综合护理在老年心脑血管疾病患者中的应用

Application of comprehensive nursing care in elderly patients with cardiovascular and cerebrovascular diseases

目的:探讨综合护理方式在老年心脑血管疾病中的应用及效果。方法:将120例老年心脑血管疾病患者随机分为对照组64例和观察组56例,对照组接受常规的护理方式,观察组接受综合护理方式的干预,即健康教育、个体化评估、预警护理;比较两组患者的康复率、危险因素发生率、心理状态、护理后生存质量等。结果:护理后,观察组对健康知识的知晓度、自我保健意识以及健康、良好的生活习性的养成等方面与对照组比较差异统计学意义(P<0.05),焦虑自评量表(SAS)与抑郁自评量表(SDS)评分与对照组比较差异有统计学意义(P<0.05);两组康复率与危险因素发生率方面比较差异具有统计学意义(P<0.05);护理后观察组生存质量各项评分与总得分均高于对照组(P<0.05,P<0.01)。结论:将综合护理干预方式应用于老年心脑血管疾病患者的临床护理中,不仅能够很好地改善患者的心理状况,而且还能提高患者的生存质量。

Objective： To explore the application effect of comprehensive nursing care in elderly patients with cardiovascular and cerebrovascular diseases. Methods： 120 elderly patients with cardiovascular and cerebrovascular diseases were randomly divided into the control group（ n = 64） and the observation group（ n = 56）. The patients in the control group received routine nursing care and the patients in the observation group received comprehensive nursing care,including health education,psychological care,precaution nursing and comfort nursing care. The recovery rate,the occurrence of risk factors,psychological status and quality of life of the patients after nursing care were compared between the two groups. Results： There were statistically significant differences in the comparison of the awareness of health knowledge,health consciousness,healthy and good living habits between the two groups after nursing care（ P〈0. 05）; the differences in the comparison of the scores of SAS and SDS were statistically significant between the two groups（ P〈0. 05）; the comparison of the recovery rate and the occurrence of risk factors was significantly different between the two groups（ P〈0. 05）; the score of each item in quality of life of the patients was higher in the observation group than the control group after nursing care（ P〈0. 05,P〈0. 01）. Conclusion： The comprehensive nursing intervention used in the nursing care of elderly patients with cardiovascular and cerebrovascular diseases can improve the life quality of the patients as well as their psychological status.