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| Network continuity of function of nursing home care after PCI in patients with coronary heart disease |
| CAO Juanjuan CHENG Xiaohong ZHENG Xiao YU Xiaoqin WANG Jinhua LU Hong |
| Disinfection Supply Center, Affiliated Hospital of Jiujiang University, Jiangxi Province, Jiujiang 332000, China |
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Abstract Objective To explore the network continuity of function of nursing home care after percutaneous coronary intervention (PCI) in patients with coronary heart disease. Methods From January 2019 to May 2020, a total of 80 postoperative patients with PCI admitted to the Affiliated Hospital of Jiujiang University were selected as the research objects, and divided into the control group (40 cases) and the observation group (40 cases) according to the random number table method. The control group implemented routine continuing care, and the observation group implemented network continuity nursing on the basis of the control group, and continued to intervene for 1 year. After 6 months and 1 year of intervention, the two groups were evaluated for medication adherence (morisky medication adherence scale [MMAS-8]),self-care ability (self-care energy strength scale [ECSA]), self-efficacy (general self-efficacy scale [GSES]), health knowledge awareness and nursing satisfaction. Results The scores of MMAS-8, ECSA and GSES in the control group after one year of intervention were higher than those in this group for after 6 months of intervention, and the differences were statistically significant (P＜0.05). The scores of MMAS-8, ECSA and GSES in the observation group after one year of intervention were higher than those in this group for after 6 months of intervention, and the differences were statistically significant (P＜0.05). After 6 months of intervention, the MMOS-8, ECSA and GSES scores of the observation group were higher than those of the control group in the same period, and the differences were statistically significant(P＜0.05). After one year of intervention, the MMAS-8, ECSA and GSES scores of the observation group were higher than those of the control group in the same period, and the differences were statistically significant (P＜0.05). The health knowledge awareness rate and total nursing satisfaction rate of the control group after one year of intervention were not significantly different from those of this group after 6 months of intervention (P＞0.05). The overall satisfaction rate of care in the observation group after one year of intervention was not significant compared with that of this group after 6 months of intervention (P＞0.05). The health knowledge awareness rate of the observation group after one year of intervention was higher than that of this group after 6 months of intervention, and the difference was statistically significant(P＜0.05). After 6 months of the intervention, the health knowledge awareness rate and the overall satisfaction rate of nursing care in the observation group were higher than those in the control group in the same period, and the differences were statistically significant (P＜0.05). After one year of intervention, the health knowledge awareness rate and total nursing satisfaction rate of the observation group were higher than those in the control group in the same period, and the differences were statistically significant (P＜0.05). Conclusion Network continuity nursing is applied to the postoperative home care of patients with coronary heart disease, which can improve the patient's health knowledge awareness rate, improve self-care ability and self-efficacy, and obtain higher nursing satisfaction.
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