摘要
目的探讨综合护理干预对冠心病患者心绞痛发生情况及生活质量的影响。方法对我院2015年6月至2017年5月心内科接诊的155例冠心病患者资料进行回顾性分析,随机将患者分为参照组75例和观察组80例,参照组实施常规护理,观察组采取综合护理干预。出院6个月后比较两组患者心绞痛发生情况,出院后1,3个月,西雅图心绞痛量表(SAQ)评分、干预前后自我护理能力量表(ESCA)评分及SF-36评分、临床疗效。结果观察组患者出院6个月后心绞痛发生率显著低于参照组(P<0.05);观察组出院后1,3个月SAQ各项指标改善效果显著优于参照组(P<0.05);观察者患者干预后各项ESCA评分均显著高于参照组(P<0.05);观察组患者干预后各项SF-36评分均显著高于参照组(P<0.05);观察组患者疗效显著优于参照组(P<0.05)。结论冠心病患者给予综合护理干预可有效降低心绞痛症状发生率,提高患者自我护理管理能力及生活质量,效果显著,临床可进一步拓展运用。
Objective To investigate the effect of comprehensive nursing intervention on occurrence and quality of life of angina pectoris in patients with coronary heart disease. Methods To analyze 155 cases of patients with coronary heart disease who were admitted to department of cardiology in our hospital from June 2015 to May 2017 retrospectively,and they were divided into a reference group of 75 cases and an observation group of 80 cases randomly. The reference group was treated with routine care and the observation group adopted comprehensive care interventions. Six months after discharge,the incidence of angina pectoris,and the Seattle angina questionnaiire（SAQ） scores,exercise of self-care agency scale（ESCA） scores before and after intervention,SF-36 scores,and clinical curative effects at 1 month and 3 months after discharge were compared between the two groups. Results The incidence of angina pectoris in the observation group was significantly lower than that in the reference group 6 months after discharge（P 〈 0. 05）. The improvement effect of the SAQ indicators in the observation group at 1 month and 3 months after discharge was significantly better than that in the reference group（P 〈 0. 05）. All ESCA scores of the patients in the observation group after the intervention were higher than that of the reference group significantly（P 〈 0. 05）. The SF-36 scores of patients in the observation group after the intervention were significantly higher than that of the reference group（P 〈 0. 05）,and the therapeutic effect among patients in the observation group were better than that of the reference group significantly（P 〈 0. 05）. Conclusion Comprehensive nursing intervention in patients with coronary heart disease can effectively reduce the incidence of angina symptoms,and improve self-care management ability and patients＇ quality of life. Because the effect is significant,it can be applied in the clinical work further.
出处
《护理实践与研究》
2018年第12期64-67,共4页
Nursing Practice and Research
关键词
冠心病
心绞痛
生活质量
自我护理能力
Coronary heart disease
Angina pectoris
Quality of life
Self - care agency
