慢性病轨迹框架护理在冠心病经皮冠状动脉介人治疗患者中的应用效果

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[中图分类号] R473.54［文献标志码]A [文章编号] 2097-5716（2025）05-0735-06

DOI： 10.13308/j.issn.2097-5716.2025.05.021

［引用格式］，.慢性病轨迹框架护理在冠心病经皮冠状动脉介人治疗患者中的应用效果[J].实用心电与临床诊疗，2025，34（5）：735-740.

Effect of chronic disease trajectory framework-based nursing in patients with coronary heart disease undergoing percutaneous coronary interventionWEI Yanqiu，GU Yijun（Department of Cardiology，Wuxi People's Hospital，Wuxi Jiangsu 214023，China）

[Abstract]ObjectiveTo investigate the clinical efect of a nursing program basedon the chronic disease trajectory framework forpatients with coronary heart disease（CHD）afterpercutaneous coronary intervention （PCI）.MethodsA total of118 CHD patients who had undergone PCI were selected，and randomlydivided into an observation group and a control group，with 59 cases in each group.The control group received routine nursing care，while the observation group received chronic disease trajectory framework-based nursing in addition to the routine nursing care.This intervention involved establishing a specialized nursing team，categorizing patients according to the phases of the disease trajectory（critical，acute，and stable phases），and implementing targeted interventions focusingon both disease-and daily life-related behaviors.The intervention lasted for6months inboth groups.Changes inemotionregulation ability，self-effcacy，health-promoting behaviors，and qualityof life were compared between the two groups before and after the intervention.ResultsAfter 6 months of intervention，all scores in both groups improved significantly compared to pre-intervention levels （all P<0.05 ）. The scores of adaptive emotion regulationand self-effcacy，the total and sub-domain scores of health-promoting behaviors，and qualityof lifescore in the observation group were allsignificantlyhigher than those in thecontrol group，while the score of non-adaptive emotion regulation was significantly lower （all P<0.01 ）. ConclusionImplementing chronic disease trajectory framework-based nursing for CHD patients after PCI could effectively enhance their emotion regulation ability and self-effcacy，and improve their health-promoting behaviors and quality of life.

Key words]coronary heart disease；percutaneous coronary intervention；nursing care；chronic disease rajectory framework ；emotion regulation ability；self-efficacy ；quality of life

冠心病是全球范围内高发的心血管疾病之一，随着微创介入性医疗技术和器械的发展，经皮冠状动脉介人（percutaneous coronary intervention，PCI）术已广泛应用于临床实践中，成为稳定性冠心病和急性冠脉综合征的主要治疗手段[1]。（剩余8281字）