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目的:探讨慢病管理模式对临床PCI术后患者的影响,将慢病管理模式引入临床。方法:将2013年8月-2014年07月因心肌梗塞首诊入院并行PCI术的患者随机分为慢病管理组(80例)和对照组(80例),两组皆采用常规治疗模式,慢病管理组在此基础上实施慢病管理。包括建立患者档案,文档管理,定期健康教育,对患者用药、复诊、自我管理情况,进行为期12个月的跟踪随访。结果:慢病管理组患者用药依从性100%,由于对照组91.5%(P<0.01);慢病管理组患者定期复诊率98.37%,优于对照组82.16%(P<0.01);慢病管理组患者自我管理能力明显提高,优于对照组(P<0.05、P<0.01);满意度调查慢病管理组98.8%,对照组92.6%。结论:慢病管理能够提高PCI术后患者的自我管理意识,树立良好的生活习惯,减少并发症的发生,提高患者生活质量,并且提升满意度。
Objective: To explore the impact of chronic disease management on clinical patients after PCI, the chronic disease management model into clinical practice. Methods: A total of 80 patients with chronic disease management (80 cases) and control group (80 cases) were enrolled from August 2013 to July 2014 in our hospital. The patients were randomly divided into two groups: conventional treatment, Chronic disease management group based on this implementation of chronic disease management. Including the establishment of patient files, document management, regular health education, the patient medication, referral, self-management, follow-up for a period of 12 months. Results: The compliance of patients in the chronic disease management group was 100%, which was 91.5% in the control group (P <0.01). The recurrence rate was 98.37% in the chronic disease management group and 82.16% in the control group (P <0.01) The self-management ability of patients in the group was significantly higher than that of the control group (P <0.05, P <0.01). Satisfaction survey of the chronic disease management group was 98.8% and that of the control group was 92.6%. Conclusion: Chronic disease management can improve patients ’awareness of self-management after PCI, establish good living habits, reduce complications, improve patients’ quality of life, and enhance satisfaction.