精准医疗框架下的护理模式干预对老年冠心病患者负性情绪及心绞痛控制的影响

Impact of nursing model intervention under precision medicine framework on negative emotions and angina control in elderly patients with coronary heart disease

目的回顾性分析精准医疗框架下的护理模式干预在老年冠心病患者中的应用效果。方法选取114例老年冠心病患者,按不同的护理方法分为精准医疗组(n=57)和常规组(n=57)。对常规组进行常规护理,精准医疗组在常规护理基础上行精准医疗框架下的护理模式干预。比较两组的心功能[每搏输出量(stroke volume,SV)、左心室射血分数(LVEF)]、心绞痛控制情况[西雅图心绞痛问卷(SAQ)]、负性情绪[症状自评量表(SCL-90)]、生活质量[明尼苏达心力衰竭生活质量量表(LHFQ)]和护理满意度。结果干预后精准医疗组SV、LVEF指标高于常规组(P<0.05),心绞痛稳定状态、心绞痛发作情况、躯体活动受限程度、疾病认知程度、对治疗的满意度等SAQ评分低于常规组(P<0.05)。干预后两组SCL-90评分和LHFQ评分均较干预前降低(P<0.05),且精准医疗组上述评分均明显低于常规组(P<0.05)。精准医疗组护理满意度高于常规组(98.25%vs.85.96%,P<0.05)。结论对老年冠心病患者实施精准医疗框架下的护理模式干预,能改善心功能、心绞痛控制情况、负性情绪,提高患者生活质量和护理满意度。

Objective To retrospectively analyze the application effect of nursing model intervention under the precision medicine framework in elderly patients with coronary heart disease(CHD).Methods A total of 114 elderly CHD patients were selected,and divided into precision medicine group(n=57)and routine group(n=57)according to different nursing methods.The routine group received routine care while the precision medicine group received nursing model intervention under the precision medicine framework based on routine care.Cardiac function[stroke volume(SV)and LVEF],angina control[Seattle Angina Questionnaire(SAQ)],negative emotions(SCL-90),quality of life[Minnesota Heart Failure Quality of Life Scale(LHFQ)],and nursing satisfaction were compared between the two groups.Results After intervention,SV and LVEF indexes in the precision medicine group were both higher than those in the routine group(P<0.05);the SAQ scores of angina stable state,angina attack,degree of physical activity limitation,degree of disease cognition and satisfaction with treatment in the precision medicine group were all lower than those in the routine group(P<0.05).SCL-90 and LHFQ scores of both groups after intervention were lower than before(P<0.05);the SCL-90 score of the precision medicine group was lower than that of the routine group after intervention(P<0.05);the above scores of the precision medicine group were significantly lower than those of the routine group after intervention(P<0.05).Nursing satisfaction of the precision medicine group was higher than that of the routine group(98.25%vs.85.96%,P<0.05).Conclusion Implementing nursing model intervention under the precision medicine framework for elderly CHD patients could improve heart function,angina control,negative emotions,patientsquality of life and nursing satisfaction.