门诊随访护理对特诊门诊冠心病患者疗效干预效果

Effect of follow-up nursing for patients with coronary heart disease in special service clinic

目的探讨门诊随访护理对特诊门诊冠心病患者的护理干预效果。方法将100例特诊门诊冠心病患者随机分为2组:实验组50例(A组)和对照组50例(B组)。对照组只接受护士提供特诊门诊常规的冠心病护理和健康指导。实验组除接受护士常规护理和健康指导,还进行门诊随访护理。对冠心病患者进行细致病情观察、健康教育和服药指导。具体方法为:建立门诊咨询档案,每月进行1次家访,随访时间为1年。观察比较两组患者的治疗依从性、血压、血脂(TC、TG、HDL-C和LDL-C)、1年内因冠心病急性发作住院次数、护理满意度。结果与对照组相比,实验组治疗依从性明显改善(P<0.05),TC、TG和LDL-C水平明显降低(P<0.05),血压、体重指数均下降(P<0.05),1年内因冠心病急性发作住院次数下降(P<0.05),护理满意度也明显上升(P<0.05)。结论实施合理、完善的门诊随访护理,可增加冠心病患者的治疗依从性、提高患者的疗效、改善患者的生活质量、提高患者对护理服务的满意度。

【Objective】To investigate the effect of follow-up nursing for patients with coronary heart disease in special service clinic.【Methods】Totally 100 patients with coronary hart disease were randomly divided into two groups：test group（n=50） and control group（n=50）.Patients in both groups were applied with the same drugs.Routine health instruction was given to the control group while follow-up nursing besides routine health instruction was applied to the test group.The compliance,therapeutic effect,serum lipids（TC、TG、HDL-C and LDL-C）,blood-pressure and degree of nursing satisfaction,the frequency of hospitalization because of heart attack in one year were all observed.【Results】Compared with control group,the compliance and therapeutic effect were improved（P0.05）,TC,TG,LDL-C and blood-pressure were reduced（P0.05）,the rate of heart accident was reduced（P0.05）,and the nursing satisfaction increased（P0.05）in the experiment group.【Conclusion】Follow-up nursing can improve the therapeutic effect,reduce heart attack,and raise the degree of nursing satisfaction.