系统性护理对老年冠心病患者生活质量的影响

The influence of systemic nursing on quality of life in elderly patients with coronary heart disease

目的探讨系统性护理对老年冠心病患者生活质量的影响。方法选取哈尔滨医科大学附属第二医院老年冠心病患者118例，根据随机数字表法将其分为常规护理组和系统性护理组，每组各59例。观察比较两组患者护理前后健康调查表SF-36情况。结果护理前两组患者的躯体疼痛、生理职能、生活功能、精神健康、情感职能、精力、社会功能和总体健康评分比较，未见统计学差异（P〉0．05）。护理后，系统护理组患者的以上维度评分均优于对照组，差异均有统计学意义（t=-3．379，-4．061，-4．080，-5．624，-2．922，-4．105，-5．150，-4．657，P〈0．05）。结论系统性护理可显著提高老年冠心病患者的生活质量，值得推广应用于临床。

Objective To investigate the influence of systemic nursing on quality of life in elderly pa- tients with eoronary heart disease. Methods 118 cases of elderly patients with coronary heart disease in Harbin Medical University Second Affiliated Hospital were chosen. According to a random number table, all patients were divided into routine care group and systematic care group, 59 cases in each group. The health survey （SF-36） be- fore and after nursing of the two groups were observed and compared. Results The body pain, physical function and life function, mental health, emotional function, energy, social functioning and overall health scores of two groups before nursing to compared, the difference was not statistically significant （P〉0.05）. After treatment, the above dimension scores of systematic care group were better than those in control group, the differences were sta- tistically significant （t =-3.379, -4.061, -4.080, -5.624, -2.922, -4.105, -5.150, -4.657, P〈0.05 ）. Conclusion Systematic conservation division can significantly improve the quality of life of elderly patients with coronary heart disease, which should be widely used in clinical.