预见性风险护理在高龄冠心病患者中的应用

Application of predictive risk care in elderly patients with coronary heart disease

目的探讨预见性风险护理在高龄冠心病患者中的应用效果。方法选取2018年10月至2020年10月厦门大学附属第一医院收治的160例高龄冠心病患者作为研究对象,采用随机数字表法将其分为对照组与观察组,每组各80例。对照组患者接受常规护理模式,观察组患者采用预见性风险护理模式。比较两组患者的心功能相关指标、遵医行为、生活质量评分。结果护理前,两组患者的心功能指标、遵医行为评分、生活质量评分比较,差异无统计学意义(P>0.05)。护理后,观察组患者的左心室射血分数(LVEF)、舒张早期/舒张晚期最大血流峰值(E/A)、遵医行为评分、生活质量评分高于对照组,差异有统计学意义(P<0.05)。护理后,两组患者的左心室舒张末内径(LVEDD)均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论预见性风险护理模式对高龄冠心病患者的护理效果显著,有助于提高患者的生活质量。

Objective To observe the effect of predictive risk care in elderly patients with coronary heart disease.Methods A total of 160 elderly patients with coronary heart disease who were admitted to the First Affiliated Hospital of Xiamen University from October 2018 to October 2020 were selected as the research objects.They were divided into the control group and the observation group by random number table method,with 80 cases in each group.Patients in control group received routine nursing mode,and patients in observation group received predictive risk nursing mode.The cardiac function related indicators,medical compliance behavior and quality of life score were compared between the two groups.Results Before nursing,there were no statistically significant differences in cardiac function index,compliance behavior score and quality of life score between the two groups(P>0.05).After nursing,the left ventricular ejection fraction(LVEF),early diastolic/late diastolic maximum blood flow peak(E/A),compliance behavior score and quality of life score in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the left ventricular end diastolic diameter(LVEDD)of the two groups was lower than that before nursing,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).Conclusion Predictive risk nursing model has significant nursing effect on elderly patients with coronary heart disease,which is helpful to improve the quality of life of patients.