多维化个体护模式在老年冠心病患者中的应用

Application of multidimensional individual care mode in elderly patients with coronary heart disease

目的分析在老年冠心病患者的护理过程中,对其采用多维化个体护理干预模式的应用效果。方法选取台儿庄区人民医院2018年3月至2022年3月收治的100例老年冠心病患者作为研究对象,采用随机数字表法将其分为观察组与对照组,每组50例。对照组男30例、女20例,给予常规护理;观察组男29例、女21例,采用多维化个体护理干预。于患者入院当天和干预15 d后,将两组患者的心功能水平进行综合检测对比,另采用西雅图心绞痛量表(SAQ)评价生活质量情况,并比较15 d内两组患者的不良事件发生率。统计学方法采用t检验、χ^(2)检验。结果护理15 d后,观察组的心率、左室舒张末期内径、左室收缩末期内径均低于对照组[(69.03±2.76)次/min比(70.45±2.81)次/min、(52.01±2.76)mm比(53.46±2.81)mm、(39.45±2.05)mm比(40.34±2.01)mm],差异均有统计学意义(t=2.55、2.60、2.19,均P<0.05);而各项SAQ指标评分(躯体活动受限、心绞痛稳定、心绞痛发作、满意度、疾病主观感受)均高于对照组[(61.49±6.43)分比(58.34±5.46)分、(68.35±7.26)分比(65.45±6.34)分、(69.84±3.06)分比(68.23±4.37)分、(85.26±2.75)分比(83.96±2.02)分、(63.42±3.19)分比(62.01±2.76)分],差异均有统计学意义(t=2.64、2.13、2.13、2.69、2.36,均P<0.05);护理15 d后,观察组不良事件发生率为6.0%(3/50),低于对照组[20.0%(10/50)],差异有统计学意义(χ^(2)=4.33,P<0.05)。结论多维化个体护理干预模式的应用,能够明显改善老年冠心病患者的心功能水平,大幅度提高其生活质量,有效降低不良事件的发生概率,效果显著。

Objective To analyze the effect of multidimensional individual care mode for elderly patients with coronary heart disease.Methods One hundred elderly patients with coronary heart disease admitted to Tai'erzhuang District People's Hospital from March 2018 to March 2022 were selected as the research objects.They were divided into an observation group and a control group by the random number table method,with 50 cases in each group.There were 30 males and 20 females in the control group.There were 29 males and 21 females in the observation group.The control group took routine care,and the observation group adopted multidimensional individual care.On the day of admission and 15 d after the intervention,the cardiac function levels of the two groups were compared.The Seattle Angina Questionnaire(SAQ)was used to evaluate their quality of life.The incidences of adverse events within 15 d were compared between the two groups.t andχ^(2) tests were applied.Results Fifteen days after the nursing,the heart rate,left ventricular end-diastolic inner diameter,and left ventricular end-systolic internal diameter in the observation group were lower than those in the control group[(69.03±2.76)beats/min vs.(70.45±2.81)beats/min,(52.01±2.76)mm vs.(53.46±2.81)mm,and(39.45±2.05)mm vs.(40.34±2.01)mm],with statistical differences(t=2.55,2.60,and 2.19;all P<0.05);the scores of limited physical activity,stable angina pectoris,angina pectoris attack,satisfaction,and subjective feeling of the disease of SAQ in the observation group were higher than those in the control group[(61.49±6.43)vs.(58.34±5.46),(68.35±7.26)vs.(65.45±6.34),(69.84±3.06)vs.(68.23±4.37),(85.26±2.75)vs.(83.96±2.02),(63.42±3.19)vs.(62.01±2.76)],with statistical differences(t=2.64,2.13,2.13,2.69,and 2.36;all P<0.05).The incidence of adverse events in the observation group was lower than that in the control group[6.00%(6/50)vs.20.00%(10/50)],with a statistical difference(χ^(2)=4.33,P<0.05).Conclusion The application of multi-dimensional individual care mode in elderly patients with coronary heart disease can significantly improve their cardiac function and quality of life,and effectively reduce the incidence of adverse events,with remarkable effect.