双心护理模式结合放松训练在老年冠心病PCI术后护理中的应用价值

The Application Value of Double-heart Nursing Model Combined with Relaxation Training in Nursing Care of Elderly Patients with Coronary Heart Disease after PCI

目的探讨双心护理模式结合放松训练在老年冠心病PCI术后护理中的应用价值。方法选择2017年3月-2019年6月收治的老年冠心病PCI术后患者86例进行研究,随机数字表法分为对照组与观察组各43例,对照组接受常规护理,观察组在对照组基础上加双心护理模式结合放松训练,对两组患者心理状态及睡眠质量、自我效能感进行比较。结果两组干预前的汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分对比差异无统计学意义(P>0.05),观察组干预后HAMA及HAMD评分分别为(5.02±0.89)分、(5.29±0.63)分,明显较对照组低,差异有统计学意义(P<0.05);观察组干预后PSQI评分为(6.13±0.63)分,明显较对照组低,自我效能感评分为(27.32±3.27)分,较对照组高,差异有统计学意义(t=17.019、11.306,P<0.05);两组干预前SAQ评分差异无统计学意义(P>0.05),观察组干预后SAQ评分明显较对照组高,差异有统计学意义(P<0.05);观察组术后心血管意外事件发生率为4.65%,明显较对照组20.93%低,差异有统计学意义(P<0.05)。结论双心护理模式结合放松训练可减轻老年冠心病PCI术后心理负担,提高其睡眠质量及自我效能感,改善生活质量,还可降低心血管意外事件发生风险。

Objective To explore the application value of dual-heart nursing model combined with relaxation training in nursing care of elderly patients with coronary heart disease after PCI.Methods A total of 86 elderly patients with coronary heart disease after PCI who were admitted from March 2017 to June 2019 were selected for the study.The random number table was divided into control group and observation group with 43 cases each.The control group received routine care,and the observation group was in the control group.Based on the dual-heart nursing model combined with relaxation training,the psychological state,sleep quality and self-efficacy of the two groups of patients were compared.Results There was no statistically significant difference in the Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)scores between the two groups before intervention(P>0.05).The HAMA and HAMD scores of the observation group after intervention were(5.02±0.89)points,(5.29±0.63)points,significantly lower than the control group,the difference was statistically significant(P<0.05);the PSQI score of the observation group after the intervention was(6.13±0.63)points,which was significantly lower than the control group,self-efficacy the score was(27.32±3.27)points,which was higher than the control group,the difference was statistically significant(t=17.019,11.306,P<0.05);the difference in SAQ scores between the two groups before intervention was not statistically significant(P>0.05),and the SAQ score in the observation group was significantly higher after intervention the control group was high,the difference was statistically significant(P<0.05);the postoperative cardiovascular accident rate in the observation group was 4.65%,which was significantly lower than 20.93%in the control group,and the difference was statistically significant(P<0.05).Conclusion The dual-heart nursing model combined with relaxation training can reduce the psychological burden of elderly patients with coronary heart disease after PCI,improve their sleep quality and self-efficacy,improve their quality of life,and reduce the risk of cardiovascular accidents.It is worthy of promotion.