摘要
本文旨在深入剖析冠心病患者的自我管理能力现状，并强调对此类患者实施延续性护理的迫切需求。本文提出了三种主要实施路径，为定期随访干预、利用互联网技术进行远程干预及组织俱乐部活动，同时，探讨评估延续护理效果的有效方法，旨在科学衡量这一护理模式对患者健康状况的实际改善程度。此外，本文还指出了当前我国冠心病延续护理服务中存在的显著问题，包括护理人员对延续护理理念的理解与认知尚显不足，以及跨学科合作机制尚不健全，人员配置未能实现最优化。希望通过上述分析，为我国冠心病延续护理服务的进一步发展和完善提供有价值的临床参考与指导。
关键词： 冠心病；延续护理；研究进展
Abstract
This article aims to deeply analyze the current status of self-management ability in patients with coronary heart disease, and emphasize the urgent need for continuity of care for such patients. This paper proposes three main implementation paths, namely, regular follow-up intervention, remote intervention using Internet technology and club activities. At the same time, it discusses the effective methods to evaluate the effect of continuous nursing, aiming to scientifically measure the actual improvement of this nursing model on patients' health. In addition, this article also points out significant problems in the current continuity of care services for coronary heart disease in China, including insufficient understanding and cognition of continuity of care concepts among nursing staff, as well as inadequate interdisciplinary cooperation mechanisms and suboptimal personnel allocation. I hope that through the above analysis, valuable clinical references and guidance can be provided for the further development and improvement of continuing care services for coronary heart disease in China.
Key words： Coronary heart disease; Continuing care; Research progress
参考文献 References
[1] 周忠丽,曹丽君,项再红,等.基于行动研究法构建的延续护理模式在冠心病患者中的应用[J].中国医药导报, 2023, 20(22):175-179.
[2] 祁丹丹,杨青青,张百灵,等.冠心病患者院外延续性护理用药偏差的相关因素及管理对策[J].中国医药导报, 2024, 21(12):144-147.
[3] 庞倩倩,严燚燚,沈佳燕.延续性护理干预对冠心病PCI术后康复的影响研究[J].浙江创伤外科,2024,29(08):1598-1600.
[4] Yan L .Analysis of the Nursing Effect of Continuity of Care on Elderly Patients with Coronary Heart Disease Unstable Angina and its Impact on Quality of Life[J].Journal of Clinical and Nursing Research, 2024, 8(2):185-190.
[5] 王莹澄,桂彩红,毛芳.以时机理论为中心的延续性护理模式在冠心病PCI术后患者中的应用[J].检验医学与临床, 2022(006):019.
[6] 苗慧敏,王亚文,王新婷,等.基于微信的延续性护理在冠状动脉粥样硬化性心脏病合并焦虑和抑郁患者中的应用[J].中西医结合护理(中英文),2024,10(06):162-164.
[7] 贾海燕,张红瑾.基于IMPACT模式的延续性护理在老年2型糖尿病合并冠心病患者中的应用效果[J].中国民康医学,2024,36(12):161-164.
[8] 田雪娟,唐冰冰.基于IKAP模式的延续性护理对冠心病患者治疗依从性及生活质量的影响[J].山西卫生健康职业学院学报,2024,34(03):100-102.
[9] 裴建美.延续护理干预对冠心病患者的应用效果观察[J].中国社区医师,2023,39(18):115-117.
[10] 杨华,马冬冬,高凤.生命网背景下的延续护理在冠心病患者中的应用[J].齐鲁护理杂志,2023,29(11):9-12.
[11] 孟丹.高血压合并冠心病患者的延续性护理效果及对遵医行为,生活质量的影响[J].中国国境卫生检疫杂志, 2023, 46(S02):43-45.
[12] 王宝玉,翁琴,李玉平.延续性护理对冠心病PCI术后患者预后的影响[J].中华现代护理杂志, 2022, 28(2):4.