倾向性护理在合并衰弱的老年冠心病患者中的应用效果

Effectiveness of Dispositional Nursing Care in Elderly Patients with Coronary Artery Disease with Comorbid Debility

目的:探讨倾向性护理在合并衰弱的老年冠心病患者中的应用效果。方法:选取住院合并衰弱的老年冠心病患者为研究对象,随机分为对照组和观察组,各40例。对照组实行常规护理措施,观察组在常规护理的基础上实行倾向性护理。比较2组护理前后患者衰弱评分、应激性指标(心率、收缩压、舒张压)、应对方式评分、恐惧疾病进展评分以及干预后患者满意度。结果:入院时2组衰弱程度差异无统计学意义(P>0.05);护理干预后2组出院时衰弱评估得分低于入院时,且观察组总分低于对照组(P<0.05),应激性指标优于对照组(P<0.05),满意度得分高于对照组(P<0.05);观察组积极应对方式及恐惧疾病进展得分均优于对照组,差异有统计学意义(P<0.05)。结论:倾向性护理干预可改善老年冠心病患者应对策略、减少对疾病进展的恐惧、改善生理健康指标、减少衰弱程度,并提高患者满意度。

Objective:To explore the application effect of tendentious nursing in elderly patients with coronary heart disease combined with weakness.Methods:Elderly patients with coronary heart disease who were hospitalized and combined with frailty were randomly divided into control group and observation group,with 40 cases in each group.The control group received routine nursing measures,and the observation group received tendentious nursing on the basis of routine nursing.Fissile score,stress index(heart rate,systolic blood pressure,diastolic blood pressure),coping style score,fear of disease progression score and patient satisfaction after intervention were compared between the two groups.Results:There was no significant difference in frailty degree between the two groups at admission(P>0.05).After nursing intervention,the frailty evaluation score of the two groups at discharge was lower than that at admission,and the frailty evaluation score of the observation group was lower than that of the control group(P<0.05),the stress index was better than that of the control group(P<0.05),and the satisfaction score was higher than that of the control group(P<0.05).The scores of positive coping style and fear disease progression in the observation group were better than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:Tendentiousness nursing intervention can improve coping strategies,reduce fear of disease progression,improve physiological health indicators,reduce faltering degree,and increase patient satisfaction in elderly patients with coronary heart disease.