Triangle风险分层式护理对冠心病PCI术后焦虑患者心理状态及心血管预后的影响OA
Impact of Triangle risk-stratified nursing on psychological status and cardiovascular prognosis in patients with anxiety after percutaneous coronary intervention for coronary heart disease
目的 探讨Triangle风险分层式护理对冠状动脉粥样硬化性心脏病(简称"冠心病")经皮冠状动脉介入治疗(PCI)术后焦虑患者心理状态及心血管预后的影响.方法 选择2024 年5 月1 日至2025 年5 月1 日临沂市人民医院收治的 120 例冠心病PCI术后焦虑患者,以随机数字序列分为对照组(60 例,接受常规护理)和观察组(60 例,在常规护理基础上接受Triangle风险分层延续性护理).比较 2 组的焦虑状况及睡眠质量[广泛性焦虑障碍量表-7 项版(GAD-7)、匹兹堡睡眠质量指数(PSQI)]、生活质量及自我管理能力[简明健康量表-12(SF-12)、冠心病自我管理行为量表(CSMS)]、心功能[左心室收缩末期容积(LVESV)、左心室舒张末期容积(LVEDV)、左心室射血分数(LVEF)]、主要心血管不良事件(MACE).结果 护理 3 周及 6 周后,观察组的GAD-7 和PSQI评分均低于对照组,SF-12 和CSMS评分均高于对照组(P均<0.05);观察组的LVESV和LVEDV均低于对照组,LVEF均高于对照组(P均<0.05);2 组指标均较护理前更优,且护理 6 周后均优于护理 3 周后(P均<0.05).观察组的 6 个月MACE总发生率低于对照组(P<0.05).结论 基于Triangle模型的风险分层延续性护理能有效缓解冠心病PCI术后患者的焦虑情绪,并通过改善睡眠和生活质量与自我管理行为,带来心功能恢复和远期心血管预后方面的显著获益.
Objective To explore the influence of Triangle risk-stratified nursing on the psychological status and cardiovascular prognosis in patients with anxiety after percutaneous coronary intervention(PCI)for coronary atherosclerotic heart disease.Methods A total of 120 patients with postoperative anxiety after PCI for coronary heart disease admitted to Linyi People's Hospital from May 1,2024 to May 1,2025 were randomly divided into a control group(60 cases,receiving routine nursing)and an observation group(60 cases,receiving Triangle risk-stratified continuous nursing on the basis of routine nursing)using a random number sequence.Anxiety status and sleep quality(7-item Generalized Anxiety Disorder Scale[GAD-7],Pittsburgh Sleep Quality Index[PSQI]),quality of life and self-management ability(Short Form-12 Health Survey[SF-12],Coronary Heart Disease Self-management Scale[CSMS]),cardiac function(left ventricular end-systolic volume[LVESV],left ventricular end-diastolic volume[LVEDV],left ventricular ejection fraction[LVEF]),and major adverse cardiovascular events(MACE)were compared between the two groups.Results After 3 and 6 weeks of nursing,the GAD-7 and PSQI scores in the observation group were lower than those in the control group,while the SF-12 and CSMS scores in the observation group were higher than those in the control group(P<0.05).The LVESV and LVEDV were lower,while the LVEF was higher in the observation group than in the control group(P<0.05).The indicators of both groups were better than before nursing,and after 6 weeks of nursing,they were better than after 3 weeks of nursing(P<0.05).The total incidence of MACE in 6 months in the observation group was lower than that in the control group(P<0.05).Conclusion Triangle model-based risk-stratified continuous nursing can effectively alleviate anxiety in patients with coronary heart disease after PCI,and bring significant benefits in cardiac function recovery and long-term cardiovascular prognosis by improving sleep quality,quality of life,and self-management behaviors.
王若涵;李潇;段琳琳
喀什大学,新疆维吾尔自治区 喀什,844000||临沂市第四人民医院,山东 临沂,276000临沂市第四人民医院,山东 临沂,276000临沂市人民医院,山东 临沂,276000
医药卫生
冠状动脉粥样硬化性心脏病经皮冠状动脉介入治疗Triangle风险分层延续性护理睡眠质量
coronary atherosclerotic heart diseasepercutaneous coronary interventionTriangle risk stratificationcontinuous nursingsleep quality
《中西医结合护理（中英文）》 2026 (1)
33-36,4
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