多维度协同护理在冠心病合并慢性心力衰竭患者中的应用效果

Application effects of multi-dimensional collaborative nursing in patients with coronary heart disease and chronic heart failure

目的:观察多维度协同护理在冠心病合并慢性心力衰竭(心衰)患者中的应用效果。方法:选取86例冠心病合并慢性心衰患者作为研究对象,以随机数字表法分为观察组和对照组各43例。对照组行常规护理,观察组在对照组基础上行多维度协同护理,比较两组护理满意度、护理前后自护能力[自我护理能力量表(ESCA)]评分、负性情绪[焦虑自评量表(SAS)与抑郁自评量表(SDS)]评分和生命质量[健康调查简表(SF-36)]评分。结果:观察组护理满意度为93.02%(40/43),高于对照组的76.74%(33/43),差异有统计学意义(P<0.05);护理后,观察组自护技能、自护责任感、自我概念和健康知识等ESCA评分均高于对照组,差异有统计学意义(P<0.05);观察组SAS、SDS评分均低于对照组,SF-36评分高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用多维度协同护理可提高冠心病合并慢性心衰患者护理满意度、ESCA评分和SF-36评分,降低负性情绪评分,效果优于单纯常规护理。

Objective:To observe application effects of multi-dimensional collaborative nursing in patients with coronary heart disease and chronic heart failure.Methods:86 patients with coronary heart disease and chronic heart failure were selected as the research objects,and were divided into observation group and control group by using the random number table method,43 cases in each group.The control group received routine nursing,while the observation group was given the multi-dimensional collaborative nursing on the basis of that of the control group.The nursing satisfaction,the self-care ability scores before and after the treatment[exercise of self-care agency(ESCA)],the negative emotion[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)]score and the quality of life[short form health survey questionnaire(SF-36)]score were compared between the two groups.Results:The nursing satisfaction degree of the observation group was 93.02%(40/43),which was higher than 76.74%(33/43)of the control group,and the difference was statistically significant(P<0.05).After the nursing,the ESCA scores of self-care skills,self-care responsibility,self-concept and health knowledge of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Further,the SAS and SDS scores of the observation group were lower than those of the control group;the SF-36 score was higher than that of the control group;and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the multi-dimensional collaborative nursing can improve the nursing satisfaction,the ESCA scores and the SF-36 scores of the patients with coronary heart disease and chronic heart failure,and reduce the negative emotion scores.Moreover,it is superior to simple routine nursing.