优质护理服务对冠心病患者用药依从性和生活质量的改善研究

Study on the Improvement of Medication Compliance and Quality of Life in Patients with Coronary Heart Disease with high Quality Nursing Service

目的观察评价对冠心病患者实施优质护理服务后其用药依从性和生活质量的改善效果。方法选取本院2015年3月~2016年5月收治的126例冠心病患者,按照纳入顺序编号,并利用随机数字表分组。常规组(n=63)实施常规护理服务,优质组(n=63)实施优质护理服务。观察指标为护理后依从性分布、护理前后生活质量评分变化及护理期间不良事件发生率。结果护理后优质组与常规组依从性分布比较差异显著(P<0.05),且前者完全依从率远高于后者(P<0.05);护理后优质组与常规组躯体、心理、社会和总体健康维度的生活质量评分均较护理前大幅升高(P<0.05),护理后优质组各维度评分均远高于常规组(P<0.05);护理期间,优质组不良事件发生率远低于常规组,组间差异显著(P<0.05)。结论对冠心病患者实施优质护理服务能够显著改善用药依从性和生活质量,还可降低不良事件发生率。

Objective To observe and evaluate the effect of medication compliance and quality of life in patients with coronary heart disease after the implementation of high quality nursing services.Methods The objects of this study were 126 patients with coronary heart disease admitted to the hospital in March 2015 to May 2016.In accordance with the order number,the patients were divided into two groups by using the random number table.The routine group(n=63)received routine nursing services,and the quality care group(n=63)implemented high-quality nursing services.The observation indexes were the distribution of nursing compliance,the change of quality of life scores before and after nursing and the incidence of adverse events during nursing.Results After nursing,the distribution of compliance between the quality care group and the routine group was significantly different(P<0.05),and the complete compliance rate of the former was much higher than that of the latter(P<0.05).The quality score of body,the psychological and social health and overall dimensions were significantly increased than before treatment(P<0.05),of which the quality care group was much higher than those in the routine group(P<0.05).The incidence of adverse events in the quality care group higher than that in the routine group,with a significant difference between the two groups(P<0.05).Conclusion The implementation of quality care services for patients with coronary heart disease can significantly improve medication compliance and quality of life,which can also reduce the incidence of adverse events.