院外护理对冠心病合并高尿酸患者临床疗效的影响

The influence of out-hospital nursing on patients with coronary heart disease and hyperuricemia

【目的】研究院外护理对冠心病合并高尿酸患者的血生化指标的达标率,临床疗效及生活质量评分的影响。【方法】我院2013年2月至2014年12月期间随机抽取的80例冠心病合并高尿酸患者,分为对照组与干预组各40例,对照组给予规护理,干预组在对照组基础上给予院外护理,对患者进行6个月的随访,分析两组患者血生化指标、临床症状、生活质量的差异。【结果】两组患者入组6个月后,干预组的血糖、血脂、血尿酸达标率均高于对照组;差异有统计学意义(P<0.05),而随访患者的心绞痛症状及心电图的改变,干预组的总有效率明显高于对照组(87.5%VS 72.5%);干预组的生活质量各项指标均显著高于对照组,差异有统计学意义(P<0.05)。【结论】通过院外护理能够促进患者的健康理念,形成健康的就医和生活方式,改善患者的临床症状和生活质量,可以作为冠心病合并高尿酸患者的有效的护理方法。

[Objective] To investigatethe influence of out-hospital nursing on patient＇s serum biochemical levels, Clinic symptom, life quality score, who has coronary artery disease with hyperuricemia. [Methods] In our hospital from February 2013 to December 2014 during a random sample of 80 cases of coronary heart disease with high uric acid were divided into control group and interventiongroup, each group with 40 cases.Control group implements conventional nursing,the intervention group was given out-hospital nursing in the conventional nursing foundation, analyzes two groups of patients different in serum biochemical levels, Clinic symptom, life quality scores. [ Results] 6 months after treatment,the control rate of the intervention group＇s blood lipid, fasting blood glucose（FBG）and blood uric acid （UA） were all higher than those of control group,with statistical significauce（P〈0.05）, the symptoms of angina and the changes of ECG patients who were followed up for 6 monthes. The total effective rate in intervention group was significantly higher than that in control group（87.5% VS 72.5%）. Indexes of living quality in intervention group were better than those in control group （P〈0.05）. [Conclusion] Out-hospital nursing can increase success rates of blood glucose,blood uric acid and blood lipid; reduce CHD risk factors,improve clinical sympathy and enhance patients＇ quality of life; is an effective method of nursing coronary artery disease with hyperuricemia.