综合护理干预在老年冠心病患者护理中的应用效果

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综合护理干预在老年冠心病患者护理中的应用效果

作者：张雅琼王南丽

来源：《中国当代医药》2018年第25期

[摘要]目的探讨综合护理干预方案对改善老年冠心病患者生活质量的效果。方法选取2016年12月～2018年2月100例在我院心内科接受治疗的老年冠心病患者为研究对象，采用随机数字表法分为试验组和对照组，每组各50例。对照组实施常规护理干预方案，试验组在常规护理的基础上实施综合护理干预方案，比较两组的生活质量、社会支持及心理状况。结果试验组的生活质量各维度得分及量表总分、社会支持量表及各维度得分均高于对照组，SAS及SDS评分低于对照组，且差异均有统计学意义（P

[关键词]老年冠心病；护理；随机试验；生活质量；社会支持；焦虑；抑郁

[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2018）9（a）-0212-03

[Abstract] Objective To explore the effect of comprehensive nursing intervention program on improving the quality of life of elderly patients with coronary heart disease. Methods From December 2016 to February 2018 period， One hundred patients with senile coronary artery disease who were treated in our department of cardiology were selected. They were divided into experimental group and control group according to random number table method， 50 cases in each group. Routine nursing intervention program was administered to the control group patients. A comprehensive nursing intervention program was implemented on the basis of routine nursing care to compare the quality of life， social support， and psychological status of the two groups. Results The scores of quality of life， scores of scale， social support scale and scores of all dimensions in the experimental group were higher than those in the control group. SAS score and SDS score were lower than the control group， and the differences were statistically significant （P

[Key words] Elderly coronary heart disease； Nursing； Random test； Quality of life； Social support； Anxiety； Depression

近几年，随着活动量的减少，饮食结构的改变和人口老龄化，冠心病的发病率逐年增多，尤其以老年患者多见，严重威胁人类的生命健康[1-3]。生活质量是评估患者生存健康的重要指标，可以反映生存的各个方面，包括心理状况，躯体健康等。数据报道，冠心病患者的生活质量评分显著低于其他慢性病患者。护理干预可以落实医嘱的顺利实现，观察患者的康复效果并给予发展实时的护理干预措施。常见的护理干预方案效果较为单一，只能改变生活质量的某几个方面，所以寻找一种新兴的干预措施改善冠心病患者的生活质量就成为临床上急需解决的问题[4-6]。综合护理干预方案是护理团队为解决以上问题而开发的护理照顾策略，包括基础护理，专科护理，心理护理等[3]。但鲜有将综合护理干预应用于冠心病患者并探讨其效果的研