早期康复护理对老年心血管疾病患者Barthel及SDS评分的影响

Effects of early rehabilitation nursing on daily life activities and scores of depression self-rating scale in elderly patients with cardiovascular diseases

目的观察早期康复护理对老年心血管病患者日常生活活动能力及抑郁自评量表评分的影响。方法110例老年心血管病患者随机分为观察组和对照组,每组55例,对照组患者采用临床常规护理干预,而观察组患者则施行早期康复护理措施,比较2组患者护理前后的日常生活活动能力(Barthel)和抑郁自评量表(SDS)评分,以及护理后的临床表现、心理及健康相关行为、满意度比较。结果护理前2组患者Barthel及SDS评分差异无统计学意义(P>0.05),护理后2组患者Barthel及SDS评分均显著优于护理前(P<0.05),其中观察组患者Barthel及SDS评分显著优于对照组(P<0.05);护理后观察组年发病次数、年住院天数及并发症发生率均优于对照组(P<0.05);护理后,患者满不在乎、忧郁、悲观等心理反应发生率低于护理前,差异均有统计学意义(P>0.05);护理后,与对照组比较,观察组各项健康行为指标明显增高,差异有统计学意义(P<0.05);观察组满意度明显高于对照组,差异有统计学意义(P<0.05)。结论早期康复护理对于老年心血管病患者,可有效提高临床疗效,基于缓解老年患者的临床症状基础上,充分促进其生活质量的提高,具有重要的应用价值。

Objective To observe the effects of early rehabilitation nursing on daily life activities(Barthel)and scores of self-rating depression scale(SDS)in elderly patients with cardiovascular diseases.Methods A total of 110 elderly patients with cardiovascular diseases who were treated in our hospital from May 2016 to June 2017 were randomly divided into observation group and control group,with 55 patients in each group.The patients in control group were treated by clinical routine nursing intervention,however,the patients in observation group were treated by early rehabilitation nursing measures.The activities of daily living(Barthel)and SDS scores before and after nursing intervention,the clinical symptoms,psychological and health-related behaviors and nursing satisfaction degree after nursing intervention were observed and compared between two groups.Results Before nursing intervention,there were no significant differences in Barthel and SDS scores between the two groups(P>0.05),however,after nursing intervention the Barthel and SDS scores were significantly increased in both groups(P<0.05),moreover,which in observation group were superior to those in control group(P<0.05).In addition the annual frequency of development of disease,annual hospitalization day and incidence rate of complications in observation group were superior to those in control group(P<0.05).After nursing intervention,the incidence rates of psychological reactions including depression and pessimism were significantly lower than those before nursing(P<0.05).After nursing intervention,the health behavior indexes in observation group were superior to those in control group(P<0.05).Besides the nursing satisfaction degree in observation group was signigicantly higher than that in control group(P<0.05).Conclusion The early rehabilitation nursing can significantly improve the therapeutic effects on cardiovascular diseases in the elderly,which can improve life quality of patients,therefor,which has important clinical application value.