临床护理路径在冠心病心绞痛患者护理中的应用效果

Observation on the Application Effect of Clinical Nursing Pathways in Nursing Care of Coronary Heart Disease and Angina Pectoris

目的将临床护理路径用于冠心病心绞痛护理工作中的应用效果进行探讨。方法选择2021年10月至2023年9月本院收治的110例冠心病心绞痛患者为研究主体,将其以住院先后顺序,随机分至对照组与观察组,每组55例,分别实施常规护理及临床护理路径,对比两组心功能指标、疾病相关知识掌握情况、生活质量、1年主要心脏不良事件(MACE)发生率及再住院率。结果观察组左室射血分数(LVEF)水平高于对照组,左心室收缩末期容积指数(LVESVI)、左心室舒张末期容积指数(LVEDVI)水平均低于对照组(均P<0.05);观察组疾病概念、常见症状、预防措施、危险因素等疾病相关知识掌握情况评分以及躯体功能、心理功能、社会功能、物质生活状态等生活质量评分均高于对照组(均P<0.05);观察组MACE发生率及再住院率低于对照组(均P<0.05)。结论将临床护理路径用于冠心病心绞痛护理工作中有助于改善患者心功能,帮助其掌握更多疾病知识,提升其生活品质,减少MACE发生率及再住院率。

Objective To explore the application effect of clinical nursing pathways in the nursing of coronary heart disease and angina pectoris.Methods A total of 110 patients with coronary angina from October 2021 to September 2023 admitted to our hospital were selected as the study subjects,and were randomly assigned to the control group and the observation group in the order of hospitalisation,with 55 cases in each group,and routine nursing care and clinical nursing care pathway were implemented respectively,to compare the cardiac function indexes,the knowledge of disease-related knowledge,the quality of life,the incidence of 1-year major adverse cardiac events(MACE),and the re-hospitalisation rate rate between the two groups.Results The left ventricular ejection fraction(LVEF)level in the observation group was higher than that in the control group,and the left ventricular end-systolic volume index(LVESVI)level and left ventricular end-diastolic volume index(LVEDVI)were lower than those in the control group(all P<0.05);score of disease-related knowledge such as disease concept,common symptoms,preventive measures,risk factors,and quality of life scores such as physical function,psychological function,social function,material living status in the observation group were higher than the control group(all P<0.05);the incidence of MACE and rehospitalization in the observation group were lower than those in the control group(both P<0.05).Conclusions The application of clinical care pathways to the nursing of coronary heart disease angina pectoris can help improve patients'cardiac function,help them master more disease knowledge,improve their quality of life,and reduce the incidence of MACE and rehospitalization.