延续性康复护理对老年冠心病患者保存心肺功能的意义

Continual rehabilitation nursing in preserving the cardiopulmonary function of the elderly patients with coronary heart disease

目的探究延续性康复护理对老年冠心病患者保存心肺功能的意义。方法选取2015年3月至2016年6月收治的106例出院老年冠心病患者作为研究对象,随机分成干预组和对照组,每组53例。干预组在药物治疗的基础上由专职护士进行延续性康复护理,而对照组只是进行药物治疗。在干预观察6个月后,比较2组患者的自我护理能力,生活质量,随访超声心动图检查结果,对冠心病影响心肺功能的认知程度,并将治疗时间及治疗费用等情况进行比较分析。结果经6个月干预试验后,干预组患者EHFSCB-9各条目得分及总分均低于对照组,差异均有统计学意义(P <0. 05);干预组患者的生活质量MLHFQ各维度的得分均高于对照组(P <0. 05);干预组患者的超声心动图检查结果的各项指标均优于对照组,差异均有统计学意义(P <0. 05);干预组患者对冠心病影响心肺功能的认知程度普遍高于对照组(t=41. 94,P=0. 00);对照组患者的整体治疗时间多于干预组且治疗费用也高于干预组,差异有统计学意义(P <0. 05)。结论对老年冠心病患者进行延续性康复护理不仅可以有效提高患者的自我护理能力和生活质量,而且可以缩短患者的治疗时间及减少治疗费用,同时提高患者对冠心病的认知程度,进而对保存患者的心肺功能有重要意义。

Objective To explore the significance of continual rehabilitation nursing in preserving the cardiopulmonary function in the elderly patients with coronary heart disease. Methods A total of 106 elderly patients with coronary heart disease, who were treated in our hospital from March 2015 to June 2016, were randomly divided into intervention group （ n =53） and control group （ n =53）. The patients in control group were treated by drug. On this base, the patients in intervention group were treated by rehabilitation care by professional nurses. After treatment of six month, the self-care ability, life quality, follow-up echocardiography, cognition degree of cardiopulmonary function of the patients, treatment time and treatment cost were compared and analyzed. Results tAfter 6-month intervention treatment, the scores of EHFSCB9 and total score in intervention group were significantly lower those in control group （ P 〈0.05）. The scores of MLHFQ in intervention group were significantly higher than those in control group （ P 〈0.05）. Moreover, the indexes of the echocardiography in intervention group were？superior to those in control group （ P 〈0.05）. In addition, the cognition degree of cardiopulmonary function of the patients in intervention group were significantly higher than those in control group（ t = 41.94 , P 〈0.01）. Furthermore, the treatment time and treatment cost in control group were higher than those in intervention group （ P 〈0.05）. Conclusion The continual rehabilitation nursing in the elderly patients with coronary heart disease can not only improve effectively the self-care ability of the patients and their life quality, but reduce the treatment time and treatment cost. Also, it can improve the cognition degree of the patients, which is significant in preserving their cardiopulmonary function.