Chinese Nursing Management ›› 2018, Vol. 18 ›› Issue (7): 973-978.doi: 10.3969/j.issn.1672-1756.2018.07.025
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Abstract: Objective: To evaluate the effect of hospital-community-family graded referral care model among patients with Acute Coronary Syndrome (ACS) at different risk levels discharged from hospital. Methods: Global Registry of Acute Coronary Events (GRACE) were used to evaluate risk stratification of ACS. Hospital-community-family graded referral care model was applied to continuous cardiac rehabilitation management in 50 ACS patients at different risk levels. Before discharge and 3 months, 6 months and 1 years after discharge, the laboratory indicators, cardiac function and patient's self-efficacy were evaluated respectively. Results: The low density lipoprotein (LDL), fasting blood glucose and self-efficacy were improved with the prolongation of follow-up time, and the difference was statistically significant (P<0.05). In addition, the change of cardiac function index was not significant, and the difference was not statistically significant (P>0.05). Conclusion: The hospital-community-family graded referral care model based on GRACE risk stratification can effectively improve the clinical recovery of ACS patients and enhance patients' self-efficacy.
Key words: Acute Coronary Syndrome (ACS); GRACE Score; graded referral care model; cardiac rehabilitation
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http://www.zghlgl.com/EN/Y2018/V18/I7/973
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