整体护理在老年冠心病合并冠状动脉慢性完全闭塞性病变患者围手术期中的应用价值

Application of perioperative holistic nursing in elderly patients with coronary heart disease and chronic total occlusion

目的探讨整体护理在老年冠心病合并冠状动脉慢性完全闭塞性病变(CTO)患者围手术期中的应用价值。方法选取2016年8月至2018年7月于胶州市人民医院接受PCI治疗的74例老年冠心病合并CTO患者为研究对象,采用随机数表法分为对照组和观察组,每组37例。对照组患者接受常规护理,观察组患者接受整体护理。比较两组患者干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)、一般自我效能感量表(GSES)评分,以及护理工作满意度。结果干预后,观察组SAS.SDS评分较对照组低,GSES评分较对照组高,差异有统计学意义(均P<0.05)。对照组和观察组护理工作满意度分别为83.78%(31/37)、100.00(37/37).观察组护理工作满意度较对照组高,差异有统计学意义(P<0.05)。结论于老年冠心病合并CTO患者PCI围手术期实施整体护理措施,可有效缓解患者负面情绪,提高患者自我效能感。

Objective To investigate the value of perioperative holistic nursing in elderly patients with coronary heart disease and chronic total occlusion(CTO).Methods Seventy-four elderly patients with coronary heart disease and CTO who underwent PCI in Jiaozhou People's Hospital from August 2016 to July 2018 were enrolled.The patients were divided into control group and observation group by random number table,with 37 cases in each group.Patients in control group received routine nursing and the patients in observation group received holistic nursing.The self-rating anxiety scale(SAS),self-rating depression scale(SDS),general self-efficacy scale(GSES)scores,and nursing job satisfaction were compared between the two groups.Results After intervention,the SAS and SDS scores of observation group were lower than those of control group,the GSES score was higher than that of control group,and the differences were statistically significant(all P<0.05).The satisfaction of nursing work in control group and observation group were 83.78%(31/37)and 100.00(37/37),respectively.The satisfaction of nursing work in observation group was higher than that in control group,and the difference was statistically significant(P<0.05).Conclusion Perioperative holistic nursing could effectively alleviate the negative emotions of elderly patients with coronary heart disease and CTO,and improve their self-efficacy.