Application effect of integrated traditional Chinese and Western medicine nursing based on"whole course case management model"in patients with coronary heart disease after PCI
10.3969/j.issn.1008-0074.2025.02.24
- VernacularTitle:基于"全病程个案管理模式"的中西医结合护理在PCI术后的冠心病患者中的应用效果
- Author:
Wen-jun ZHU
1
;
Yi SHEN
1
;
Wei-min JIANG
1
Author Information
1. 江苏省中医院心内科,江苏南京 210000
- Publication Type:Journal Article
- Keywords:
Coronary disease;
Angioplasty,balloon,coronary;
Nursing care
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2025;34(2):256-260
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of integrated traditional Chinese and Western medicine nursing based on"whole course case management mode"in patients with coronary heart disease(CHD)after percutaneous coronary inter-vention(PCI).Methods:This randomized controlled study enrolled 98 CHD patients who underwent PCI for the first time at Jiangsu Province Hospital of Chinese Medicine between February 2022 and May 2023.The patients were divided into in-tervention group(n=49)and control group(n=49).The patients in intervention group received whole course case man-agement model-based integrated traditional Chinese and Western medicine nursing plan,while those in the control group received routine nursing care after PCI.Scores of Morisky Medication Adherence Scale(MMAS-8),Cardiovascular Health Score(CHS),China questionnaire of quality of life in patients with cardiovascular diseases(CQQC)and incidence of adverse cardiac events were compared between two groups after 6 and 12 months.Results:Compared with patients in control group after intervention,those in intervention group had significant higher scores of MMAS-8[6 months:(6.63±0.83)points vs.(5.96±0.95)points,12 months:(6.85±0.96)points vs.(5.84±0.91)points],CHS[(8.10±1.37)points vs.(7.45±1.28)points],CQQC[(92.73±7.44)points vs.(88.16±2.88)points],and significant lower incidence of adverse cardiac events(14.29％vs.36.73％)(P＜0.05 or＜0.01).Conclusion:The integrated traditional Chinese and Western medicine nursing intervention plan based on the whole course case management model could effectively improve medication compliance,strengthen cardiovascular health behavior,reduce the incidence of adverse cardiac events,and improve quality of life in CHD patients after PCI.
