标题：全程护理模式对冠心病合并糖尿病患者PCI术后生活质量及心血管不良事件的影响

      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： 2019年30卷5期

      【摘要】 目的 探讨全程护理模式对冠心病合并糖尿病患者经皮冠状动脉介入(PCI)术后生活质量及心血管不良事件的影响。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46例冠心病合并2型糖尿病患者为研究对象，根据随机数表法将患者分为观察组和对照组，每组23例，所有患者均接受PCI治疗，对照组予常规护理，观察组则应用全程护理模式，干预时间为 6个月。干预前后采用SF-36量表对两组患者的生活质量进行评价，包括生理健康总评分(PCS)和心理健康总评分(MCS)，记录主要心血管不良事件(MACE)的发生情况。结果 干预前，观察组患者的SF-36量表总分及PCS、MCS得分分别为(60.4±7.2)分、(59.1±6.7)分、(61.4±6.6)分，与对照组的(59.8±6.3)分、(58.9±5.2)分、(61.3±5.7)分比较，差异均无统计学意义(P>0.05)；干预后，观察组患者的上述得分分别为(67.5±7.9)分、(66.4±7.2)分、(68.6±8.1)分，明显高于干预前，且高于对照组的(61.8±5.6)分、(61.2±6.3)分、(62.4±5.6)分，差异均有统计学意义(P<0.05)；观察组患者的MACE发生率为13.04%，明显低于对照组的30.43%，差异有统计学意义(P<0.05)。结论 全程护理模式应用于冠心病合并糖尿病患者可以明显降低患者主要心血管不良事件的发生风险，提高患者的生活质量。
      【关键词】 冠心病；糖尿病；经皮冠状动脉介入术；动脉粥样硬化；全程护理；生活质量；主要心血管不良事件
      【中图分类号】 R473.5 【文献标识码】 A 【文章编号】 1003—6350（2019）05—675—03E

ffects of whole-course nursing mode on quality of life and cardiovascular adverse events after PCI in patientswith coronary heart disease complicated with diabetes mellitus.
JIN Xiu, LI Ping, CAO Hong-ling. Second Departmentof Cardiology, Xiaogan Central Hospital, Xiaogan 432000, Hubei, CHINA
【Abstract】 Objective To investigate the effect of whole-course nursing mode on quality of life and adversecardiovascular events after percutaneous coronary intervention (PCI) in patients with coronary heart disease complicatedwith diabetes mellitus. Methods A total of 46 patients with coronary heart disease complicated with type 2 diabetestreated in the Second Department of Cardiology at Xiaogan Central Hospital from January 2017 to December 2017 wereselected and divided into an observation group and a control group according to the random number table method, with23 cases in each group. Based on PCI, the control group received routine care, and the observation group applied thewhole-course nursing; the intervention time were both 6 months. The quality of life of the two groups was evaluated bythe SF-36 scale before and after the intervention, including Physical and Mental Health Composite Scores (PCS &MCS). The occurrence of major cardiovascular adverse events (MACE) was recorded. Results Before the intervention,the total scores of the SF-36 scale and PCS & MCS in the observation group were respectively 60.4±7.2, 59.1±6.7, and61.4±6.6; compared with the corresponding 59.8±6.3, 58.9±5.2, and 61.3±5.7 in the control group (P>0.05). After the in-tervention, the above scores in the observation group were respectively 67.5±7.9, 66.4±7.2, and 68.6±8.1, which weresignificantly higher than those before the intervention, and higher than the corresponding 61.8±5.6, 61.2±6.3, and 62.4±5.6 in the control group; all differences were statistically significant (P<0.05). The incidence of MACE in the observa-tion group was 13.04%, which was significantly lower than 30.43% in the control group, and the difference was statisti-cally significant (P<0.05). Conclusion The whole-course nursing mode applied to patients with coronary heart diseasecomplicated with diabetes mellitus can significantly reduce the risk of major cardiovascular adverse events and improvethe quality of life of patients.
      【Key words】 Coronary heart disease; Diabetes; Percutaneous coronary intervention; Atherosclerosis;Whole-course nursing; Quality of life; Major cardiovascular adverse events·护理·doi:10.3969/j.issn.1003-6350.2019.05.038