摘要
目的探讨专科团队护理干预对老年心肌梗死患者心脏康复及生活质量的作用。方法选取荆门市第二人民医院2018年1月至2019年1月收治的老年心肌梗死患者120例,随机分为对照组与观察组,每组60例。对照组患者接受常规护理,观察组患者接受专科团队护理干预。比较两组患者心血管危险因素水平、生活质量评分、护理满意度、二级预防达标情况、心功能康复开始时间。结果护理前两组心血管危险因素水平差异比较无统计学意义(P>0.05),护理后两组患者心血管危险因素水平比较护理前降低,其中观察组患者总胆固醇、低密度胆固醇、空腹血糖、收缩压、舒张压水平显著低于对照组,差异有统计学意义(P<0.05)。护理前两组患者生活质量评定量表(QOLI-74)各项评分比较差异无统计学意义(P>0.05),护理后两组患者躯体功能、心理功能、社会功能、物质生活得分高于护理前,其中观察组患者的躯体功能、心理功能、社会功能、物质生活得分显著高于对照组,差异有统计学意义(P<0.05)。观察组患者护理总满意度显著高于对照组,差异有统计学意义(P<0.05)。观察组患者连续运动超过5 w率、规范用药率显著高于对照组,差异有统计学意义(P<0.05)。观察组心功能康复开始时间显著少于对照组,差异有统计学意义(P<0.05)。结论专科团队护理干预可促使老年心肌梗死患者心脏功能快速康复,提高患者生活质量及护理满意度。
Objective To explore the effect of specialist team nursing intervention on cardiac rehabilitation and quality of life in elderly patients with myocardial infarction.Methods A total of 120 elderly patients with myocardial infarction admitted from January 2018 to January 2019 were randomly divided into control group and observation group,with 60 patients in each group.Patients in the control group received routine nursing,while patients in the observation group received specialized team nursing intervention.The levels of cardiovascular risk factors,quality of life scores,nursing satisfaction,secondary prevention standards,and the start time of cardiac function rehabilitation were compared between the two groups.Results There was no significant difference in the levels of cardiovascular risk factors between the two groups before nursing(P>0.05);the levels of cardiovascular risk factors after treatment in the two groups were lower than those before nursing.The total cholesterol,low-density cholesterol,fasting blood glucose,systolic blood pressure,and diastolic blood pressure in the observation group were significantly lower than those of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in quality life inventory-74(QOLI-74)scores between the two groups before treatment(P>0.05).After nursing,the physical function,psychological function,social function and material life score of the two groups were higher than those before the nursing,and the observation group was significantly higher than the control group,and the differences were statistically significant(P<0.05).The total nursing satisfaction in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).The rate of continuous exercise over 5 weeks and the rate of standard medication in observation group were significantly higher than those of the control group,and the differences were statistically significant(P<0.05).The start t
作者
朱平
王红艳
Zhu Ping;Wang Hongyan(No.1 of Cardiovascular Medicine,Jingmen Second People's Hospital,448000,China)
出处
《国际护理学杂志》
2021年第8期1436-1439,共4页
international journal of nursing
基金
荆门市科学技术局引导性科研计划项目(2019YDKY026)。
关键词
专科团队护理干预
心肌梗死
心脏康复
生活质量
满意度
Specialist team nursing intervention
Myocardial infarction
Cardiac rehabilitation
Quality of life
Satisfaction
