根据老年综合评估的护理干预对老年冠心病患者生活质量的影响

Influence of nursing intervention according to comprehensive geriatric assessment on quality of life in aged patients with coronary heart disease

目的：探讨根据老年综合评估（CGA）的护理干预对老年冠心病（CHD）患者生活质量的影响。方法：入选2012年3月～2013年3月心内科住院老年CHD患者96例，根据数字表法随机分为常规护理组（48例，心内科专科护理）及CGA组（48例，在常规护理基础上进行根据CGA的特色护理）。于入院及出院6个月后应用中国心血管病人生活质量评定问卷（CQQC）对两组患者生活质量各个维度进行评分及比较。结果：与常规护理组比较， CGA组干预后体力[（7.35±4.12）分比（10.86±5.06）分]、病情[（4.57±0.85）分比（8.75±4.54）分]、医疗状况[（4.72±0.82）分比（5.90±0.40）分]、一般生活[（3.85±1.45）分比（5.22±1.95）分]、社会心理状况[（3.67±1.52）分比（8.41±3.22）分]、工作状况[（0.70±0.64）分比（0.97±0.66）分]评分及CQQC总评分[（24.86±4.43）分比（40.11±9.05）分]均明显提高，有统计学意义（P＜0.01或＜0.05）。结论：根据老年综合评估的特定护理能提高老年冠心病患者的生活质量。

Objective：To explore influence of nursing intervention according to comprehensive geriatric assessment （CGA）on quality of life （QOL）in aged patients With coronary heart disease （CHD）.Methods：A total of 96 aged CHD inpatients admitted in department of cardiology from Mar 2012 to Mar 2013 Were enrolled.According to num-ber table method,they Were randomly divided into routine nursing group （n=48,received specific nursing of cardi-ology department）and CGA group （n=48,received nursing intervention according to CGA based on routine nurs-ing）.Chinese questionnaire of quality of life in patients With cardiovascular disease （CQQC）Was used to score and compare each dimension of QOL betWeen tWo groups at admission and on 6-month after discharge.Results：Com-pared With routine nursing group after intervention,there Were significant increase in scores of physical strength [（7.35±4.12）scores vs.（10.86±5.06）scores],patient＆#39;s condition [（4.57±0.85）scores vs. （8.75±4.54） scores],medical condition [（4.72±0.82）scores vs.（5.90±0.40）scores],general living [（3.85±1.45）scores vs. （5.22±1.95）scores],social psychological conditions [（3.67±1.52）scores vs.（8.41±3.22）scores],Working sta-tus [（0.70±0.64）scores vs.（0.97±0.66）scores]and total score of CQQC [（24.86±4.43）scores vs.（40.11± 9.05）scores]in CGA group,P〈0.01 or〈0.05.Conclusion：Nursing intervention according to comprehensive geri-atric assessment can improve quality of life in aged patients With coronary heart disease.