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目的 探讨院外延续性护理对经皮冠状动脉介入治疗患者预后及治疗依从性的作用.方法 将142例行经皮冠状动脉介入治疗的患者按入院顺序随机分为两组,每组71例.两组均予以常规住院诊疗护理及院外复查,研究组在此基础上采取院外持续性护理.比较护理前后两组焦虑、抑郁程度,随访1 a用药、运动依从性及心血管不良事件发生情况.结果 护理后,两组患者症状自评量表的焦虑、抑郁因子分较护理前显著降低(P＜0.01),研究组显著低于对照组(P＜0.01).随访1 a研究组用药、运动依从性均显著优于对照组(P＜0.01),心血管不良事件发生率显著低于对照组(P＜0.01).结论 院外持续性护理能显著改善经皮冠状动脉介入治疗患者出院后不良情绪,提高治疗依从性,降低心血管不良事件发生率,有利于预后.“,”Objective To explore the effect of out-of-hospital continuous nursing on the prognosis and treatment compliance of patients undergoing percutaneous coronary intervention(PCI). Methods A total of 142 patients undergoing PCI were randomly divided into two groups according to the order of admission with 71 cases in each group. The two groups were all given routine nursing of hospitalization diagnosis and treatment and out-of-hospital reexamination, the observation group was given out-of-hospital continuous nursing on this basis. Compare the degrees of anxiety and depression before and after treatment between the two groups. The differences in medication, exercise compliance and the incidence of adverse cardiovascular events were statistically analyzed and compared between the two groups at 1 year after discharge. Results After nursing, SCL-90 scores in the two groups were lower than those before the nursing(P＜0.01),the observation group was significantly lower than the control group (P＜0.01).1 year after discharge, the medication, exercise compliance of the observation group were significantly better than those of the control group (P＜0.01),while the incidence of adverse cardiovascular events was significantly lower than that in the control group (P＜0.01). Conclusion Out-of-hospital continuous nursing in patients undergoing PCI can significantly improve the unhealthy emotions and treatment compliance, reduce the rate of adverse cardiovascular event, and it is helpful for the prognosis.