无缝隙护理对老年冠心病患者心绞痛发作率、预后效果及生存质量的改善作用

Effect of seamless nursing on angina pectoris attack rate, prognosis and quality of life in elderly patients with coronary heart disease

目的探讨无缝隙护理对老年冠心病患者心绞痛发作率、预后效果及生存质量的改善作用。方法选取2016年8月~2018年8月我院收治的老年冠心病患者60例为研究对象,依照护理路径不同分为对照组和观察组,每组30例,对照组行护理常规模式,观察组给予无缝隙护理模式,观察两组患者心绞痛发作率、预后效果及生存质量。结果两组护理干预前生理功能、躯体疼痛等指标无统计学差异(P>0.05)。护理干预后观察组与对照组生理功能、社会功能及躯体疼痛指标评分存在显著差异,且观察组总体健康评分高于对照组,差异具有统计学意义(P<0.05)。观察组预后优良率96.67%(29/30)明显高于对照组预后优良率73.33%(22/30),心绞痛发作次数3.33%(1/30)明显低于对照组26.67%(8/30),差异有统计学意义(P<0.05)。结论老年冠心病患者接受无缝隙护理效果明显,不仅可以降低心绞痛发作次数,也能改善患者的生存质量,提升患者预后优良率,具有在临床上推广应用的价值。

Objective To explore the effect of seamless nursing on improving the incidence of angina pectoris,prognosis and quality of life in elderly patients with coronary heart disease.Methods 60 elderly patients with coronary heart disease admitted to our hospital from August 2016 to August 2018 were equally divided into the control group and the observation group according to different nursing paths.The control group received routine nursing mode and the observation group received seamless nursing mode.The incidence of angina pectoris,prognosis and quality of life of the two groups were observed clinically.Results There was no significant difference in physiological and social functions between the observation group and the control group(P>0.05).The scores of physiological function,social function and body pain in the observation group were different from those in the control group,and the overall health score in the observation group was higher than control group,with a statistically significant difference(P<0.05).The excellent and good prognosis rate of the observation group was 96.67%(29/30)significantly higher than that of the control group[73.33%(22/30)],and the number of angina attacks was 3.33%(1/30)significantly lower than that of the control group[26.67%(8/30)],with statistical significance(P<0.05).Conclusion Elderly patients with coronary heart disease receive seamless nursing,which can not only reduce the incidence of angina pectoris,but also improve the quality of life of patients and improve the rate of excellent prognosis of patients.It has the value of clinical application.