摘要
目的 探讨多维度协同护理对老年冠心病合并心力衰竭患者的负性情绪及生活质量的干预效果.方法 选取2015年2月—2017年2月在哈尔滨医科大学附属第一医院心内科住院治疗的老年冠心病合并心力衰竭的患者129例,采用随机数字表法将研究对象分为试验组（n=64）和对照组（n=65）.对照组给予心内科常规治疗和护理,试验组在常规护理的基础上,从入院开始至出院前1 d给予多维度协同护理.利用SAS、SDS及生活质量核心量表比较两组患者干预前后的焦虑、抑郁情绪及生活质量得分.结果 与入院时相比,出院时两组患者SAS、SDS得分均降低,且试验组得分低于对照组,差异有统计学意义（t值分别为7.136、6.875;P〈0.01）;与入院时相比,出院时两组患者生活质量均提高,且试验组患者改善程度优于对照组,差异有统计学意义（P〈0.01）.结论 老年冠心病合并心力衰竭应用多维度协同护理照护模式,可减轻和缓解患者负性情绪,改善生活质量,为临床护理工作提供了可行的思路.
Objective To explore the effects of multi dimensional collaborative nursing on the negative emotion and the quality of life in elderly patients with coronary heart disease combined with congestive heart failure. Methods From February 2015 to February 2017, a total of 129 cases of elderly patients with coronary heart disease combined with congestive heart failure from the Cardiology Department of the First Affiliated Hospital of Harbin Medical University were selected and divided into experimental group （n=64） and control group （n=65） by random number table method. The patients in the control group were treated with routine cardiological treatment and nursing. On the basis of routine treatment, the patients in the experimental group were given multi dimensional collaborative nursing from admission to the last day before discharge. Patients＇ anxiety, depression and the quality of life were compared before and after the intervention between the two groups by Self-Rating Anxiety Scale （SAS）, Self-Rating Depression Scale （SDS） and the Core Quality of Life Scale. Results The scores of SAS and SDS of two groups on discharge were significantly lower than those on admission, and the scores of experimental group were significantly lower than those of the control group, of which all the differences were statistically significant （t=7.136, 6.875; P〈0.01）. The quality of life of the two groups increased significantly compared with that on admission, and the improvement degree of the experimental group was better than that of the control group, with statistical significance （P〈 0.01）. Conclusions Multi dimensional collaborative nursing can significantly reduce and alleviate the negative emotions in elderly patients with coronary heart disease combined with congestive heart failure, with a significant improvement in the quality of life. It provides a feasible way of thinking for clinical nursing work.
作者
吴晶
杨欣
周月
Wu Jing;Yang Xin;Zhou Yue(The First Cadre Ward, the First Affiliated Hospital of Harbin Medical University, Harbin 150000, China)
出处
《中华现代护理杂志》
2018年第5期577-581,共5页
Chinese Journal of Modern Nursing
关键词
老年人
心力衰竭
生活质量
冠心病
多维度协同护理
负性情绪
Aged
Heart failure
Quality of life
Coronary disease
Multi dimensional collaborative nursing
Negative emotions
