延续性护理对冠心病合并缺血性脑血管病患者出院后的疗效观察

Curative effect of continuous nursing in patients with coronary heart disease complicated by ischemic cerebrovascular disease after discharged

目的探究延续性护理对冠状动脉粥样硬化性心脏病(冠心病)合并缺血性脑血管病出院后的临床疗效。方法选取2018年1月至2019年1月于首都医科大学附属北京安贞医院收治的98例冠心病合并缺血性脑血管病患者,随机分为实验组和对照组,每组各49例。实验组采用延续性护理,对照组采用常规护理,比较两组患者的临床疗效、护理满意度等。结果经护理干预后,实验组患者护理满意度显著高于对照组(P<0.05);实验组汉密尔顿抑郁量表(HAMD)、焦虑自评量表(SAS)评分显著低于对照组(P<0.05),生活质量自评量表(SF-36)评分显著高于对照组(P<0.05);实验组健康知识掌握度显著高于对照组(P<0.05);实验组患者依从率显著高于对照组(P<0.05)。结论冠心病合并缺血性脑血管病患者经延续性护理后可提高患者临床疗效及护理满意度。

Objective To study the clinical efficacy of continuous nursing in patients with coronary heart disease(CHD)complicated by ischemic cerebrovascular disease.Methods The patients(n=98)were chosen from Beijing Anzhen Hospital affiliated to Capital University of Medical Sciences from Jan.2018 to Jan.2019,and then divided randomly into test group and control group(each n=49).The test group was given continuous nursing and control group was given routine nursing.The clinical efficacy and degree of satisfaction to nursing service were compared between 2 groups Results After the nursing intervention,the degree of satisfaction to nursing service was significantly higher in test group than that in control group(P<0.05).The scores of Hamilton Depression Scale(HAMD)and self-rating anxiety scale(SAS)were significantly lower(P<0.05)and scores of the MOS 36-item Short Form Health Survey(SF-36)were significantly higher in test group than that in control group(P<0.05).Acquisition of health knowledge was significantly higher in test group than that in control group(P<0.05).The compliance was significantly higher in test group than that in control group(P<0.05).Conclusion The clinical efficacy and degree of satisfaction to nursing service can be improved by continuous nursing in patients with CHD complicated by ischemic cerebrovascular disease.