摘要
目的探讨基于慢性疾病轨迹模式的护理干预结合共享决策在老年冠心病心绞痛患者中的应用效果。方法选取2019年8月至2021年8月本科室收治的90例老年冠心病心绞痛患者进行观察,以双盲法随机将其分为对照组和观察组,各45例。对照组实施常规护理干预,观察组在常规护理基础上实施基于慢性疾病轨迹模式的护理干预结合共享决策干预。比较两组干预前、干预1个月后的健康行为、睡眠质量、疾病控制效果、心绞痛症状。结果干预1个月后,观察组的健康责任、营养、体育运动、压力管理评分高于对照组(P<0.05)。干预1个月后,观察组的主观睡眠、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能评分均低于对照组(P<0.05)。干预1个月后,观察组的心绞痛持续时间短于对照组,心绞痛发作次数少于对照组(P<0.05)。干预1个月后,观察组的疾病认知程度、躯体活动受限程度、心绞痛稳定状态、心绞痛发作情况、治疗满意度评分均高于对照组(P<0.05)。结论基于慢性疾病轨迹模式的护理干预结合共享决策应用于老年冠心病心绞痛患者中,有助于促进其健康行为养成,改善睡眠质量,提高病情控制效果,值得推广。
Objective To explore the application effect of nursing intervention based on chronic disease trajectory model combined with shared decision-making in elderly patients with coronary heart disease and angina pectoris.Methods A total of 90 elderly patients with coronary heart disease and angina pectoris admitted in our department from August 2019 to August 2021 were selected for observation.The patients were randomly divided into control group and observation group by double-blind method,with 45 cases in each group.The control group implemented routine nursing intervention,and the observation group implemented nursing intervention based on chronic disease trajectory model combined with shared decision-making on the basis of routine nursing.The health behavior,sleep quality,disease control effect and angina pectoris symptoms of the two groups before and after one month of intervention were compared.Results After one month of intervention,the scores of health responsibility,nutrition,sports and stress management in the observation group were higher than those in the control group(P <0.05).After one month of intervention,the subjective sleep,the time to fall asleep,sleep time,sleep efficiency,sleep disorder,hypnotic drugs and daytime function scores in the observation group were lower than those in the control group(P<0.05).After one month of intervention,the duration of angina pectoris in the observation group was shorter than that in the control group,and the number of angina pectoris attacks was less than that in the control group(P<0.05).After one month of intervention,the degree of disease cognition,physical activity limitation,stable state of angina pectoris,attack of angina pectoris and treatment satisfaction scores in the observation group were higher than those in the control group(P<0.05).Conclusion The nursing intervention based on chronic disease trajectory model combined with shared decision-making applied in elderly patients with coronary heart disease and angina pectoris can help promote the formation of
作者
任策
刁童研
任得志
REN Ce;DIAO Tongyan;REN Dezhi(Shaanxi Provincial Hospital of Chinese Medicine,Xi'an 710003,China)
出处
《临床医学研究与实践》
2022年第1期173-177,共5页
Clinical Research and Practice
基金
陕西省中医药管理局科研课题任务书(No.2019-GJ-LC002)。
关键词
慢性疾病轨迹模式
共享决策
冠心病心绞痛
健康行为
睡眠质量
chronic disease trajectory model
shared decision-making
coronary heart disease and angina pectoris
healthy behavior
sleep quality
