护理干预对冠心病并发心律失常患者治疗效果的影响

Influence of Nursing Intervention on the Treatment of Patients with Coronary Heart Disease Complicated with Arrhythmia

目的探讨护理干预对治疗冠心病并发心律失常患者的影响疗效.方法选取自2012年1月至2014年12月海南省海口市人民医院接收的冠心病并发心律失常患者100例,按入院顺序随机分为对照组和观察组,每组50例.2组患者均给予常规基础治疗.对照组常规护理措施,观察组采用针对性护理干预.治疗结束出院后定期随访复查,比较两组患者的心理状态、有效率、治疗前后心率情况.结果干预后2组的焦虑评分均较干预前明显改善,观察组的改善程度明显优于对照组,具有统计学意义(P<0.05).经过4周的干预,观察组总有效率为94.00%,明显高于对照组的72.00%,2组比较具有统计学意义(P<0.05);与治疗前比较2组患者心率明显下降,差异有统计学意义(P<0.05);与对照组比较观察组患者心率明显下降,差异有统计学意义(P<0.05).结论护理干预措施在冠心病并发心率失常过程中效果确切,利于提高患者生活质量,值得推广应用.

Objective To investigate the effect of nursing intervention effect in the treatment of coronary heart disease and arrhythmia patients.Methods We selected 100 cases from 2012 January to 2014 December in our hospital with coronary heart disease complicated with arrhythmia,the patients were randomly divided into control group and observation group, 50 cases in each group.Two groups of patients were given conventional basic therapy.The control group were given conventional nursing measures, the observation group were given specific nursing intervention.Regular follow- up after discharge by the end of treatment.The efficiency, heart rate and treatment process before and after treatment were compared between two groups.Results After the intervention,anxiety scores of two groups significantly improved compared with before intervention, the observation group improved significantly better than the control group, with statistical significance（P〈0.05）.After 4 weeks of intervention,the total effective rate of the observation group was 94%,which was significantly higher than 72% in control group, two groups had statistically significant（P〈0.05）.Compared with before treatment, heart rate of patients in the two groups decreased significantly,the difference had statistically significant（P〈0.05）.Compared with the control group,the heart rate of patients in the observation group significantly decreased,the difference had statistically significant（P〈0.05）.Conclusion Nursing intervention measures have good clinical effect in the process of coronary heart disease and arrhythmia,and may improve the quality of life of patients,so it is worthy of popularization and application.