延续性护理对老年冠心病负性情绪、心功能及生活质量的影响分析

Analysis of the Effect of Continuous Nursing on Negative Emotion, Heart Function and Quality of Life in Elderly Patients with Coronary Heart Disease

目的讨论延续性护理对老年冠心病负性情绪、心功能及生活质量的影响。方法于2016年1月—2017年8月,方便选取该院86例老年冠心病患者为研究对象,以简单随机法将这86例患者分为常规组与研究组,每组43例,常规组予以常规护理,研究组实施延续性护理,对两组患者护理效果进行观察对比。结果研究组患者护理后的SAS、SDS评分与心功能指标明显优于常规组,两者相比差异有统计学意义(t=3.1946、3.960 7、11.476 0、6.650 1.P<0.05);研究组患者的QOL生活质量评分明显优于常规组,两者相比差异有统计学意义(t=14.668 7,6.734 9.P<0.05);研究组护理满意度的93.02%明显高于常规组的69.77%,两者相比差异有统计学意义(χ~2=7.6786,P=0.005 5,P<0.05)。结论延续性护理对老年冠心病负性情绪、心功能及生活质量的影响显著,其可有效的缓解患者的不良情绪,改善其心功能指标,提高生活质量,且患者对此种护理模式的满意度较高,值得该院进行推广。

Objective To investigate the effects of continuous nursing on negative emotion, heart function and quality of life in elderly patients with coronary heart disease. Methods From January 2016 to August 2017, 86 elderly patients with coronary heart disease were convenient selected and enrolled in the hospital. The 86 patients were divided into routine group and study group by simple random method. Each group consisted of 43 cases. Regular care was given, and the study group implemented continuous care to observe and compare the nursing effects of the two groups of patients. Results The SAS and SDS scores of the patients in the study group and cardiac function index was significantly better than the conventional group, and the difference was statistically significant （t=3.194 0,3.960 7,11.476 0,6.650 1.P〈0.05）; QOL quality of life score of the study group was significantly better than the conventional group, and the two were statistically different （t= 14.6681,6.7349 P〈0.05）; the study group＇s nursing satisfaction was significantly higher than 93.029o. 69.77% of the con- ventional group was statistically different （X2=7.678 6, P=0.005 5, P〈0.05）. Conclusion Continuous nursing has significant effects on negative emotion, heart function and quality of life in elderly patients with coronary heart disease, which can ef- fectively alleviate patients bad mood, improve their heart function indicators, improve their quality of life, and patients are satisfied with this kind of nursing mode. The degree is high and it is worth promoting in the hospital.