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| Effect of systematic family follow-up on treatment compliance and complications in patients after small-caliber vascular implantation |
| ZHU Xian WENG Yanmin CAI Ying CAO Jing LIU Zhao▲ |
| Department of 7C Vascular Surgery, Nanjing Drum Tower Hospital the Affiliated Hospital of Nanjing University Medical College, Jiangsu Province, Nanjing 210008, China |
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Abstract Objective To investigate the effect of systematic family follow-up on the treatment compliance and complications of patients after small-caliber vascular implantation. Methods From January 2015 to January 2018, 80 patients underwent stenting for lower limb atherosclerosis in Nanjing Drum Tower Hospital the Affiliated Hospital of Nanjing University Medical College were randomly selected and divided into control group and observation group according to the random number table method, with 40 cases in each group. The control group was given routine discharge nursing, and the observation group was given systematic family follow-up nursing on the basis of the control group. After 1 year of nursing, compliance, limb function and complications of patients in the two groups were observed. Results Ankle-brachial index (ABI), percutaneous oxygen partial pressure (TcPO2), and claudication distance (DOC) were not significantly different between the two groups before treatment (P ＞ 0.05). The levels of ABI, TcPO2 and DOC in the two groups increased significantly after 1 year of nursing care, and the difference was statistically significant in the observation group compared with the control group (P ＜ 0.05). The compliance of the observation group with reasonable diet, rehabilitation training, strict smoking cessation, medication adherence, regular reexamination and psychological adjustment were significantly higher than those of the control group, with statistically significant differences (P ＜ 0.05). The total complication rate in the observation group (5.00%) was significantly lower than that in the control group (17.50%), the difference was statistically significant (χ2 = 5.000，P = 0.025). Conclusion Systematic family follow-up nursing effect is better, can effectively improve the function of the affected limb, enhance the patient′s compliance with the doctor′s advice, and reduce the occurrence of complications, promote the recovery of the patient′s condition, can be widely used in clinical.
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