预见性护理干预对老年冠心病心绞痛患者护理满意度、遵医行为依从性及生活质量的影响

Effects of Predictive Nursing Intervention on Nursing Satisfaction,Compliance and Quality of Life of Elderly Pa⁃tients with Coronary Heart Disease and Angina Pectoris

目的:探讨预见性护理干预对老年冠心病心绞痛患者护理满意度、遵医行为依从性的影响。方法:选取2018年7月—2020年7月河南省中医院收治的90例老年冠心病心绞痛患者作为研究对象,按随机数表法分为对照组和观察组,每组各45例。对照组予以常规护理干预,观察组在常规护理的基础上实施预见性护理干预,均持续护理至患者出院3个月。比较两组患者护理满意度、遵医行为依从性、负性情绪[抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分]及生活质量[生活质量量表(QOL)各维度评分]。结果:两组患者护理满意度比较,观察组护理满意度为97.78%,高于对照组的82.22%,差异有统计学意义(χ^(2)=4.444,P<0.05)。两组患者遵医行为依从性比较,观察组明显高于对照组,差异有统计学意义(χ^(2)=4.444、6.154、3.920、6.429,P<0.05)。护理前,两组患者SDS、SAS评分比较,差异无统计学意义(t=0.313、0.024,P>0.05);护理后,两组患者SDS、SAS评分明显低于护理前,且观察组明显低于对照组,差异有统计学意义(t=25.809、15.371,P<0.05)。护理前,两组患者QOL中各维度评分比较,差异无统计学意义(t=1.162、0.553、0.241、0.440,P>0.05);护理后,两组患者QOL中各维度评分明显高于护理前,且观察组明显高于对照组,差异有统计学意义(t=20.138、36.033、8.906、9.584,P<0.05)。结论:预见性护理干预能够提升老年冠心病心绞痛患者护理满意度,提高患者遵医行为依从性,减轻焦虑、抑郁等负性情绪,进而提高生活质量。

Objective:To explore the effect of predictive nursing intervention on nursing satisfaction and compliance of elderly patients with coronary heart disease and angina pectoris.Methods:A total of 90 elderly patients with coronary heart disease and angina pectoris admitted to the hospital from July 2018 to July 2020 were selected as the research objects,and divided into the control group and the observation group according to the random number table method,with 45 cases in each group.The control group received routine nursing intervention,while the observation group received predictive nursing intervention based on routine nursing.Both groups continued nursing until the patients were discharged for 3 months.The nursing satisfaction,compliance with medical compliance,negative emotions(Self-rating Depression Scale[SDS]score,Self-rating Anxiety Scale[SAS]score)and quality of life(Quality of Life Scale[QOL]score)were compared between the two groups of patients.Results:The nursing satisfaction of the observation group was 97.78%,which was higher than 82.22%of the control group,and the difference was statistically significant(χ^(2)=4.444,P<0.05).The compliance of the observation group was significantly higher than that of the control group,and the difference was statistically significant(χ^(2)=4.444,6.154,3.920,6.429,P<0.05).Before nursing,there was no statistically significant difference in SDS and SAS scores between the two groups(t=0.313,0.024,P>0.05).After nursing,the SDS and SAS scores of the two groups were lower than before nursing,and those of the observation group were significantly lower than those of the control group,and the difference was statistically significant(t=25.809,15.371,P<0.05).Before nursing,there was no statistically significant difference in the scores of each dimension in QOL between the two groups(t=1.162,0.553,0.241,0.440,P>0.05).After nursing,the QOL scores of the two groups were higher than before nursing,and those in the observation group were significantly higher than those in the control group,and the difference was statistically significant(t=20.138,36.033,8.906,9.584,P<0.05).Conclusion:Predictive nursing intervention can improve nursing satisfaction of elderly patients with coronary heart disease and angina pectoris,improve the compliance of patients with medical compliance behavior,reduce negative emotions such as anxiety and depression,and then improve the quality of life.