摘要
目的:研究基于“生命网”的护理模式对冠心病患者健康行为和生活质量的影响。方法:选取2020年7月至2021年12月肇庆市第一人民医院收治的120例冠心病患者入组研究,入院后均建立电子档案。采用随机数表法分组,其中对照组给予常规护理和健康教育,观察组给予基于“生命网”的护理。比较两组干预前后的健康行为、生活质量、脑钠肽(BNP)水平以及干预后的血脂水平、再住院率。结果:(1)两组干预前的健康行为能力量表(SRAHP)评分比较,差异无统计学意义(P>0.05)。干预后,两组的SRAHP评分均高于干预前,且观察组显著高于对照组,差异有统计学意义(P<0.05)。(2)两组干预前的西雅图心绞痛量表(SAQ)评分比较,差异无统计学意义(P>0.05)。干预后,两组的SAQ评分均高于干预前,且观察组显著高于对照组,差异有统计学意义(P<0.05)。(3)两组干预前的脑钠肽(BNP)水平比较,差异无统计学意义(P>0.05)。干预后,两组的BNP水平均低于干预前,且观察组显著低于对照组,差异有统计学意义(P<0.05)。(4)干预后,观察组的高密度脂蛋白胆固醇水平高于对照组,低密度脂蛋白胆固醇、甘油三酯、总胆固醇水平均低于对照组,差异有统计学意义(P<0.05)。(5)干预后,观察组的再住院率为15.00%,显著低于对照组的30.00%,差异有统计学意义(P<0.05)。结论:对冠心病患者开展基于“生命网”的护理有利于改善其健康行为和生活质量,值得推广应用。
Objective:To study the effect of nursing model based on“vital network”on health behavior and quality of life in patients with coronary heart disease.Methods:120 patients with coronary heart disease admitted to Zhaoqing First People’s Hospital from July 2020 to December 2021 were enrolled in the study.Electronic records were established after admission.The control group was given routine nursing and health education,and the observation group was given nursing based on“vital network”.The health behaviors,quality of life,brain natriuretic peptide(BNP)level,blood lipid level and readmission rate of the two groups were compared before and after intervention.Results:(1)There was no significant difference in SRAHP scores between the two groups before intervention(P>0.05).After intervention,SRAHP scores of both groups were higher than before intervention,and observation group was significantly higher than control group,the difference was statistically significant(P<0.05).(2)There was no significant difference in the score of Seattle Angina Pectoris Scale(SAQ)between the two groups before intervention(P>0.05).After intervention,the SAQ scores of both groups were higher than before intervention,and the observation group was significantly higher than the control group,the difference was statistically significant(P<0.05).(3)There was no significant difference in brain natriuretic peptide(BNP)level between the two groups before intervention(P>0.05).After intervention,BNP levels in both groups were lower than before intervention,and obs ervation group was significantly lower than control group,the difference was statistically significant(P<0.05).(4)After the intervention,the high density lipoprotein cholesterol level in the observation group was higher than that in the control group,while the levels of low density lipoprotein cholesterol,triglyceride and total cholesterol were lower than those in the control group,with statistical significance(P<0.05).(5)After intervention,the readmission rate in the observation grou
作者
苏慧琴
陈梅斯
梁丽珍
邓雪连
黄颖仪
薛梅玲
张艳红
SU Huiqin;CHEN Meisi;LIANG Lizhen;DENG Xuelian;HUANG Yingyi;XUE Meil ing;ZHANG Yanhong(Zhaoqing First People’s Hospital,Zhaoqing 526040,China)
基金
项目类别:肇庆市科技计划项目
项目编号:202004031374。
关键词
生命网
护理
冠心病
健康行为
生活质量
life network
Nursing
Coronary heart disease
Health behavior
Quality of life
