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The Effect Of Telephone Follow-up Transitional Care On The Health Promoting Lifestyle Among PCI Patients

Posted on:2015-07-27Degree:MasterType:Thesis
Country:ChinaCandidate:Q J ShanFull Text:PDF
GTID:2284330431496190Subject:Nursing
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ObjectiveTo investigate the effect of health promoting lifestyle by the telephone follow-up type transitional care for patients after PCI.MethodsA total of116patients who underwent percutaneous coronary intervention (PCI) treatment were enrolled in this study from October2013to December2013. The patients included64male and52female with the mean age of(55.39±10.37)years, and were randomly divided into two groups. The intervention group(n=58),and control group(n=58). The follow-up period was3months.Two groups of patients during hospitalization was given routine health education, health education booklet, request the patient home in accordance with the guidance, supervision of the implementation of family assistance.The intervention group were given the telephone follow-up type transitional mode after discharge. the control group given routine health care. Transitional care intervention including the issuance of PCI patients postoperative external publicity and education manual,’carrying out the relevant knowledge of health education for patients with coronary artery disease after PCI through telephone follow-up every1week in the first month, and every2weeks in the last two months, sonable arrangement diet, rest and sleep, rational drug use to guide patients and families how to reduce the influence of various factors of health and prevent complications. Occurrence, mental health education to master the appropriate activity; At the same time and interact with the patient. Related issues to answer the patient puts forward at any time.The survey questionnaires were used in postoperative PCI patients before and after continuous nursing intervention. Health-promoting lifestye of postoperative PCI patients was measured by Health-Promoting Lifestyle Profile Ⅱ (HPLPⅡ). According to the results of measurement, analyse the states of health promoting lifestyle of patients after PCI, and investigate the effect of health promoting lifestyle by the telephone follow-up type transitional care for patients after PCI.ResultsThere was no significant difference between the two groups in the clinical baseline data (P>0.05).The total seore of health promoting lifestyle among Patients undergoing PCI was14.98±1.68. Patients scored highest on exereis and stress management, lowest health responsibility and interpersonal suppor as well as in the middle range on the subscales of nutrition and oneself-actualization.After3months of transitional intervention, the intervention group health promoting lifestyle scores were higher than the control group, the intervention group health promotion for total score was18.49±2.02. Patients scored highest on the subscales of nutrition, interpersonal suppor, self realization; the control group health promotion for total score was14.60±1.37. the comparison had significant difference between two groups(P<0.05). Telephone follow-up transitional care for patients on health issues have a positive effect on the health promoting lifestyle.ConclusionTelephone follow-up transitional care have a positive effect on the health promoting lifestyle among PCI patients. So as to promote the rehabilitation of patients after PCI. improve the quality of life of patients, reduce patient relapse rate, re hospitalization rate and mortality of cardiovascular disease, is an important part of rehabilitation therapy.
Keywords/Search Tags:telephone follow-up, transitional care, Percutaneous coronary intervention, health promoting lifestyle
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