Construction and implementation of rehabilitation model for patients after percutaneous coronary stent implantation based on double heart medicine
目的 构建基于双心医学经皮冠状动脉支架植入术后患者康复模式并探讨其应用效果。方法 成立由多学科协作双心管理团队,以双心医学为基础构建经皮冠状动脉支架植入术后患者康复模式。便利选取2017年1月—12月入院且首次行经皮冠状动脉支架植入术后合并焦虑（和）或抑郁的患者为研究对象,2017年1月—6月的41例患者为对照组,2017年7月—12的44例患者为试验组。试验组采用以双心医学为基础构建的经皮冠状动脉支架植入术后患者康复模式,内容包括：认知重建、放松训练、药物干预、健康教育;对照组进行1次集体健康教育并给予院外电话随访指导,比较干预后两组患者焦虑、抑郁及心功能康复状况。结果 干预后试验组焦虑和抑郁发生率与对照组比较差异有统计学意义（P<0.05）;干预后试验组N端前脑钠肽、左心室射血分数较干预前降低（P<0.05）;干预后试验组N端前脑钠肽、左心室射血分数与对照组比较差异有统计学意义（P<0.05）。结论基于双心医学构建的经皮冠状动脉支架植入术后患者康复模式,可改善患者的焦虑、抑郁及心功能康复状况。
黄峥 , 娄小平 , 郑晓 , 刘源 . 基于双心医学的经皮冠状动脉支架植入术后患者康复模式的构建及实施[J]. 中华护理教育, 2019 , 16(3) : 178 -182 . DOI: 10.3761/j.issn.1672-9234.2019.03.003
Objective To establish a rehabilitation model for patients after percutaneous coronary stent implantation based on double heart medicine. Methods The multidisciplinary team was built up and the rehabilitation model for patients after percutaneous coronary stent implantation based on double heart medicine was developed. Patients with anxiety and/or depression who were admitted to the hospital from January to December 2017 and had undergone percutaneous coronary stent implantation were recruited through convenience sampling. Forty-one patients from January to June 2017 were in the control group. Forty-four patients from July to December of the year were in the experimental group. The rehabilitation model of percutaneous coronary stent implantation based on double heart medicine was used in the experimental group including：cognitive reconstruction,relaxation training,drug intervention,health education. Patients in the control group received group health education and given outpatient telephone follow-ups.The level of anxiety,depression and cardiac function were compared between the two groups. Results After intervention,the incidence of anxiety and depression in the experimental group was significantly different from that in the control group（P<0.05）. After intervention,the N-terminal forebrain natriuretic peptide and left ventricular ejection fraction in the experimental group were lower than those before intervention（P<0.05）. After intervention, the N-terminal forebrain natriuretic peptide and left ventricular ejection fraction in the experimental group were significantly different from those in the control group（P<0.05）. Conclusion The rehabilitation model of patients after percutaneous coronary stent implantation based on double heart medicine can improve the anxiety,depression and cardiac function of patients.
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