对心内科一体化护理模式改善患者生存质量和提高治疗积极性的效果研究

Evaluation of integrated care model in the cardiology department on improving the patient＇s quality of life and treatment compliance

目的 探讨心内科一体化护理模式对改善患者生存质量和提高其治疗积极性的效果.方法 按随机数字表法将1 200例患者分为观察组与对照组,每组各600例.对照组给予常规护理,观察组在对照组常规护理的基础上进行心内科一体化护理,比较两组患者的生存质量、治疗积极性,并对护理质量进行评价.结果 生存质量方面观察组优良率为65.83％ （395/600）,对照组为49.33％ （296/600）,两组比较,差异有统计学意义（Z=-6.103,P＜0.05）；治疗积极性方面观察组有效率为81.00％ （486/600）,对照组为56.33％ （338/600）,观察组优于对照组,差异有统计学意义（Z=-4.021,P＜0.05）；观察组的患者投诉率、风险事件发生率及患者满意度均优于对照组,差异有统计学意义（x2分别为4.332,4.496,7.011;P＜0.05）.结论 心内科一体化护理模式可以显著改善患者生存质量,提高治疗积极性及护理质量.

Objective To discuss the clinical effect of integrated care model on improving the quality of life and enthusiasm of treatment in patients with cardiovascular diseases.Methods Totals of 1200 patients were divided into two groups randomly,and each had 600 cases.The control group received conventional care,while the observation group received integration care.Quality of life,compliance with treatment and the quality evaluate of care.Results The quality of life of the observation group was 65.83% （395/600）,while the control group was 49.33% （296/600）,and the difference was statistically significant （Z =-6.103,P 〈 0.05）.The enthusiasm of treatment of observation group was 81.00% （486/600）,and that of control group was 56.33% （338/600）,and the difference was statistically significant （Z =-4.021,P 〈 0.05）.The incidence of complaint and risk event in observation group was significantly lower than that in control group,and patients＇ satisfaction was significantly higher than control group （x2 =4.332、4.496、7.011,P〈0.05）.Conclusions In the department of cardiology,integrated care model can significantly improve patients＇ quality of life,improve the treatment of enthusiasm and quality of care.