多元护理对老年冠心病患者不良事件发生情况的影响

The effect of multiple nursing on the occurrence of adverse events in elderly patients with coronary artery disease

目的探讨多元护理对老年冠心病患者不良事件发生情况的影响。方法本研究选取2018年2月-2019年2月收治的78例老年冠心病患者为研究对象。采用随机数字表法将患者分为对照组与观察组,每组39例。对照组患者采取常规护理,观察组患者在对照组护理基础上进行多元护理。比较出院时2组患者的不良反应发生率。比较护理前及出院时2组患者汉密尔顿焦虑量表及汉密尔顿抑郁量表评分。结果观察组患者不良反应发生率为2.56%,低于对照组的20.50%,差异有统计学意义(χ^(2)=4.522,P=0.033)。出院时,观察组患者汉密尔顿焦虑量表评分及汉密尔顿抑郁量表评分分别为(3.27±0.54)分及(2.31±0.93)分,低于对照组的(6.37±0.31)分及(4.31±0.84)分,差异均有统计学意义(P<0.05)。结论多元护理能降低冠心病患者继发心律失常、心力衰竭、急性心肌梗死等不良事件的风险,还能缓解患者焦虑、抑郁等不良情绪,临床效果显著,值得推广应用。

Objective To investigate the effect of multiple nursing on the occurrence of adverse events in elderly patients with coronary artery disease. Methods Seventy-eight elderly patients with coronary heart disease admitted from February 2018 to February 2019 were selected for this study. The patients were divided into a control group and an observation group with 39 patients in each group using a random number table. Patients in the control group took conventional nursing care, and patients in the observation group received multiple nursing care on the basis of the control group. The incidence of adverse reactions in the 2 groups of patients at the time of hospital discharge was compared. The Hamilton Anxiety Scale and Hamilton Depression Scale scores of the 2 groups of patients before care and at the time of discharge were compared. Results The incidence of adverse reactions in the observation group was 2.56%, which was lower than the 20.50% in the control group, and the difference was statistically significant(χ^(2)=4.522,P=0.033). At the time of discharge, the Hamilton Anxiety Scale score and Hamilton Depression Scale score in the observation group were 3.27±0.54 and 2.31±0.93, respectively, which were lower than the control group’s scores of 6.37±0.31 and 4.31±0.84, and the difference was statistically significant(P<0.05). Conclusion Multiple nursing can reduce the risk of secondary arrhythmias, heart failure, acute myocardial infarction and other adverse events in patients with coronary heart disease, as well as relieve patients’ anxiety, depression and other adverse emotions. The clinical effect is remarkable, and it is worth wider application.