针对性护理干预对老年冠心病心绞痛患者生活质量的影响

Effect of Targeted Nursing Intervention on Life Quality of Elderly Patients with Coronary Heart Disease and Angina Pectoris

目的观察并分析老年冠心病心绞痛患者应用针对性护理干预后,其生活质量受到的影响效果。方法选取我院收治的94例老年冠心病心绞痛患者为研究对象,入选时间为2016年5月至2018年6月。采取随机双盲法将患者分成两组,接受常规护理的为对照组,应用针对性护理干预后的则为观察组。统计两组患者的护理效果,并进行对比与评价。结果①心绞痛及心肌梗死发生率方面,观察组均显著低于对照组,数据差异明显,P<0.05。②负面精神状态改善方面,观察组患者的HAMA(汉密尔顿焦虑量表)及HAMD(汉密尔顿抑郁量表)评分的下降幅度均明显大于对照组,数据差异有统计学意义(P<0.05)。③生活质量方面,观察组患者护理后的身体活动受限的程度、疾病认知程度、治疗满意程度、心绞痛发作情况及心绞痛稳定状态等SAQ(西雅图心绞痛量表)指标评分均显著高于对照组,差异有统计学意义(P<0.05)。结论通过对老年冠心病心绞痛患者展开针对性护理干预,可有效减少心绞痛及心肌梗死的发生,在缓解患者负面情绪状态的基础上,有效提高其生活质量,值得重视。

Objective To observe and analyze the effect of targeted nursing intervention on the quality of life of elderly patients with coronary heart disease and angina pectoris.Methods 94 cases of elderly patients with coronary heart disease and angina pectoris admitted and treated in our hospital were selected as research objects,and the selected time was from May 2016 to June 2016.Patients were divided into two groups by random double-blind method.Those receiving routine care were the control group,while those receiving targeted nursing intervention were the observation group.The nursing effect of the two groups was analyzed and compared.Results①The incidence of angina pectoris and myocardial infarction in the observation group was significantly lower than that in the control group,with significant data differences(P<0.05).②in terms of improvement of negative mental state,HAMA(Hamilton anxiety scale)and HAMD(Hamilton depression scale)scores of the observation group were significantly lower than those of the control group,with statistically significant differences(P<0.05).③in terms of quality of life,SAQ(Seattle angina scale)index scores of patients in the observation group were significantly higher than those in the control group in terms of the degree of physical activity restriction,disease cognition,treatment satisfaction,angina attack and stable state of angina pectoris,and the difference was statistically significant(P<0.05).Conclusion Targeted nursing intervention for elderly patients with coronary heart disease and angina pectoris can effectively reduce the occurrence of angina pectoris and myocardial infarction,on the basis of relieving the negative emotional state of patients,effectively improve their quality of life,which is worthy of attention.