延续性护理对老年冠心病不稳定性心绞痛患者的护理效果及不良事件预防效果

Nursing Effect of Continuity Nursing on Elderly Patients with Coronary Heart Disease Unstable Angina Pectoris and Prevention Effect of Adverse Events

目的探讨延续性护理应用在冠心病不稳定性心绞痛中的临床护理效果及应用价值。方法方便选取2017年6月—2018年10月在该院接受治疗老年冠心病不稳定性心绞痛患者190例,按照护理方法不同分为A组和B组,A组采取常规护理,B组采取延续性护理,对比两组护理效果。结果B组干预后活动受限得分(83.55±5.76)分,心绞痛发作(92.54±5.89)分,治疗满意度(94.65±5.51)分,生活质量(85.13±5.76)分;A组干预后活动受限得分(71.32±4.65)分,心绞痛发作(80.76±4.91)分,治疗满意度(87.76±4.46)分,生活质量(73.65±3.54)分,组间对比差异有统计学意义(P<0.05)。B组发生顽固性心绞痛4例,急性心肌梗死3例,心律失常2例,心源性休克0例;A组发生顽固性心绞痛18例,急性心肌梗死13例,心律失常11例,心源性休克7例,组间对比差异有统计学意义(χ^2=3.1873、4.0113、3.2987、3.8891,P<0.05)。结论延续性护理应用在冠心病不稳定性心绞痛中可以提升患者生存质量,减少院外不良事件发生,值得在临床推广应用。

Objective To investigate the clinical nursing effect and value of continuity nursing in the unstable angina pectoris of coronary heart disease.MethodsA total of conveniently selected 190 patients with unstable angina pectoris were treated in our hospital from June 2017 to October 2018.They were divided into group A and group B according to the nursing methods,group A took regular nursing care,group B took continuous nursing care,and compared two groups of nursing effects.Results Group B had limited activity score(83.55±5.76)points,angina attack(92.54±5.89)points,treatment satisfaction(94.65±5.51)points,and quality of life(85.13±5.76)points;Group A had limited activity score(71.32±4.65)points,angina attack(80.76±4.91)points,treatment satisfaction(87.76±4.46)points,quality of life(73.65±3.54)points.The contrast between the groups was statistically significant(P<0.05).There were 4 cases of intractable angina pectoris,3 cases of acute myocardial infarction,2 cases of arrhythmias and 0 cases of cardiogenic shock in group B.In group A,there were 18 cases of intractable angina pectoris,13 cases of acute myocardial infarction,11 cases of arrhythmias,and 7 cases of cardiogenic shock.There were statistically significant differences between groups(χ^2=3.187 3,4.011 3,3.298 7,3.889 1,P<0.05).Conclusion Continuity nursing can improve the quality of life and reduce the occurrence of adverse events in patients with coronary heart disease in unstable angina pectoris.