摘要
目的:探讨冠心病康复期患者实施延续性护理的临床应用价值。方法:选取笔者所在医院2012年12月-2013年7月收治的80例冠心病康复期患者作为研究对象,按照随机数字表法将其分为观察组和对照组,每组40例。对照组采用常规护理,观察组在常规护理基础上采用延续性护理,观察比较两组患者服药依从性及护理前后各项生活质量评分的差异。结果:护理干预6个月后对两组患者的服药依从性进行评估,观察组完全按时服药31例,占77.5%,部分按时7例,占17.5%,服药依从率为95.0%,明显高于对照组的72.5%,差异有统计学意义(Z=-4.430,P<0.01)。两组患者护理后的生活质量各项评分均明显高于护理前,观察组以上各项评分均明显高于对照组,两组护理后组间、组内、交互作用比较差异均有统计学意义(F组间=11.76,P<0.05;F组内=5.174,P<0.05;F交互=9.253,P<0.05)。结论:延续性护理能够有效提高冠心病患者的服药依从性和生活质量,值得临床推广应用。
Objective：To investigate the clinical application value of continuing nursing in patients with coronary heart disease during rehabilitation period. Method：80 patients with coronary heart disease during rehabilitation period admitted to our hospital from December 2012 to July 2013 were selected as research objects,they were divided into the control group and the observation group according to the random number table method,40 cases in each group.The control group was given routine nursing,the observation group was given continuing nursing on the basis of the routine nursing.The differences of medication compliance and quality of life before and after nursing care between the two groups were observed and compared.Result：After 6 months of nursing intervention,the medication compliance of the two groups was evaluated,in the observation group,31 cases were completely on time,accounted for 77.5%,7 cases were taking medicine part time,accounted for 17.5%,the medication compliance rate was 95.0%,which was significantly higher than 72.5%of the control group,the difference was statistically significant（Z=-4.430,P〈0.01）.The CCQQ scores of the two groups after nursing care were significantly higher than before nursing care,and the the scores above of observation group were significantly higher than those of the control group,there were significant differences between the groups,within the group, and interaction after nursing care（F组间=11.76,P〈0.05;F组内=5.174,P〈0.05;F交互=9.253,P〈0.05）.Conclusion：The continuing nursing can effectively improve medication compliance,improve the quality of life of patients with coronary heart disease,it is worthy of clinical application.
出处
《中外医学研究》
2015年第17期66-68,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
延续护理
冠心病
服药依从性
生活质量
社会功能
Continuing nursing
Coronary heart disease
Medication compliance
Quality of life
Social function
