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目的：探讨远程护理管理对经皮冠状动脉介入治疗（PCI）术后患者心理状态与生活质量的影响。方法：选取52 例PCI术后患者，随机分为照组和试验组，各26 例，对照组给予常规护理，试验组在对照组基础上采用远程护理管理进行干预。采用Zung 焦虑自评量表（SAS）、抑郁自评量表（SDS）评价两组患者心理状态，并用社会功能缺陷筛选量表（SDSS）对两组患者生活质量进行评价。结果：两组患者干预前SAS、SDS、SDSS 评分无差异，实施干预后，两组患者均有SAS、SDS、SDSS 评分下降、但试验组患者 SAS、SDS、SDSS评分下降更明显，与对照组比较，差异有统计学意义(P＜0.01)。结论：远程护理管理有助于改善PCI术后患者焦虑、抑郁负性情绪，提高生活质量。

英文摘要:

Objective:To investigate the psychological state and quality of life post percutaneous coronary intervention (PCI) by remote management of nursing.Methods:52 patients post PCI, were randomly divided into control group and experimental group, 26 cases in each group. The patients in control group were given routine nursing care, while patients in experimental group were based on the use of remote management of nursing intervention. Mental state in the two groups were assessed by Zung Self-rating Anxiety Scale (SAS), self-rating depression scale (SDS), and we also used the social disability screening schedule (SDSS) to evaluate the quality of life of the patients of two groups.Results:There were no difference for the scores of SAS, SDS, SDSS in the two groups before intervention, and after intervention, the scores of SAS, SDS, SDSS decreased in the two groups, but there were difference significantly in experimental group compared with patients in the control group (P＜0.01).Conclusion:Remote nursing management helps to improve post PCI patients with negative mood included anxiety and depression, which could improve the quality of life.

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