舒适护理在冠心病心绞痛患者中的应用效果

Application effects of comfort nursing in patients with coronary heart disease and angina pectoris

目的:观察舒适护理在冠状动脉粥样硬化性心脏病(简称冠心病)心绞痛患者中的应用效果。方法:选取130例冠心病心绞痛患者为研究对象,采用随机数字表法将其分为观察组与对照组各65例。对照组给予常规护理,观察组在对照组基础上采用舒适护理,比较两组护理前后心功能指标(左室短轴缩短率、左室射血分数)水平、心绞痛发作(急性发作次数、持续发作时间)、硝酸甘油用量(硝酸甘油减量率和停用率)和负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分。结果:护理后,观察组左室短轴缩短率及左室射血分数均高于对照组,差异有统计学意义(P<0.05);观察组心绞痛急性发作次数低于对照组,发作持续时间短于对照组,硝酸甘油停用率和减少率均高于对照组,差异有统计学意义(P<0.05);观察组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用舒适护理可提高冠心病心绞痛患者的心功能指标水平,减少硝酸甘油用量,降低心绞痛发作次数和负性情绪评分,缩短心绞痛发作持续时间,其效果优于单纯常规护理。

Objective:To observer application effects of comfort nursing in patients with coronary heart disease and angina pectoris.Methods:130 patients with coronary heart disease and angina pectoris were selected as the research objects,and were divided into observation group and control group by using the random number table method,65 cases in each.The control group was given routine nursing,while the observation group was given comfort nursing on the basis of that of the control group.The levels of cardiac function indexes(left ventricular fractional shortening rate and left ventricular ejection fraction),the angina pectoris attack(number of acute attacks,duration of attack),the Nitroglycerin dosage(Nitroglycerin reduction rate and discontinuation rate)and the negative emotions[self-rating anxiety scale(SAS),Self-rating depression scale(SDS)]score were compared between the two groups before and after the nursing.Results:After the nursing,the left ventricular fractional shortening rate and left ventricular ejection fraction in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The number of acute attacks of angina pectoris in the observation group was lower than that in the control group;the duration of the attacks was shorter than that in the control group;the discontinuation rate and reduction rate of Nitroglycerin were higher than those in 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,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the comfort nursing can improve the levels of cardiac function indexes in the patients with coronary heart disease and angina pectoris,reduce the dosage of Nitroglycerin,and reduce the number of angina attacks,the duration of attacks and the negative emotion score.Moreover,it is superior to single routine nursing.