摘要
目的探讨老年冠心病合并慢性肾脏病患者进行综合护理干预的效果。方法选择住院的老年冠心病合并慢性肾脏病患者86例，按随机数字表法随机分为观察组44例和对照组42例，对照组进行常规护理，观察组在常规治疗基础上采用心理护理、危险因素护理及健康宣教的综合护理。随访1年，比较两组的治疗效果。结果观察组平均住院时间为（13．5±1．81）d，对照组为（17．3±2．11）d，两组比较差异有统计学意义（t=4．655，P〈0．01）。随访1年，观察组消化道症状发生率、戒烟率、血压达标率、血糖达标率、心功能恶化率、肾功能恶化率、再住院率及病死率分别为15．9％，70．5％，61．4％，59．1％，6．8％，11．4％，6．8％，2．3％，对照组分别为38．1％，35．7％，35．7％，28．6％，31．0％，47．6％，26．2％，14．3％，两组比较差异均有统计学意义（X2值分别为5．399，10．424，5．658，8．116，8．265，13．699，5．917，4．147；P〈0．05）；观察组生活质量评分为（64．47±20．59）分，对照组为（55．37±18．62）分，两组比较差异有统计学意义（t=2．430，P=0．016）。结论综合护理干预对促进老年冠心病合并慢性肾脏病患者的康复，延缓病情发展，提高生活质量，降低病死率具有重要意义。
Objective To evaluate the effect of integrated nursing on elderly patients with coronary heart disease （CHD） and chronic kidney disease （CKD）. Methods The study was conducted among 86 hospitalized patients aged≥60 years with CHD and CKD. The patients were randomly divided into control group （ n = 42） that received conventional medications and routine nursing intervention, and observation group （ n = 44） that received integrated nursing interventions on the basis of the control group treatment. Patients of two groups were followed up for 1 year. Integrated nursing measures including emergency care, general care, psychological care, risk factors care were taken. Results After the intervention, hospitalized duration of the observation group was significantly lower than that of the control group [ （ 13.5 ＋ 1.81 ） vs （ 17.3 ±2.11 ） d; t = 4. 655 ,P 〈0. 01]. Indicators of integrated care intervention were significantly prior in the observation group than the control group： lower incidence of gastrointestinal symptom（ 15.9% vs 38.1% ）, constipation, deterioration of cardiac function （ 6. 8% vs 31.0% ） and renal function （ 11.4% vs 47.6% ）, and lower incidence of rehospitalization （6.8% vs 26.2% ） and mortality （2.3% vs 14. 3% ） ; while higher levels of albumin, hemoglobin, higher smoking cessation （70.5% vs 35.7% ）, higher incidence of glucose（59.1% vs 28.6% ） and blood pressure control （ 61.4% vs 35.7% ）, higher life quality score [ （ 64.47 ± 20.59 ） vs （ 55.37 ± 18.62） ] and the differences were statistically significant （ X^2/t = 5. 399,8. 265,13. 699,5.917,4. 147,10. 424, 8.116,5. 658,2.430 ; P 〈 0. 05）. Conclusions It plays an important role to take comprehensive nursing care in elderly patients with CHD and CKD , which can improve the nursing level, promote the rehabilitation, delay the progression of the disease, improve quality of life and reduce mortality.
出处
《中华现代护理杂志》
2013年第19期2260-2263,共4页
Chinese Journal of Modern Nursing
关键词
老年人
冠心病
慢性肾脏病
综合护理干预
Elderly
Coronary heart disease
Chronic kidney disease
Integrated nursing intervention
