系统心脏康复护理对冠心病患者术后生活质量的影响

Effects of system cardiac rehabilitation nursing on the life quality of patients with coronary heart disease after operation

目的观察临床应用系统心脏康复护理对冠心病术后患者生活质量的影响。方法采用前瞻性研究方法选取2015年9月至2018年3月诊治的102例冠心病患者,随机分为对照组和观察组,每组51例。对照组患者给予临床常规护理,观察组则应用系统心脏康复护理模式进行护理,对比分析2种护理模式对患者生活质量的影响。结果护理前2组SF-36生理健康各项目评分组间比较差异无统计学意义(P>0.05),护理后2组患者各项目评分均明显升高(P<0.05),观察组升高幅度明显高于对照组(P<0.05);护理前2组SF-36心理健康各项目评分组间比较差异无统计学意义(P>0.05),护理后2组患者心理健康各项目评分均明显升高(P<0.05),观察组升高幅度明显高于对照组(P<0.05);2组患者治疗后6 min步行试验分级组间比较观察组明显优于对照组(P<0.05);2组患者护理满意度及治疗总依从率组间比较观察组均明显高于对照组(P<0.05)。结论应用系统心脏康复护理对冠心病术后患者进行护理可明显提高患者生活质量,促进患者预后恢复,建立良好医患关系,可在临床推广应用。

Objective To observe the effects of system cardiac rehabilitation nursing on the life quality of patients with coronary heart disease after operation.Methods The prospective study method was used to select 102 patients with coronary heart disease who were diagnosed and treated from September 2015 to March 2018 into the study,who were randomly divided into control group and observation group,with 51 cases in each group.The patients in control group were treated by routine clinical nursing,while the patients in observation group were treated by systemic cardiac rehabilitation nursing.The efffects of two nursing modes on the life quality of patients were observed and compared between the two groups.Results Before nursing,there were no significant differences in the scores of SF-36 physical health items between the two groups(P>0.05).After nursing,the scores of SF-36 mental health items in both groups were significantly increased(P<0.05),moreover,the increase degree in observation group was significantly higher than that in control group(P<0.05).Before nursing there were no significant differences in the scores of SF-36 mental health items between the two groups(P>0.05).After nursing,the scores of mental health items in both groups were significantly increased(P<0.05),and the increase degree in observation group was more significant than that in control group(P<0.05).In addition the six-minute walking test grading in observation group was superior to that in control group(P<0.05).And the nursing satisfaction degree and total compliance rate in observation group were superior to those in control group(P<0.05).Conclusion The systematic cardiac rehabilitation nursing can significantly improve the life quality of patients with coronary heart disease after operation,improve the prognosis of patients,and establish a good doctor-patient relationship,therefor,which can be widely used in clinical practice.