社区-家庭一体化护理模式在出院后冠心病患者中的应用效果

Application effects of community-family integrated nursing model in patients with coronary heart disease after discharge

目的:观察社区-家庭一体化护理模式在出院后冠心病患者中的应用效果。方法:选取2019年7月至2021年7月该院收治的88例冠心病患者进行前瞻性研究,按照随机数字表法分为对照组和观察组各44例。对照组采用常规出院护理,观察组采用社区-家庭一体化护理,两组均护理3个月。比较两组遵医行为评分、心血管不良事件发生率、护理满意度和生命质量[简明健康状况调查问卷(SF-36)]评分。结果:护理后,两组按时服药、自我监测、合理饮食、定期复查等遵医行为评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组心血管不良事件发生率为4.55%,明显低于对照组的20.45%,差异有统计学意义(P<0.05);观察组护理满意度为95.45%,明显高于对照组的81.82%,差异有统计学意义(P<0.05);护理后,两组SF-36各维度评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:社区-家庭一体化护理模式应用于出院后冠心病患者可提高遵医行为评分、护理满意度和生命质量评分,降低心血管不良事件发生率,优于常规出院护理效果。

Objective:To observe application effects of community-family integrated nursing model in patients with coronary heart disease after discharge.Methods:A prospective study was conducted on 88 patients with coronary heart disease admitted to the hospital from July 2019 to July 2021.They were divided into control group and observation group according to the random number table method,44 cases in each.The control group received routine discharge nursing,while the observation group received the community-family integrated nursing.Both groups were treated for 3 months.The scores of compliance behavior,the incidence of cardiovascular adverse events,the nursing satisfaction,and the quality of life[short form health survey(SF-36)]score were compared between the two groups.Results:After the nursing,the scores of compliance behaviors such as timely medication,self-monitoring,reasonable diet and regular review in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of cardiovascular adverse events of the observation group was 4.55%),which was significantly lower than 20.45%in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was 95.45%,which was significantly higher than 81.82%of the control group,the difference was statistically significant(P<0.05).Further,after the nursing,the scores of each dimension of SF-36 in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The community-family integrated nursing model in the patients with coronary heart disease after discharge can improve the compliance behavior scores,the nursing satisfaction and the quality of life scores,and reduce the incidence of cardiovascular adverse events.Moreover,it is superior to the routine discharge nursing.