Effect of care intervention after hospital discharge on acute cardiac events prevention for patients with coronary heart disease
10.3760/cma.j.issn.1674-2907.2012.15.008
- VernacularTitle:出院后护理干预预防冠心病患者急性心脏事件发生的效果
- Author:
Xue-Hao ZHANG
1
;
Yao-Qin CHEN
;
Li-Hua CHEN
;
Li-Yu WANG
;
Xiao-Wen PAN
;
Ji-Yan LIN
Author Information
1. 厦门大学附属第一医院
- Keywords:
Coronary heart disease;
Acute cardiac events;
Posthospital care
- From:
Chinese Journal of Modern Nursing
2012;18(15):1763-1765
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of care intervention after hospital discharge on the acute cardiac events (ACE) prevention for patients with coronary heart disease (CHD).Methods A total of 293 patients with coronary heart disease were randomly divided into two groups,the control group (n =149) received routine discharge guidance,and the observation group (n =144) received care intervention on the basis of routine discharge guidance.They were followed up three years regularly,and the ACE onset in two groups were observed and compared.Results During the three years' follow-up,the total incidence of ACE was 32.4％.In the observation group,time distribution curve of ACE was relatively low and flat,while nine months after discharge,the curve in the control group had an upward trend with time extending.At the endpoint,the cumulative incidence of ACE in the observation group ( 22.9％ ) was lower than that in the control group (41.6％ ),and the difference was statistically significant ( x2 =11.680,P ＜ 0.05 ).The proportion of patients received percutaneous coronary intervention for ACE (8.3％ vs 18.8％,x2 =6.101 ),hospitalization proportion (20.1％ vs 35.6％,x2 =8.652 ),hospital stay [ (8.83 ± 3.43 ) days vs ( 11.36 ± 3.13 ) days,t =- 3.381 ],total mortality ( 3.5％ vs 9.4％,x2 =4.237 ) in the observation group were lower than those in the control group,and the differences were statistically significant( P ＜0.05 ).Conclusions Care intervention after hospital discharge can reduce ACE for patients with CHD.
