针对性护理干预对老年冠心病合并高血压患者代谢指标的影响

Effect of Targeted Nursing on Metabolic Indexes in Elderly with Coronary Heart Disease and Hypertension

目的:探讨针对性护理干预对老年冠心病合并高血压患者代谢指标的影响。方法:选择我院收治的120例老年冠心病合并高血压患者为研究对象,按照随机数字表法分为对照组和观察组各60例,对照组给予常规护理,观察组给予针对性护理干预。比较两组临床疗效、血压、心绞痛、血脂指标,采用抑郁自评量表(SDS)、焦虑自评量表(SAS)、心力衰竭生活质量调查表(Li HFe)评价两组不良情绪和生活质量。结果:观察组总有效率高于对照组(P<0.05);观察组血压控制率高于对照组(P<0.05),而心绞痛发生率低于对照组(P<0.05);观察组总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL-C)均低于对照组(P<0.05),而高密度脂蛋白(HDL-C)高于对照组(P<0.05)。观察组SAS、SDS和Li HFe评分均低于对照组(P<0.05)。结论:针对性护理干预可提高老年冠心病合并高血压患者临床疗效,改善血压、心绞痛和血脂指标,降低不良情绪,提高生活质量。

Objective： To explore the effect of targeted nursing intervention on metabolic indicators in elderly patients with coronary heart disease and hypertension. Methods： A total of 120 cases of elderly patients with coronary heart disease complicated with hypertension were selected as the research object. According to the random number table method,they were divided into control group and observation group,60 cases in each group. The control group was given routine nursing,while the observation group was given targeted nursing intervention. The clinical efficacy,blood pressure,angina pectoris and blood lipids were compared between the two groups. The depression self-rating scale（ SDS）,anxiety self-rating scale（ SAS） and heart failure quality of life questionnaire（ Li HFe） were used to evaluate the two groups＇ adverse emotions and quality of life. Results： The total effective rate of the observation group was higher than that of the control group（ P 0. 05）. The blood pressure control rate of the observation group was higher than that of the control group（ P 0. 05）,and the incidence of angina pectoris was lower than that of the control group（ P 0. 05）. The total cholesterol（ TC）,triglyceride（ TG） and low density lipoprotein（ LDL-C） in the observation group were lower than those in the control group（ P 0. 05）,while high-density lipoprotein（ HDL-C） was higher than the control group（ P 0. 05）. The SAS,SDS and Li HFe scores of the observation group were lower than those of the control group（ P 0. 05）. Conclusion： Targeted nursing intervention can improve the clinical efficacy of elderly patients with coronary heart disease and hypertension,improve blood pressure,angina pectoris and blood lipid index,reduce bad mood and improve the quality of life.