舒适护理对冠状动脉支架植入患者生活质量的干预作用

The intervention effect of comfort care on the quality of life in patients with coronary stent implantation

目的:探讨舒适护理对冠状动脉支架植入(CASI)患者生活质量的干预作用。方法:收集经CASI治疗的冠心病患者72例,按照随机数字表法分为对照组与观察组各36例。观察组与对照组患者入院后均给予入院评估、病情观察、饮食护理、术前准备及术后护理等常规护理方法,观察组在常规护理的基础上对患者实施舒适护理。评价2组患者治疗前后的焦虑、抑郁情绪及治疗后的生活质量。结果:观察组患者术后生理功能、心理状态、社会关系、独立性、环境和总生活质量的评分均高于对照组(P<0.05);术后第15、30天观察组的焦虑、抑郁评分较对照组改善更为明显(P<0.05)。结论:舒适护理能缓解CASI患者的焦虑、抑郁情绪,提高患者生活质量。

Objective：To investigate the intervention effects of comfort care on the quality of life in patients with coronary stent implantation. Methods：Seventy-two patients with coronary heart disease were divided into the observation group and control group using the random number table method（36 cases each group）. The conventional measures,which included admission assessment,condition observation,diet care and preoperative and postoperative preparation,in two groups were implemented,and the observation group were additionally treated with comfort care mode. The anxiety and depression before and after treatment,and the quality of life after treatment in two groups were evaluated. Results： The scores of postoperative physical function,psychological state,social relationship,independence,environment and overall quality of life in observation group were significantly higher than those in control group after operation（P〈0. 05）. Compared with the control group,the scores of the anxiety and depression in observation group were significantly improved at 15 and 30 days after operation（P〈0. 05）. Conclusions：Comfort care can relieve the anxiety and depression,and improve quality of life of patients with coronary stent implantation.