心内科老年患者实施个性化护理干预对其睡眠质量及护理服务质量的影响

Effects of Personalized Nursing Intervention on Sleep Quality and Quality of Nursing Care in Elderly Patients with Cardiology

目的探讨心内科老年患者实施个性化护理干预的效果。方法回顾性分析2013年3月—2016年9月于医院心内科住院治疗的80例老年患者临床诊治及护理情况,所有患者均给予常规治疗及个性化护理干预。分别于患者入院时及出院1周后调查其服药依从性及认知情况;采用匹兹堡睡眠质量指数量表(PSQI)评价患者入院时及出院1周后睡眠状况;采用医院自制问卷调查表调查患者对此次护理服务的满意度。结果患者出院1周后规律服药和按时服药率明显高于入院时,漏服药、断续服药、自行停药及错服药物率明显低于入院时,P<0.05;患者出院1周后认知得分为(1.92±0.24)分,明显高于入院时(1.14±0.08)分,t=27.57,P=0.00。患者出院1周PSQI评分为(5.72±1.28)分,明显低于入院时(8.02±1.15)分,t=11.95,P=0.00。患者对护理服务的满意度为98.75%(79/80)。结论心内科老年患者实施个性化护理干预可有助于提高其治疗依从性及对疾病的认知,改善其睡眠质量,从而提高其对医院护理服务的满意度,如此良性循环将有助于促进我院心内科护理服务质量的不断改进,更好的满足患者对护理服务的需求。

OBJECTIVE To explore the effect of individualized nursing intervention in elderly patients with cardiology. METHODS It retrospectively analyzed the clinical diagnosis and treatment of 80 elderly patients who were hospitalized in hospital from March 2013 to September 2016. All patients were given routine treatment and personalized nursing intervention. The patients Were enrolled at 1 week after hospitalization and 1 year after discharge. The patients were hospitalized and the sleep status was assessed by the Pitts- burgh Sleep Quality Index Scale （PSQI）. The hospital homemade questionnaires were used to investigate the patients＇ Satisfaction with this care service.Results Patients were discharged 1 week after the regular medication and on-time medication rate was signifi- cantly higher than admission, missed medication, intermittent medication, self-medication and wrong medication rate was significantly lower than the admission, P〈0.05; patients discharged after 1 week cognitive score （1.92±0.24） points, which was significantly higher than that at admission （1.14±0.08）, t=27.57, P=0.00. The PSQI score was （5.72±1.28）, and was significantly lower than that at admission （8.02 ± 1.15）, t=11.95, P=0.00. Patient satisfaction with nursing services was 98.75% （79/80）. CONCLUSION The implementation of personalized care interventions in elderly patients with cardiology could help to improve their treatment compliance and awareness of the disease and improve their sleep quality, thereby increasing their satisfaction with hospital care services. Such a virtuous cycle would help target hospital＇ s continuous improvement of heart medical care service quality, so as to better meet the needs of patients with nursing services.