Community and hospital joint management for elderly patients after percutaneous coronary intervention
10.3760/cma.j.issn.1671-7368.2012.12.015
- VernacularTitle:医院与社区协同健康管理模式对冠状动脉介入术后老年冠心病患者的影响
- Author:
Lingling ZHANG
;
Ligeng ZONG
;
Xia GAO
;
Daoying XU
- Publication Type:Journal Article
- Keywords:
Angioplasty,transluminal,percutaneous coronary;
Disease management
- From:
Chinese Journal of General Practitioners
2012;(12):925-927
- CountryChina
- Language:Chinese
-
Abstract:
Among 172 patients with coronary artery disease (CAD),94 received community and hospital joint management (joint group) after percutaneous coronary intervention (PCI) for Ⅰ year and 78 received community-based health education only (control group) after PCI.The compliance of medication,readmission rate,times of hospitalization,medical costs,major adverse cardiac events (MACE),and general quality of life inventory (CQOLI-74),self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores were compared between two groups.The rate of readmission,times of hospitalization,medical costs,the sores of SAS and SDS in joint group were lower than those in control group(P < 0.01 or 0.05).The compliance of medication,body health dimension,psychological health dimension and social function dimension in joint group were better than those in control group,but there were no differences in material life dimension and the MACE rate between two groups(P > 0.05).Community and hospital joint management can reduce the readmission rate and medical burden,and improve quality of life for elderly CAD patients after PCI.