Application of Structured Health Education and Combined 5A Nursing Model in Self-control of Vulnerable Chronic Diseases: Take Coronary Heart Disease as an Example

Objective:To explore the intervention effect of the Structured Health Education course and 5A nursing model for self-control of elderly patients with coronary heart disease.Methods:Using the random sampling method,124 elderly CAD patients admitted to the First Affiliated Hospital of Bengbu Medical University were randomly divided into an experimental group and a control group.The control group line routine health education,experimental group take structured health education combined with 5A nursing before and after the intervention using a coronary heart disease assessment questionnaire,coronary heart disease self-control scale evaluation of two groups of intervention,compare two groups before and after intervention blood pressure,blood sugar,body mass index,lipid index level and complications within 8 months after discharge.Results:After the course intervention,the disease cognition and self-behavior of the experimental group were higher than that of the control group,and the differences were statistically significant(all P<0.1).Conclusion:This course is suitable for elderly patients with coronary heart disease.The 5A model improves the cognitive and management ability of elderly patients to a certain extent,which is worthy of clinical application.

Analysis of the Nursing Effect of Continuity of Care on Elderly Patients with Coronary Heart Disease Unstable Angina and its Impact on Quality of Life

Objective:To analyze the effect of using continuity of care for elderly patients with coronary heart disease(CHD)with unstable angina pectoris(UAP)and its impact on their quality of life.Methods:100 cases of elderly patients with CHD with UAP admitted to our hospital from March 2022 to March 2023 were selected and grouped into an observation group and a control group of 50 cases each according to the randomized number table method.The nursing effect and quality of life of the observation group(continuity nursing)and the control group(routine nursing)were compared.Results:The total effective rate of nursing care was 96.00%observation group and 80.00%for the control group,and the differences were significant(χ2=6.061,P<0.05).Patients in the observation group had fewer episodes(1.42±0.21)times/week and a shorter duration(5.46±0.39)min,which were better than the control group(t=3.465,2.973;P<0.05).The depression self-rating depression scale(SDS)score(42.16±6.64)and anxiety self-rating scale(SAS)score(32.26±7.35)in the observation group were lower and the quality of life was higher as compared to that of the control group(P<0.05).Conclusion:Continuous nursing care improved the nursing effect of elderly CHD with UAP patients,promoted the alleviation of UAP symptoms,improved patient mentality,and improved their quality of life.Hence,continuous nursing care possesses significant clinical application value.

Analysis of the Effect of Extended Rehabilitation Care at Home on the Psychological Condition and Adherence to Medical Compliance Behavior of Patients with Coronary Heart Disease Combined with Heart Failure

Objective:To analyze the effects of providing extended rehabilitation nursing services at home to patients with coronary heart disease(CHD)combined with heart failure(CHF)on psychological improvement and adherence to medical compliance behavior.Methods:79 patients with CHD with CHF admitted to Sijia Town Central Health Hospital,Haimen District,Nantong City,Jiangsu Province,between June 2021 and June 2023 were selected and grouped according to the randomized numerical table method.The control group(39 cases)was provided with conventional nursing care and extended rehabilitation nursing care at home was provided to the observation group(40 cases).The psychological status,adherence to medical behaviors,cardiac function,and complications between both groups were compared.Results:The scores of anxieties and depression self-assessment scales(SAS,SDS)of patients in the observation group were lower than those of the control group(t=2.954,3.212;P<0.05);the compliance of patients in the observation group was higher than that of the control group(P<0.05).The levels of left ventricular ejection fraction,end-systolic and end-diastolic internal diameters(LVEF,LVESD,LVEDD)of patients in the observation group at 58.02±5.34%,44.49±5.16 mm,and 49.16±5.76 mm respectively were better than those of the control group after nursing care(t=3.205,3.288,2.633;P<0.05);the complication rate of the observation group was lower than that of the control group(P<0.05).Conclusion:Extended rehabilitation nursing at home exhibited a psychological regulation effect on CHD with CHF patients,improved their medical compliance,improved cardiac function,reduced the incidence of complications,and had significant application value.

Effect of nursing intervention based on Maslow's hierarchy of needs in patients with coronary heart disease interventional surgery

BACKGROUND It is very important to provide effective nursing programs to regulate the physical and mental state of patients and to improve treatment compliance after interventional surgery for coronary heart disease(CHD).AIM To explore the effect of a nursing intervention based on Maslow’s hierarchy of needs theory on patients with CHD undergoing percutaneous coronary intervention.METHODS Ninety-four patients with CHD undergoing interventional surgery in our hospital from January 2020 to February 2021 were randomly divided into a research group(n=47)and a control group(n=47).The control group received routine nursing,and the research group received a nursing intervention based on Maslow’s hierarchy of needs theory.The scores of self-efficacy,negative emotion[depression(SDS),anxiety(SAS)],intervention compliance(standardized medication,moderate exercise,healthy diet,and regular review),and nursing satisfaction were calculated before and after intervention for the two groups.RESULTS Before intervention,there was no significant difference in the scores of disease general management self-efficacy,disease management self-efficacy,and total self-efficacy between the two groups(P=0.795,0.479,and 0.659,respectively).After intervention,these three scores in the research group were higher than those in the control group(P<0.001).Before intervention,there was no significant difference in the scores of SAS and SDS between the two groups(P=0.149 and 0.347,respectively).After intervention,the scores of SAS and SDS in the research group were lower than those in the control group(P<0.001).The standardized drug use rate(97.87%),moderate exercise rate(97.87%),healthy diet rate(95.74%),and regular reexamination rate(97.87%)in the research group were higher than those in the control group(85.11%,82.98%,80.85%,and 87.23%,respectively)(P=0.027,0.014,0.025,and 0.049,respectively).Nursing job satisfaction in the research group(93.62%)was higher than that in the control group(78.72%)(P=0.036).CONCLUSION A nursing program based on Maslow’s hierarchy of needs theory can effectively alleviate negative emotion,enhance self-efficacy and intervention compliance,and ensure that the patients are highly satisfied with the nursing work.

Nursing care of a patient with programmed cell death protein-1 immunotherapy-related myocarditis combined with coronary heart disease

This report introduced and summarized the nursing care experience for a senior patient with lung cancer and developed programmed cell death protein 1(PD-1)immunotherapy-related myocarditis combined with coronary heart disease(CHD)after receiving said treatment.In this case,immune myocarditis with CHD occurred shortly after implementing the PD-1 immunotherapy,yet the patient presented no clinical symptoms.Frequent nursing attention and close observation are so required for monitoring the patient’s status and updating the physicians for a swift control of the myocarditis.For this case,nursing care procedures vital for the successful recovery of the patient included condition observation,position management,pre-and postcoronary angiography care,infection prevention,hemorrhage prevention,venous access port maintenance,pain care,trachea care,psychological care,diet care,environment management,and health education.After receiving effective,successful treatment and care,the patient was discharged after 13 days of treatment with generally satisfying overall conditions.

Research Progress on the Depression Status and Nursing Intervention in Patients after Percutaneous Coronary Intervention

Percutaneous coronary intervention(PCI)is an effective treatment method for myocardial ischemic necrosis.Postoperative depression caused by PCI stress will adversely affect the prognosis of patients.This article reviews the current status and influencing factors of postoperative depression after PCI and summarizes the corresponding nursing interventions,to provide a literature reference to implement effective nursing interventions for depressed patients after clinical PCI.

The effects of comprehensive nursing interventions on sexual functions in young and middle-aged patients with coronary stent implantation

Objective: To study the effects of comprehensive nursing interventions on sexual functions in young and middle-aged patients with coronary stent implantation. Methods: 96 cases of coronary stent implantation were randomly divided into control group and intervention group (experimental group) with each group of 48 cases. The control group received the routine nursing measures after the coronary stent implantation and the experimental group was treated by the comprehensive nursing interventions such as psychological nursing, education of sexual knowledge, playing the full enthusiasm of spouse and appropriate exercise therapy on basis of the routine nursing measures. The two groups were given the questionnaire of brief male sexual function questionnaire (BSFI), Chinese patients with premature ejaculation sexual function score (C-ISFPE) and the international index of erectile function (IIEF-5). The scores of BSFI, C-ISFPE and IIEF-5 were compared between the two groups. Results: There were 29 cases who were satisfied with sexual life on the whole (≤1), 26 cases with different degrees of premature ejaculation symptoms and 21 cases with erectile dysfunctions, which were respectively 27.08%, 30.2% and 21.87% of the total number. The scores of BSFI, C-ISFPE and IIEF-5 inthe experimental group were significantly increased after the interventions (P P IIEF-5 scores in the two groups were significantly different

叙事护理对经皮冠状动脉介入治疗冠心病患者焦虑和睡眠的影响

目的探讨叙事护理对经皮冠状动脉介入治疗冠心病患者焦虑和睡眠的影响。方法选择2020年7月至2021年3月在滨州医学院附属医院心内科收治的120例经皮冠状动脉介入治疗的冠心病患者为研究对象,按照随机数字表法分对照组(60例)和试验组(60例)。对照组实施常规护理干预措施,试验组在常规护理干预的基础上实施叙事护理。采用焦虑自评量表和匹兹堡睡眠质量指数评估两组患者干预前后焦虑情绪和睡眠质量的变化。结果干预前,两组患者的焦虑和睡眠质量评分比较,差异无统计学意义(P>0.05)。干预后试验组的焦虑评分、睡眠质量评分均低于对照组,差异有统计学意义(P<0.05)。结论叙事护理对改善经皮冠状动脉介入治疗冠心病患者的焦虑情绪,改善患者睡眠质量有显著效果,可以促进患者进行自我管理,提高生活质量。

氨氯地平阿托伐他汀联合循证-情志干预模式对老年高血压合并冠心病患者的应用价值

目的探讨氨氯地平阿托伐他汀钙片(AACT)联合循证-情志干预模式(EENM)对老年高血压合并冠心病(HTN-CHD)患者的应用价值。方法回顾性选取2021年6月至2023年6月温州医科大学附属第二医院心内科收治的HTN-CHD患者为研究对象。根据干预方式不同,分为AACT组和EENM组。AACT组患者给予AACT联合常规护理干预,EENM组则在AACT组基础上实施EENM。比较两组患者干预前后心理状态[抑郁自评量表(SDS)评分、焦虑自评量表(SAS)和自我感受负担量表(SPBS)]、依从性(遵医服药行为、日常锻炼行为、不良管理行为和饮食管理行为)和血压(收缩压和舒张压)变化情况。观察比较两组患者在6个月心血管事件发生率。结果研究共纳入HTN-CHD患者118例,其中AACT组55例、EENM组63例。干预前,AACT组和EENM组患者SDS评分、SAS评分、SPBS评分、遵医服药行为评分、日常锻炼行为评分、不良管理行为评分、饮食管理行为评分、收缩压和舒张压差异均无统计学意义(P>0.05)。干预后,AACT组和EENM组HTN-CHD患者SDS评分、SAS评分、SPBS评分、收缩压和舒张压较前显著下降(P<0.05),而遵医服药行为评分、日常锻炼行为评分、不良管理行为评分和饮食管理行为评分较前显著上升(P<0.05);EENM组患者SDS评分、SAS评分、SPBS评分、收缩压和舒张压低于AACT组(P<0.05),而遵医服药行为评分、日常锻炼行为评分、不良管理行为评分和饮食管理行为评分高于AACT组(P<0.05)。EENM组心血管事件发生率低于AACT组(P<0.05)。结论EENM联合AACT干预有利于提高HTN-CHD患者依从性,改善心理状态及血压值,降低心血管事件发生率。

FTS护理在冠脉搭桥手术患者围手术期中的应用效果

目的探讨加速康复外科(FTS)护理在冠脉搭桥手术(CABG)患者围手术期中的应用效果。方法选择2021年7月至2022年7月河南省胸科医院收治的接受常规围手术期护理的43例CABG患者作为研究对象,将其纳入对照组。另选取2022年8月至2023年8月医院收治的接受FTS围手术期护理的43例CABG患者作为研究对象,将其纳入观察组。两组均连续护理至患者出院,并随访3个月,比较两组患者围手术期指标[重症加强护理病房(ICU)监护时间、首次排气时间、下床活动时间、住院时间];比较不同时点(麻醉诱导前、血管吻合时、术毕时)两组应急指标(呼吸、心率、平均动脉压);比较两组护理前、护理3个月时心功能指标[左室射血分数(LVEF)、左心室收缩末期内径(LVESD)、左心室舒张末期内径(LVEDD)]。结果住院期间,观察组ICU监护、首次排气、下床活动及平均住院时间均短于对照组(P<0.05);血管吻合时,两组患者呼吸、心率及平均动脉压均高于麻醉诱导前;术毕时,呼吸、心率及平均动脉压均低于血管吻合时,呈先上升后下降,观察组各时点均低于对照组(P<0.05);护理3个月时,两组LVEF高于护理前,LVESD及LVEDD低于护理前,观察组LVEF高于对照组,LVESD及LVEDD低于对照组(P<0.05)。结论FTS护理能够有效降低CABG患者应急反应,促进术后恢复,提高患者心功能。

叙事护理结合心脏康复护理对冠心病支架植入术患者自护能力、生活质量的影响

目的 观察叙事护理结合心脏康复护理对冠心病支架植入术患者自护能力、生活质量的影响。方法 选取2022年1月至2022年12月河南省胸科医院收治的100例冠心病支架植入术患者,以简单随机抽样法分组。对照组(50例)接受常规护理联合心脏康复护理,观察组(50例)在此基础上接受叙事护理。对比各指标。结果 应用叙事护理结合心脏康复护理后,观察组自我护理能力测定量表(ESCA)评分高于对照组(P<0.05);观察组生活质量水平更高(P<0.05)。结论 对冠心病支架植入术患者应用叙事护理结合心脏康复护理,可更好地提高患者自护能力,改善生活质量。

基于医养结合模式的双心养护在老年冠心病患者中的应用价值

目的观察医养结合模式下双心养护对老年冠心病患者心功能、情绪状态的影响。方法收集2020年1月—2023年1月丰县人民医院老年冠心病患者80例进行前瞻性研究,随机数字表法分为观察组(n=40)与对照组(n=40),分别行基于医养结合模式的双心养护与常规护理。比较两组护理前后心功能指标、情绪状态、并发症情况及对不同模式护理的满意度。结果护理前心功能指标组间差异均无统计学意义(P>0.05),护理后观察组LVEF高于对照组,LVEDV、LVESV低于对照组(均P<0.05)。情绪状态方面,抑郁-焦虑-压力量表21(DASS-21)各项评分护理前组间比较无统计学差异(P>0.05),护理后均降低,观察组低于对照组(P<0.05)。观察组并发症发生率5.00%,低于对照组的20.00%(P<0.05);护理满意度比较,观察组(97.50%)高于对照组(80.00%)(P<0.05)。结论医养结合模式的双心养护,可改善老年冠心病患者心功能及情绪状态,并减少并发症。

综合护理干预对冠心病心脏支架患者生活质量的影响分析

目的探究冠状动脉粥样硬化性心脏病(简称冠心病)心脏支架患者予以综合护理干预的应用效果。方法回顾性选取2021年1月—2023年1月单县中心医院接诊的150例冠心病心脏支架患者的临床资料,依据护理方式分为两组,每组75例,对照组采用常规护理,研究组采用综合护理干预,分析比较两组生活质量、遵医行为、情绪评分、满意度。结果研究组生活质量评分高于对照组,差异有统计学意义(P<0.05)。研究组遵医行为评分高于对照组,差异有统计学意义(P<0.05)。研究组汉密尔顿抑郁量表、汉密尔顿焦虑量表评分均低于对照组,差异有统计学意义(P均<0.05)。研究组护理服务满意度(97.33%)高于对照组(86.67%),差异有统计学意义(χ^(2)=5.797,P<0.05)。结论综合护理干预冠心病心脏支架患者应用能提高患者遵医行为意识,提高患者日常生活质量,值得临床借鉴研究。

多维度协同护理在老年冠心病患者中的应用效果

目的:观察多维度协同护理在老年冠心病患者中的应用效果。方法:选取2020年3月至2022年6月该院收治的86例老年冠心病患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各43例。对照组采用常规护理,观察组采用多维度协同护理,比较两组6 min步行试验距离(6MWD)、健康调查简表(SF-36)评分和心脏不良事件发生率。结果:护理后,两组6MWD长于护理前,且观察组长于对照组,差异均有统计学意义(P<0.05);护理后,两组SF-36各维度评分高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.05);观察组心脏不良事件发生率为4.65%,明显低于对照组的20.93%,差异有统计学意义(P<0.05)。结论:多维度协同护理用于老年冠心病患者可延长其6MWD,提高其SF-36评分,降低其心脏不良事件发生率,效果优于常规护理。

经皮冠状动脉介入治疗术后患者延续性护理的研究进展

延续性护理在术后患者康复护理中展现了良好的应用价值。经皮冠状动脉介入治疗术(PCI)具有创伤小、恢复快等优势,是临床治疗冠心病(CHD)患者的常用方案。PCI术后二级预防对避免CHD复发和不良预后有着重要意义。本研究就PCI术后患者的延续性护理应用现状进行综述,旨在为进一步提高PCI术后患者疾病自我管理能力、改善生活质量提供参考。

授权认知理论多学科护理团队干预在老年高血压合并冠心病患者中的应用

目的探讨授权认知理论多学科护理团队干预在老年高血压合并冠心病患者中的应用效果。方法采取便利抽样方法,选取本院2019年1月-2022年1月收治的116例老年高血压合并冠心病患者作为研究对象,根据随机数字表法将其分为对照组和观察组,每组各58例;对照组给予常规护理干预,观察组在对照组的基础上实施授权认知理论多学科护理团队干预;比较两组患者的血压水平、心功能指标、运动耐力及心血管不良事件发生率。结果两组患者入院时的左室射血分数(left ventricular ejection fraction,LVEF)、左心室舒张末期内径(left ventricular end-diastolic diameter,LVEDD)、左心室收缩末期内径(left ventricular end-systolic diameter,LVESD)指标比较,差异无统计学意义(P>0.05);两组患者干预12周复诊时,LVEF高于入院时,LVEDD、LVESD低于入院时(P<0.05);且观察组LVEDD、LVESD低于对照组,LVEF高于对照组(P<0.05)。两组患者干预12周复诊时,呼吸频率低于入院时,耗氧量、6 min步行试验得分高于入院时(P<0.05),且观察组患者呼吸频率低于对照组,耗氧量、6 min步行试验得分高于对照组(P<0.05)。观察组患者心源性休克、心力衰竭、心肌梗死等心血管不良事件总发生率为5.17%,低于对照组的20.70%(P<0.05)。结论针对老年高血压合并冠心病患者实施授权认知理论多学科护理团队干预,有利于患者血压的平稳控制,改善其心功能,提高患者的运动耐力,降低心血管不良事件发生率。

冠心病经皮冠状动脉介入治疗术后患者运动恐惧与运动依从性的关系研究

目的 了解冠心病经皮冠状动脉介入治疗(PCI)术后患者运动恐惧、运动依从性与护理支持的现状,并分析三者间的关系。方法 采用便利抽样法选取2022年11月-2023年4月陕西省西安市某三级甲等医院241例冠心病住院患者为研究对象。使用一般资料调查表、心脏病患者运动恐惧量表、冠心病PCI术后患者赋权护理评价量表、运动依从性量表进行调查。结果 冠心病PCI术后患者运动恐惧量表总得分为38(35,41)分,运动依从性量表总得分为1(1,2)分,护理支持量表总得分为64.5(61,69)分;运动依从性与护理支持呈正相关,运动恐惧与护理支持呈负相关,运动恐惧与运动依从性呈负相关(P<0.05);护理支持在运动恐惧与运动依从性之间存在中介效应,其中介效应占总效应的30%。结论 冠心病PCI术后患者运动恐惧处于中等水平,护理支持与运动依从性均处于低水平,护理支持在运动恐惧和运动依从性中起部分中介作用。医护人员应加强对冠心病PCI术后患者运动恐惧的关注与评估,及时开展相应的护理支持,以提高患者心脏康复运动依从性,增强术后康复效果。

老年综合评估在冠心病患者合并衰弱状态护理中的应用效果

目的研究老年综合评估(CGA)在冠心病患者合并衰弱状态护理中的应用效果。方法选择安徽省亳州市人民医院老年科2021年3月至2022年8月接受治疗的76例老年冠心病合并衰弱状态患者,按照随机数字表法,将其分为常规组(常规护理)与观察组(CGA+常规护理),各38例。比较两组干预前后运动功能、睡眠质量、自我护理能力评分。结果干预后,两组上、下肢及Fugl-Meyer运动功能评定量表总分高于干预前,且观察组高于常规组(P<0.05)。干预后,两组匹兹堡睡眠质量指数量表评分低于干预前,且观察组低于常规组(P<0.05)。干预后,两组健康知识、自我责任感、自我概念、自我护理技能评分高于干预前,且观察组高于常规组(P<0.05)。结论老年冠心病伴衰弱状态患者行CGA干预,效果显著,有助于患者身体健康。

山西省某医院冠心病病人住院费用分析

目的:探究山西省某三级甲等医院冠心病病人住院费用疾病诊断相关组(DRGs)分组方案和费用标准,为医院推行DRGs付费改革提供参考。方法:选取2019年该院冠心病住院病人为研究对象,通过Logistic回归分析得到住院费用影响因素并作为节点构建决策树模型,进行冠心病住院病人分组。结果:冠心病住院病人住院天数、是否手术和性别作为分类节点创建了8个病例组合,各组合病人住院费用比较差异均有统计学意义(P<0.05),计算得出各组合病人住院的标准费用和上限费用。结论:创建的冠心病病人DRGs分组比较合理,实施DRGs付费可以有效控制医疗费用,逐步实现医保患三方共赢,DRGs实施为护理管理提供了新方向。

个性化护理对冠心病合并2型糖尿病老年患者血糖控制改善作用分析

目的分析个性化护理用于冠状动脉粥样硬化性心脏病合并2型糖尿病老年患者的效果。方法选取2021年6月—2023年8月山东省寿光市人民医院收治的128例冠心病合并2型糖尿病老年患者作为研究对象,按照随机数表法将其分为参考组(n=64,常规护理)和研究组(n=64,个性化护理),比较两组血糖指标、依从评分、护理满意度。结果研究组老年患者接受个性化护理后,患者的血糖指标有所改善且显著优于参考组,依从评分、护理满意度均显著高于参考组,差异有统计学意义(P均<0.05)。结论个性化护理应用于冠心病合并2型糖尿病老年患者的效果确切。