双心护理模式对老年冠心病患者生活质量的影响

Effect of double heart care model for the quality of life of elderly patients with coronary heart disease

目的双心护理模式对老年冠心病患者生活质量的影响。方法 180例患者随机分为对照组(常规护理)和观察组(双心护理),每组各90例。分别给予心内科常规护理干预和在此基础上实施心理护理的双心护理模式,比较两组病人护理满意度及干预前后中国心血管病人生活质量评定问卷(CQQC)评分,汉密尔顿抑郁量表(HAMD)评分、抑郁自评量表(SDS)评分、汉密尔顿焦虑量表(HAMA)评分。结果观察组病人护理满意度高于对照组(P﹤0.05);两组病人干预后CQQC、HAMD、SDS及HAMA评分较干预前明显改善(P﹤0.05),且观察组病人干预后各项评分优于对照组(P﹤0.05)。结论双心护理模式在临床中应用于老年冠心病患者后,可有效改善患者生活质量、缓解负面心理状态、增加护理满意度、提高护理服务质量。

Objective： To investigate the effect of double heart care model on the quality of life of elderly patients with coronary heart disease. Methods： 180 patients were randomly divided into control group （usual care） and observation group （double heart care）, with 90 cases in each group. The patient care satisfaction and the quality of life in patients with cardiovascular intervention were compared before and after China Assessment Questionnaire （CQQC） score, Hamilton Depression Scale （HAMD） score, Self-Rating Depression Scale （SDS） score, Hamilton Anxiety Scale （HAMA） score. Results ： Satisfaction of the observation group was significantly higher than that of the control group（ P 〈 0.05 ） ; CQQC, HAMD, SDS and HAMA scores of two groups patients were better after intervention than before intervention. Each score of the observation group was significantly higher than that of the control group （ P 〈 0.05 ）. Conclusion ： Double heart care model can effectively improve the quality of life of patients, alleviate negative psychological state, increase nursing satisfaction, and improve quality of care services in the treatment for coronary heart disease.