三主体双轨道交互式护理在冠心病心力衰竭院外康复患者中的应用效果

Application effects of three-subject dual-track interactive nursing in out-of-hospital rehabilitation patients with coronary heart disease and heart failure

目的:观察三主体双轨道交互式护理在冠状动脉粥样硬化性心脏病(简称冠心病)心力衰竭院外康复患者中的应用效果。方法:选取86例冠心病心力衰竭院外康复患者为研究对象,按照入院时间分为对照组与观察组各43例。对照组实施常规护理,观察组在对照组基础上实施三主体双轨道交互式护理,比较两组护理前、护理6个月后明尼苏达心力衰竭生命质量问卷(MLHFQ)评分、简明健康状况调查量表(SF-36)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分和护理满意度。结果:护理6个月后,观察组MLHFQ、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);观察组护理满意度为95.35%,高于对照组的79.07%,差异有统计学意义(P<0.05)。结论:在常规护理基础上实施三主体双轨道交互式护理可降低冠心病心力衰竭院外康复患者的生命质量、焦虑和抑郁评分,提高SF-36评分和护理满意度,优于单纯常规护理效果。

Objective:To observe application effects of three-subject dual-track interactive nursing in out-of-hospital rehabilitation patients with coronary heart disease and heart failure.Methods:86 out-of-hospital rehabilitation patients with coronary heart disease and heart failure were selected as the research objects,and were divided into control group and observation group according to the time of admission,43 cases in each group.The control group was given routine nursing,while the observation group was given three-subject dual-track interactive nursing on the basis of that of the control group.The scores of the Minnesota living with heart failure questionnaire(MLHFQ),the short form health survey scale(SF-36),the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS)and the nursing satisfaction were compared between the two groups before and 6 months after the nursing.Results:After 6 months of nursing,the MLHFQ,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).Further,the nursing satisfaction of the observation group was 95.35%,which was higher than the control group of 79.07%,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the three-subject dual-track interactive nursing can reduce the quality of life score,the anxiety score and the depression score of out-of-hospital rehabilitation patients with coronary heart disease and heart failure,and improve the SF-36 score and the nursing satisfaction.Moreover,it is superior to single routine nursing.