责任制整体护理模式结合中医护理对冠心病患者心血管不良事件及生活质量的影响

Effect of Responsibility Holistic Nursing Mode Combined with Traditional Chinese Medicine Nursing on Compliance Behaviors and Quality of Life for Patients with Coronary Heart Disease

目的:探讨责任制整体护理模式结合中医护理对冠心病患者心血管不良事件及生活质量的影响。方法:随机选取2018年6月~2019年6月我科收治的冠心病患者104例为研究对象,随机数表法分为观察组和对照组各52例,对照组患者行常规护理干预,观察组患者采用责任制整体护理模式结合中医护理干预。比较两组患者护理干预后心血管不良事件发生率、遵医行为、生活质量以及护理满意度情况。结果:观察组患者出院后心血管不良事件发生率5.77%低于对照组19.23%(P<0.05);观察组患者服药、定期复诊、饮食控制三个方面的遵医行为均优于对照组(P<0.05),两组在适当运动方面的遵医行为比较无差异(P>0.05);两组患者护理干预后西雅图心绞痛量表(SAQ)评分均较护理前升高,且观察组高于对照组(P<0.05)。护理后,观察组患者在病房环境、护理人员沟通能力、操作技能和医护配合度四个方面的护理满意度得分高于对照组(P<0.05)。结论:责任制整体护理模式结合中医护理有利于降低冠心病患者心血管不良事件再发生率,提高患者治疗依从性和生活质量,护理满意度更高。

Objective:To explore the effect of responsibility holistic nursing mode combined with traditional Chinese medicine(TCM)nursing on compliance behaviors and quality of life for patients with coronary heart disease(CHD).Methods:A total of 104CHD patients during the period from June 2018to June 2019 were randomly enrolled.They were divided into observation group and controlled group by random number table method,52cases in each group.The controlled group was given routine nursing intervention,while the observation group was given responsibility holistic nursing mode combined with TCM nursing intervention.The incidence of adverse cardiovascular events,compliance behaviors,quality of life and nursing satisfaction were compared between the two groups after nursing intervention.Results:After discharge,incidence of adverse cardiovascular events in the observation group was lower than that in the controlled group(5.77%vs 19.23%)(P<0.05).The compliance behaviors such as medication,regular subsequent visit and diet control in the observation group were better than those in the controlled group(P<0.05),while there was no difference in proper exercise between the two groups(P>0.05).After nursing intervention,scores of Seattle Angina Questionnaire(SAQ)in both groups were increased,which were higher in the observation group than the controlled group(P<0.05).After nursing,satisfaction scores of patients with ward environment,communication ability of nursing staffs,operating skills and doctor-nurse coordination in observation group were higher than those in the controlled group(P<0.05).Conclusion:The responsibility holistic nursing mode combined with TCM nursing is beneficial to reduce incidence of adverse cardiovascular events in CHD patients,improve treatment compliance and quality of life,with relatively higher nursing satisfaction.