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| Effect of quality nursing based on clinical pathways on the incidence of rehabilitation and complication after coronary artery stenting in patients with coronary heart disease |
| YANG Lijun MA Hongbo LI Juan ZHANG Fenlan |
| Department of Cardiology, Central Hospital of Guangyuan City, Sichuan Province, Guangyuan 628000, China |
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Abstract Objective To explore the effect of quality nursing based on clinical pathways on the incidence of rehabilitation and complication after coronary artery stenting in patients with coronary heart disease. Methods From April 2014 to June 2016, 62 patients with coronary heart disease in the department of cardiology of Guangyuan Central Hospital were randomly divided into control group and study group, 31 cases in each group. The control group was treated by routine nursing, and the study group carried out quality nursing based on clinical path on the basis of routine nursing. The incidence of complications, nursing satisfaction, left ventricular ejection fraction (LVEF), depression score (SDS) and anxiety score (SAS) at the time of admission and after care were compared. Results After treatment, the LVEF of the two groups increased significantly than before care, and the study group was higher than the control group, the difference was statistically significant (P < 0.05). After treatment, the SDS and SAS scores of the two groups were lower than those before treatment, and the study group was lower than the control group, the difference was statistically significant (P <0.05). The rate of radial spasm, the hematoma, the vagal reflex and the arrhythmia in the study group was lower than that in the control group, the difference was statistically significant (P < 0.05). The overall satisfaction of the study group was higher than that of the control group, the difference was statistically significant (P < 0.05). Conclusion Coronary heart disease patients underwent coronary stent implantation based on the clinical path of the quality of care is significant, it can effectively promote the recovery of cardiac function after surgery to relieve its negative emotions, reduce the incidence of complications and improve nursing satisfaction, it is worth promoting
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[1] 丁建红，姚永芳.循证护理策略对老年冠心病患者生活质量、抑郁焦虑评分及心血管事件发生的影响[J].中国老年学杂志，2015，35（4）：1069-1070.
[2] 左玉姣，刘厂辉，王春兰，等.针对性心理干预对行运动康复治疗的老年冠心病心衰患者负性情绪及心功能的影响[J].中国老年学杂志，2016，36（15）：3684-3685.
[3] Allen JK，Dennison CR. Randomized trials of nursing interventions for secondary prevention in patients with coronary artery disease and heart failure：Systematic review [J]. J Cardiovasc Nurs，2010，25（3）：207-220.
[4] 彭贵海，谭利，陈玲玲，等.冠状动脉内支架植入术病人实施整体护理的效果研究[J].护理研究，2013，27（31）：3526-3528.
[5] 杨英珍.临床护理路径在护理实践中的应用及展望[J].中国临床研究，2013，26（2）：189-190.
[6] 葛均波，徐永健.内科学[M].8版.北京：人民卫生出版社，2013：226-227.
[7] 杨清风.冠心病介入治疗患者术前睡眠状况及围手术期心理干预效果研究[D].北京：中国人民解放军医学院，2015.
[8] Ren J. Application of nursing intervention to patients undergoing percutaneous coronary intervention with stent implantation [J]. J Qilu Nurs，2014，87（2）：395-410.
[9] 陈晓莎.舒适护理对冠状动脉支架植入患者生活质量的干预作用[J].蚌埠医学院学报，2014，39（8）：1126-1129.
[10] Gu Y，Lv W，Yu S. Effect of nurse-led peer education program on self-management behavior for coronary stent implantation patients [J]. J Amer College of Cardiology，2014， 64（16）：221.
[11] 陈晓霞.循证护理在冠状动脉支架植入术中的应用[J].中华现代护理杂志，2015，21（17）：2038-2041.
[12] 吴张平，朱霞.渐进性康复护理对冠状动脉支架植入术后患者的护理干预效果[J].检验医学与临床，2014，11（6）：852-854.
[13] Zhang H，Zhu G，Chen J. The effects of comprehensive nursing interventions on sexual functions in young and middle-aged patients with coronary stent implantation [J]. Health，2013，5（11）：1-4.
[14] 钱思兰，李素珍.临床护理路径在优质护理服务中的应用及效果评价[J].护理研究，2013，27（34）：3933-3934.
[15] Watanabe N.Clinical pathway between medical and nursing institutes develops regional partnership supporting people with heart disease in north shinshu [J]. J Cardiac Failure，2013，19（10）：112.
[16] 张新红.临床护理路径在冠心病介入治疗中的应用[J].中国实用医药，2014，9（29）：224-225.
[17] Fakhr-Movahedi A，Soleimani M，Ghazvininejad R，et al. Effect of patient-focused clinical pathway on anxiety， depression and satisfaction of patients with coronary artery disease：A quasi-experimental study [J]. Iranian Red Crescent Medical Journal，2015，17（9）：245-246.
[18] 陈冬琼.临床护理路径在冠心病心绞痛患者护理中的应用效果研究[J].白求恩医学杂志，2013，11（3）：197-199.
[19] Kramer L，Schlöβler K，Tröger S，et al. Qualitative evaluation of a local coronary heart disease treatment pathway：Practical implications and theoretical framework [J]. BMC Family Practice，2012，13（1）：1-11.
[20] 汤生娥.临床护理路径在冠心病患者中的应用效果评价[J].中华现代护理杂志，2014，49（2）：174-176. |
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