摘要
目的探讨综合护理干预在冠状动脉粥样硬化性心脏病(冠心病)合并高血脂患者中的应用效果。方法选取2012年12月—2014年12月收治的冠心病合并高脂血症患者140例随机分为2组,各70例,对照组采取常规护理,观察组给予综合护理干预,包括健康宣教、心理护理、舒适护理、饮食及运动干预等。结果治疗及护理干预2个月后,2组甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)均下降,高密度脂蛋白胆固醇(HDL-C)上升,差异有统计学意义(P<0.01);组间比较,观察组TG低于对照组,HDL-C高于对照组,差异有统计学意义(P<0.05或P<0.01)。干预2个月后,2组各项分值均下降,且观察组低于对照组,差异均有统计学意义(P<0.01)。结论健康宣教、心理护理、舒适护理、饮食及运动干预等综合护理干预,可更有效促进冠心病合并高脂血症患者血脂水平的改善,生理、心理和社会功能的康复,提高患者生活质量。
Objective To explore the applicable efficacy of comprehensive nursing interventions in patients with coronary atherosclerotic heart disease（CAHD） concomitant with hyperlipidemia.Methods A total of 140 patients with CAHD concomitant with hyperlipidemia were randomly divided into control group treated with routine nursing and observation group with comprehensive nursing interventions including healthy education,psychological nursing,comfort nursing and interventions on diet and exercises,70 cases for each group.Results 2 months after treatment and nursing interventions,triglyceride（TG）,total cholesterol（TC） and low-density lipoprotein cholesterol（LDL-C） decreased evidently while high-density lipoprotein cholesterol（HDL-C） increased apparently in both groups,and all differences were significant（P〈 0.0 1）.Observation group was markedly lower in TG and higher in HDL-C than control group,and there were significant differences（P〈 0.0 5 or P〈 0.0 1）.2 months after interventions,all scores in both groups were obviously lower in observation group than in control group（P〈 0.0 1）.Conclusion Comprehensive including healthy education,psychological nursing,comfort nursing and interventions on diet and exercises can effectively improve the blood lipid level and the recovery of physiological,psychological and social function so as to promote the quality of life of patients with CAHD concomitant with hyperlipidemia.
出处
《实用临床医药杂志》
CAS
2015年第10期1-3,共3页
Journal of Clinical Medicine in Practice
基金
中国高校医学期刊临床专项资金(11520203)
关键词
冠状动脉粥样硬化性心脏病
高脂血症
综合护理
甘油三酯
生活质量
coronary atherosclerotic heart disease hyperlipidemia comprehensive nursing triglyceride quality of life
