Effects of clinical pathway combined with transitional care implemented by specialty nurses on the coronary heart disease patients after percutaneous coronary intervention therapy
10.3760/cma.j.issn.1672-7088.2015.30.004
- VernacularTitle:康复路径与以专科护士为导向的延续护理对经皮冠状动脉介入治疗患者心脏康复的影响
- Author:
Dongmei DU
;
Xiaoyan SUN
;
Ting LIANG
;
Xingqun MA
;
Xianxiu WEN
- Publication Type:Journal Article
- Keywords:
Percutaneous coronary interventions;
Cardiac rehabilitation;
Specialty nurse;
Transitional care
- From:
Chinese Journal of Practical Nursing
2015;(30):2276-2280
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effects of clinical pathway combined with transitional care implemented by specialty nurses on patients with coronary heart disease after PCI (percutaneous coronary intervention) therapy. Methods Totally 124 patients after PCI were divided into the experimental group and the control group with random digit table. Patients in the control group received routine education and follow- up during hospitalization and discharge period. The experimental group received clinical pathway combined with transitional care implemented by specialty nurses based on routine education. The level of patients′knowledge, attitude, practice and risk factors were compared between the two groups 6 and 12 months after discharge. Results There were 55 patients in each group completed the research ultimately. The Coronary Heart Disease Knowledge Questionnaire in the experimental group scored (57.61 ±8.77), (81.27±6.88) and (88.47±6.10),while the control group scored (59.71±7.32),(68.61±7.12) and (76.85±7.70), after repeated measurement analysis of variance, F=74.71, 14.52, P<0.01. The scores of General Self- Efficacy Scale (GSES) and Coronary Artery Disease Self- Efficacy Scale (CSMS) between two groups at three time points showed statistical significance, F=5.40, 14.52, P<0.05 or 0.01. The risk factors of coronary heart disease such as total cholesterol, triacylglycerol, hemoglobin A1c, body mass index, systolic pressure and diastolic pressure were statistically different between two groups except for high density lipoprotein cholesterol and low density lipoprotein cholesterol, F=5.82, 20.32, 4.14, 4.15, 4.99, 7.15, P<0.05 or 0.01. Conclusions Clinical pathway combined with transitional care implemented by specialty nurses can improve the knowledge-attitude- practice level of patients, help to control the risk factors of coronary heart disease. It is an effective heart rehabilitation model for patients after PCI.
