早期健康干预对老年心血管疾病患者的疗效

The effect of early health intervention for elderly patients with cardiovascular disease

目的 探讨早期健康干预对老年心血管病患者的疗效。方法 选取2013年2月-2015年3月南方医院心血管内科收治的140例老年心血管疾病患者,按照随机抽样原则分为观察组和对照组,各70例。观察组患者在常规治疗的基础上采取早期健康干预模式,对照组患者给予常规护理治疗模式,干预1个月后比较两组患者干预前后心理、器质性疾病好转率和依从性的变化。结果 观察组患者干预后各种消极不良心理情绪发生率均显著低于干预前和对照组（P〈0.05）;观察组患者干预后间断性头晕、记忆力减退、头痛、失眠、胸闷、心慌等身体器质性疾病好转率均显著高于干预前和对照组（P〈0.05）;观察组干预后服药、饮食习惯以及规律作息依从性评分均较干预前以及对照组干预后评分有所增高,但差异无统计意义（P〉0.05）。结论 早期健康干预模式对老年心血管病患者心理状态、器质性疾病的恢复有显著意义,虽对服药依从性和生活方式依从性的改善效果不明显,但对于患者的心理、生理变化有明显改善,对于构建早期健康干预模式具有积极作用。

Objective To investigate the effect of early health intervention for elderly patients with cardiovascular disease. Methods 140 patients with cardiovascular disease treated in Department of Cardiovascular of Southern Hospital from February 2013 to March 2015 were randomly selected and divided into observation group and control group,70 cases in each group.Patients in the observation group were given early health intervention on the basis of the usual treatment and patients in the control group were given routine care program based on the original model of care,psychology,organic diseases improvement rate and compliance changes in two groups before and after intervention for one month were compared after.Results Various negative psychological and emotional incidence after intervention in the observa- tion group was significantly lower than that before intervention and in the control group （P〈0.05）;intermittent dizziness, memory loss,headache,insomnia,chest tightness,palpitation and other physical organic disease improvement rate after in- tervention in the observation group was significantly higher than that before intervention and in the control group （P〈 0.05）;in the observation group,the scores of medication,dietary habits and regular work and rest compliance after inter- vention was higher than that before intervention and in the control group,but the difference was not statistically significant （P〉0.05）.Conclusion Early health intervention on psychological state and organic diseases recovery of elderly patients with cardiovascular diseases is significant,although improvement effect of medication and life style compliance is not obvious,there are obvious improvements for psychological and physiological changes of patients,which has a positive effect on the construction of the early health intervention mode.