行为护理干预对冠心病患者并发症及生活质量的影响

Effect of Behavioral Nursing Intervention on Complications and Quality of Life in Patients with Coronary Heart Disease

目的分析行为护理干预对冠心病患者并发症及生活质量的影响。方法随机选取河南省信阳市中心医院2017年1月-2018年12月心内科收治的GHD患者120例,计算机随机将其分成对照组与干预组,每组60例。对照组患者接受常规护理干预,干预组患者接受行为护理干预。比较两组患者并发症、依从性、生活质量、睡眠质量及自我效能。结果干预组患者并发症发生率低于对照组(P<0.05)。护理前两组患者依从性差异比较无统计学意义(P>0.05)。护理后两0患者依从性有改善,其中干预组患者改变不良生活习惯、合理安排作息及适量运动、保持情绪稳定及掌握用药知识依从率高于对照组(P<0.05)。护理前两组患者睡眠质量各项评分差异比较无统计学意义(P>0.05)。护理后两组患者睡眠质量、入睡时间、睡眠效率、睡眠障碍、安眠药物及总分较护理前升降低,其中干预组患者睡眠质量、入睡时间、睡眠效率、睡眠障碍、安眠药物及总分低于对照组(P<0.05)。护理前两组患者生活质量各项评分差异比无统计学意义(P>0.05)。护理后两组患者生理、心理、独立性、社会关系、环境、精神或宗教信仰及总分较护理前增加,其中干预组患者生理、心理、独立性、社会关系、环境、精神或宗教信仰及总分高于对照组(P<0.05)。护理前两组患者总分、内心活动维度及技能维度评分差异比较无统计学意义(P>0.05)。护理后两组患者总分、内心活动维度及技能维度评分较护理前升高,其中干预组患者总分、内心活动维度及技能维度评分高于对照组(P<0.05)。结论行为护理干预是减少冠心病患者并发症、提高生活质量及睡眠质量有效方法,建议推广。

Objective To investigate the effect of behavioral nursing intervention on complications and quality of life in patients with coronary heart disease.Methods From January 2017 to December 2018,120 patients with coronary heart disease admitted to cardiovascular department of Luoyang Renda Hospital were selected,and randomly divided into control group and intervention group,each with 60 cases.The control group received routine nursing intervention,while the intervention group received behavioral nursing intervention.Then the complications,compliance,quality of life,sleep quality and self-efficacy were compared between the two groups.Results The incidence of complications in the intervention group was lower than that in the control group(P<0.05).The compliance rate showed no difference between the two groups before nursing(P>0.05),which was improved in both groups after nursing,and were better in the intervention group than in the control group in terms of the adverse lifestyle habits,moderate exercise,emotional stability and medication(P<0.05).The scores of sleep quality between the two groups had no difference before treatment(P>0.05),which were decreased in both groups after treatment,and were lower in the intervention group than in the control group in terms of sleep quality,sleep time,sleep efficiency,sleep disturbance,sleeping drug dosage and total score(P<0.05).The quality of life scores had no difference before treatment(P>0.05),which were increased in both groups after treatment,and were higher in the intervention group than in the control group in terms of physiology,psychology,independence,social relations,environment,spiritual or religious beliefs and total scores(P<0.05).The scores of inner activity dimension and skill dimension showed no difference between groups before treatment(P>0.05),which were higher in the intervention group than in the control group after treatment(P<0.05).Conclusion The application of the behavioral nursing interventioncan effectively reduce complications,improve quality of life and sleep quality in patients with coronary heart disease.