天津护理 ›› 2026, Vol. 34 ›› Issue (4): 407-412.DOI: 10.3969/j.issn.1006-9143.2026.04.006

• 心血管疾病护理专题 • 上一篇    下一篇

中青年冠心病患者 PCI 术后延续性护理服务需求的质性研究

和霞 1 何翥 2 石雯佳 1 陈一竹 1   

  1. (1. 天津医科大学总医院,天津 300052;2. 天津医科大学护理学院)
  • 出版日期:2026-08-28 发布日期:2026-09-02
  • 基金资助:
    天津市教委科研计划项目(人文社科)(2023SK016)

A qualitative study on transitional care needs and service for young and middle-aged patients with coronary heart disease after percutaneous coronary intervention

HE Xia1 , HE Zhu2 , SHI Wenjia1 , CHEN Yizhu1   

  1. (1. Tianjin Medical University General Hospital, Tianjin 300052; 2. School of Nursing, Tianjin Medical University)
  • Online:2026-08-28 Published:2026-09-02

摘要: 目的:探讨中青年冠心病患者经皮冠状动脉介入治疗(Percutaneous Coronary Intervention,PCI)术后延续性护理服务的需求,为构建普适性的基于患者需求的中青年冠心病 PCI 术后延续性护理方案提供参考依据。方法:通过描述性质性研究方法,采用目的抽样法,选取 2024 年 12 月至 2025 年 1 月天津市某三级甲等医院心内科 PCI 术后的 15 例中青年冠心病患者进行半结构式访谈,使用 Colaizzi 7 步法进行资料分析。结果:共提炼出延续性护理要以院内服务的拓展延伸为主体、以改善不良生活习惯为基础、以服务的可行性为要素 3 个主题及 10 个亚主题。结论:延续性护理服务不仅要涵盖疾病管理的各个方面,还需要考虑服务实施的可行性,以确保能够最大程度地帮助患者改善健康状态,减轻疾病负担。在制定中青年 PCI 术后延续性护理服务方案时应基于患者的实际需求,充分整合现有社会资源,促进“互联网+医疗健康”服务的深化发展。

关键词: 中青年, PCI 术后, 延续性护理, 需求, 质性研究

Abstract: Objective: To explore the transitional care needs of young and middle-aged patients with coronary heart disease after percutaneous coronary intervention (PCI), and to provide a reference for constructing a universal patient-centered transitional care program for this population. Methods: A descriptive qualitative research design was adopted. Purposive sampling was used to select 15 young and middle-aged patients with coronary heart disease who underwent PCI in the cardiology department of a tertiary hospital in Tianjin from December 2024 to January 2025. Semi-structured interviews were conducted, and the data were analyzed using Colaizzi's seven-step method. Results: A total of 3 themes and 10 subthemes were extracted, including transitional care service programs should be centered on the extension of in-hospital services, based on the improvement of unhealthy lifestyle habits, and grounded in the feasibility of implementation. Conclusion: Transitional care services should not only cover all aspects of disease management but also consider the feasibility of service implementation to maximize assistance for patients in improving their health status and reducing disease burden. When developing transitional care service programs for young and middle-aged patients after PCI, it is essential to base them on patients' actual needs, fully integrate existing social resources, and promote the deepening development of "Internet + healthcare" services.

Key words: Young and middle-aged, Post-percutaneous coronary intervention, Transitional care, Needs, Qualitative study