医护一体护理模式对冠心病患者运动耐力、不良情绪及生活质量的影响

Influence of Medical and Nursing Integrated Nursing Mode on Exercise Tolerance,Negative Mood and Quality of Life of Patients with Coronary Heart Disease

目的分析在冠心病患者护理中应用医护一体护理模式的效果及对患者运动耐力、不良情绪及生活质量的影响。方法2021年6月至2022年7月,从在本院接受治疗的冠心病患者中抽取80例进行本次研究,回顾相关资料,以不同的护理方式为分组依据,将80例患者均分为两组,其中40例为对照组,用常规护理,40例为观察组,用医护一体护理模式。针对两组心功能、运动耐力、不良情绪、遵医行为、自我管理能力、并发症发生率、护理满意度。结果两组患者护理前的心功能指标,即左室射血分数、6 min步行距离比较,P>0.05;护理后对比左室射血分数、6 min步行距离,观察组高于对照组,P<0.05。两组患者护理前的运动耐力指标,即运动持续时间、峰值功率、氧脉搏、无氧代谢阈值等对比,P>0.05;护理后,对比运动持续时间、峰值功率、氧脉搏、无氧代谢阈值,观察组高于对照组,P<0.05。两组患者护理前的不良情绪,即焦虑自评量表(SAS)、抑郁自评量表(SDS)比较,P>0.05;护理后对比SAS评分、SDS评分,观察组低于对照组,P<0.05。在相关护理下,用自制量表对患者的遵医行为进行对比,即对健康饮食、情绪稳定、适度运动、合理用药做评分对比,观察组评分高于对照组,P<0.05。在相关护理中,针对自我管理能力用相关量表评估,针对症状管理、急救管理、疾病知识获得管理等进行评分,经对比表示,观察组评分较对照组高,P<0.05。统计两组并发症率与护理满意度,经对比发现,观察组并发症发生率低于对照组,观察组护理满意度高于对照组,P<0.05。结论在护理冠心病时,采用医护一体护理模式,其护理显著,可以在提高患者机体运动耐力的同时减轻不良情绪,在提高患者遵医行为的过程中辅助提高治疗效果,对提高生活质量具有积极的影响。

Objective To analyze the effect of medical and nursing integrated nursing mode in the nursing of patients with coronary heart disease and its influence on exercise tolerance,bad mood and quality of life of patients.Methods From June 2021 to July 2022,80 patients with coronary heart disease who received treatment in our hospital were selected for this study.The relevant data were reviewed.Based on different nursing methods,80 patients were divided into two groups,of which 40 patients were in the control group and 40 patients were in the observation group.It aimed at the heart function,exercise endurance,negative mood,medical compliance behavior,self-management ability,complication rate and nursing satisfaction of the two groups.Results The cardiac function indexes of the two groups before nursing care,i.e.left ventricular ejection fraction and 6 min walking distance,were compared(P>0.05).After nursing,the left ventricular ejection fraction and 6-minute walking distance in the observation group were higher than those in the control group(P<0.05).The indexes of exercise endurance before nursing care,i.e.exercise duration,peak power,oxygen pulse,anaerobic metabolism threshold,were compared between the two groups(P>0.05).After nursing,compared with the duration of exercise,peak power,oxygen pulse and anaerobic metabolism threshold,the observation group was higher than the control group(P<0.05).Compared the two groups of patients'bad emotions before nursing,namely anxiety(SAS)and depression(SDS),P>0.05.After nursing,the SAS score and SDS score in the observation group were lower than those in the control group(P<0.05).Under the relevant nursing care,the patients'compliance behavior was compared with the self-made scale,that is,the scores of healthy diet,emotional stability,moderate exercise and rational drug use were compared.The scores of the observation group were higher than those of the control group,P<0.05.In the related nursing,the self-management ability was evaluated with the relevant scale,and the symptom management,first aid management,and disease knowledge acquisition management were scored.By comparison,the score of the observation group was higher than that of the control group(P<0.05).Statistics of the complication rate and nursing satisfaction of the two groups showed that the complication rate of the observation group was lower than that of the control group,and the nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion In the nursing of coronary heart disease,the medical and nursing integrated nursing model is adopted,which can significantly improve the physical endurance of patients and reduce their negative emotions,assist in improving the treatment effect in the process of improving patients'compliance behavior,and has a positive impact on improving the quality of life,and is worth promoting.