针对性护理对老年冠心病心绞痛患者的干预效果

Intervention effect of targeted nursing on elderly patients with coronary heart disease-angina pectoris

目的探讨针对性护理对老年冠心病心绞痛患者的干预效果,为临床提高老年冠心病心绞痛患者护理质量提供理论依据。方法选取2018年7月—2020年1月天津市人民医院收治的136例老年冠心病心绞痛患者,随机分为观察组和对照组各68例,两组均采用相同的基础治疗方法,对照组接受传统二级基础护理,观察组在对照组基础上采用针对性护理,比较两组患者的护理满意率及生活质量评分。结果观察组患者护理总满意率为95.59%,高于对照组的80.88%,差异有统计学意义(P<0.05)。护理前,两组SF-36评分差异无统计学意义(P>0.05);护理后,观察组SF-36评分为(83.66±10.95)分,高于对照组的(70.19±10.03)分,差异有统计学意义(P<0.05)。结论对老年冠心病心绞痛患者采用针对性护理,能明显提高患者的生活质量及护理满意率,改善患者生存状态,提高护理质量,值得临床推广应用。

Objective To explore the intervention effect of targeted nursing on elderly patients with coronary heart disease-angina pectoris(CHD-AP),and to provide theoretical basis for clinical improvement of nursing quality in elderly patients with CHD-AP.Methods A total of 136 elderly patients with CHD-AP admitted to Tianjin People’s Hospital from July 2018 to January 2020 were selected and randomly divided into observation group and control group,with 68 cases in each group.Both groups were treated with the same basic treatment,the control group received traditional secondary basic care,while the observation group received targeted nursing on the basis of the control group.The nursing satisfaction rates and quality of life scores of the two groups were compared.Results The nursing total satisfaction rate of the observation group was 95.59%,which was higher than 80.88%of the control group,and the difference was statistically significant(P<0.05).Before nursing,there was no significant difference between the two groups in SF-36 score(P>0.05);after nursing,the SF-36 score in the observation group was(83.66±10.95)score,significantly higher than(70.19±10.03)score in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of targeted nursing in elderly patients with CHD-AP could significantly improve the quality of life and nursing satisfaction rate of patients,improve the survival status of patients,improve the quality of nursing care,which was worthy of clinical prpularization and application.