科收治的110例冠心病患者为研究对象，所有患者均接受PCI术治疗，根据随机数表法将患者分为观察组和对照组，每组 55例，对照组予 PCI围术期常规护理，观察组则在此基础上予延续性护理干预，观察时间为 6个月。干预后，采用Morisky 量表评价患者的氯吡格雷用药依从性，采用西雅图心绞痛 SAQ-ch量表评价患者生活质量。结果 干预后，观察组用药依从性好者占 50.91%，明显高于对照组的 32.73%，差异有统计学意义(P<0.05)；观察组患者的SAQ-ch量表中心绞痛稳定状态、躯体活动受限程度、治疗满意程度、心绞痛发作情况、疾病认知程度评分分别为(86.7±4.3)分、(77.6±3.8)分、(79.4±3.8)分、(94.7±6.7)分、(54.9±3.4)分，明显高于对照组的(82.5±3.6)分、(73.1±3.1)分、(74.2±2.7)分、(88.3±5.6)分、(50.5±2.8)分，差异均有统计学意义(P<0.05)。结论 延续性护理对提高冠心病PCI术后患者氯吡格雷用药依从性有明显的促进作用，且可以有效改善患者的生活质量。
      【关键词】 冠状动脉粥样硬化性心脏病；经皮冠状动脉介入术；氯吡格雷；依从性；生活质量
      【中图分类号】 R473.5 【文献标识码】 A 【文章编号】 1003—6350（2018）23—3402—03

Effect of continuous nursing on compliance and quality of life of patients with coronary heart disease afterpercutaneous coronary intervention.
JIN Xiu, LI Ping, CAO Hong-ling. Second Department of Cardiology, XiaoganCentral Hospital, Xiaogan 432000, Hubei, CHINA
【Abstract】 Objective To explore the effect of continuous care on compliance and quality of life in patientswith coronary heart disease after percutaneous coronary intervention (PCI), and to provide basis for selection of clinicalnursing measures. Methods A total of 110 cases of coronary heart disease in Second Department of Cardiology, Xiao-gan Central Hospital from January 2017 to December 2017 were selected as the research objects and were treated withPCI. According to the random number table, the patients were divided into the observation group and the control group,with 55 cases in each group, which were given PCI perioperative routine nursing and continuous nursing based on rou-tine nursing. The patients were followed up for 6 months. After the intervention, the compliance of clopidogrel was eval-uated by the Morisky scale, and the angina pectoris SAQ-ch scale was used to evaluate the quality of life of the patients.Results The patients with good drug compliance rate accounts for 50.91% in the observation group, which was signifi-cantly higher than 32.73% in the control group (P<0.05). The stable state of angina, the degree of physical activity re-striction, the degree of treatment satisfaction, the attack of angina pectoris, cognition of the disease, and the cognition ofthe disease in the observation group were (86.7±4.3), (77.6±3.8), (79.4±3.8), (94.7±6.7), (54.9±3.4), significantly higherthan (82.5±3.6), (73.1±3.1), (74.2±2.7), (88.3±5.6), (50.5±2.8) in the control group (P<0.05). Conclusion Continuousnursing can improve the compliance of clopidogrel in patients with coronary heart disease after PCI, and can improve thequality of life of patients.
      【Key words】 Coronary atherosclerotic heart disease; Percutaneous coronary intervention; Clopidogrel; Compli-ance; Quality of life·护 理·doi:10.3969/j.issn.1003-6350.2018.23.046