试论老年心肌梗死患者恢复期临床护理体会

Nursing Experience of Elderly Patients with Myocardial Infarction in Recovery Period

目的:研究分析老年心肌梗死患者恢复期的临床护理,为后期的老年心肌梗死患者恢复期护理工作实施提供相应的借鉴。方法:选择2014年12月—2015年12月在我院接受治疗的120例老年恢复期心肌梗死患者作为主要的研究对象,回顾性分析患者的临床资料,对其进行随机分组,平分为参照组跟观察组,分别给予常规护理和恢复期个性化护理干预,使用抑郁自评量表、焦虑自评量表、生存质量调查问卷对两组患者的护理效果对比分析。结果:参照组干预之后的SAS评分以及SDS评分相比观察组干预之后改善程度较低,两者之间差异具有非常显著的现实意义,具有显著统计学意义(P<0.05)。观察组患者的人生存质量平均评分为(58.14±11.20)分,参照组患者的人生存质量平均评分为(87.95±28.66)分,两组患者的人生存质量平均评分差异显著,具有明显的统计学意义(P<0.05)。两组患者总满意度相比,观察组护理满意度为100%,比参照组约高17.00%。比较两组数据,差距显著(χ2=17.2896,P<0.05),有统计学意义。结论:给予老年心肌梗死患者恢复期个性化护理干预可促进治疗效果得到有效提高,可以提升老年心肌梗死患者的生存质量,同时还可以促使并发症发生率明显降低,促使患者心理状态实现进一步改善,可以进一步分析使用。

Objective： To study and analyze the clinical nursing of elderly patients with myocardial infarction in recovery period. To provide evidence for nursing care of elderly patients with myocardial infarction during recovery period. Methods ： In our hospital 120 cases of elderly patients with myocardial infarction in recovery period as the research object, in December -2015 December 2014. Retrospective study method was used to analyze the clinical data of patients. Randomly divided into the observation group and the reference group. Routine nursing and recovery period personalized nursing intervention were given respectively. The results were compared with the results of self rating depression scale, self rating anxiety scale and quality of life questionnaire. Results ： After treatment, the SAS score and SDS score in the reference group were less than those in the observation group. The difference was statistically significant （ P〈0.05 ）. Average score of the quality of life ： the observation group was （ 58.14 ＋ 11.20 ） points, the reference group was （ 87.95＋28.66 ） points. The difference was statistically significant （ P〈0.05 ）. The total satisfaction of observation group was 100%, 17% higher than the reference group. Compare two sets of data, significant difference （ χ 2=17.2896, P〈0.05 ）. Conclusion： The personalized nursing care of senile myocardial infaretion patients can improve the therapeutic effect, the quality of life, mental state.