摘要
目的 探讨在冠心病老年病患治疗中以综合康复护理措施，对促进病患康复的意义。方法 试验者是2020.04至2022.04在医院住院治疗的冠心病老年病患数量共计80例，采取随机信封法分组，将40例病患设为对照组，治疗中采用常规护理，遵照医嘱要求给予常规护理予以饮食、生活、用药等方面指导；另一组病患设为观察组，数量为40例，采用综合康复护理，做好疾病知识宣教、用药知识宣教及运动干预，对比两组间情绪变化及生活质量指标的差异。结果 观察组病患不良情绪评分比对照组病患低，观察组病患生活质量评分比对照组病患高，P＜0.05。结论 以综合康复护理模式进行干预，可对病患不良心理进行有效干预，增强其依从性的同时，还能够起到提升其生活质量的作用，适宜基层医院借鉴应用。
关键词： 冠心病；老年；综合康复护理；生活质量；情绪变化
Abstract
Objective To explore the significance of comprehensive rehabilitation nursing in the treatment of elderly patients with coronary heart disease. Methods the subjects were 80 elderly patients with coronary heart disease treated in the hospital from April 2020 to April 2022. They were divided into groups by random envelope method. 40 patients were set as the control group. Routine nursing was used in the treatment, and diet, life, medi- cation and other aspects were given according to the doctor's requirements; The other group of patients was set as the observation group, with a total of 40 cases. Comprehensive rehabilitation nursing was used to do a good job in disease knowledge education, medication knowledge education and sports intervention. The differences in emo- tional changes and quality of life indicators between the groups were compared. Results the scores of the patients in the observation group were lower than those in the control group, and the scores of the patients in the obser- vation group were higher than those in the control group (P<0.05). Conclusion the comprehensive rehabilitation nursing model can not only help the patients' bad psychology, enhance their compliance, but also improve their quality of life, which is suitable for reference in grass-roots hospitals.
Key words： Coronary heart disease; Old age; Comprehensive rehabilitation nursing; Quality of life; Emo- tional change
参考文献 References
[1]卜晓彤. 综合康复护理对老年冠心病患者生活质量及满意度的影响[J]. 安徽医专学报,2021,20(04):71-73.
[2]徐娜,王爱雪,王琪,陈秀倩等. 综合康复护理对于老年冠心病患者的临床应用效果分析[J]. 结直肠肛门外科,2021,27(S1):157-158.
[3]袁玉婷. 综合康复护理干预对老年冠心病冠状动脉介入治疗后患者生活质量的影响评价[J]. 心血管病防治知识,2021,11(08):39-41.
[4]杨君. 综合康复护理干预对老年冠心病冠状动脉介入治疗后患者生活质量的影响分析[J]. 中国药物与临床,2020,20(07):1195-1197.
[5]付改莉,王焱,任宝燕. 综合康复护理干预对老年冠心病冠状动脉介入治疗后患者生活质量的影响[J]. 贵州医药,2019,43(10):1675-1677.
[6]车丕垿. 冠心病心肌缺血的动态心电图分析(摘要)[J]. 中华心血管病杂志 1994年22卷4期, 299页, MEDLINE ISTIC PKU CSCD CA BP, 2020.
[7]刘于庭, 马欢, 尹晗, et al. 冠心病介入治疗患者非高密度脂蛋白胆固醇达标情况与预后的关系研究[J]. 中国全科医学, 2020(19):2435-2440.
[8]乔积民, 佘莉萍, 常芸. 不同压力对减轻老年冠心病介入治疗患者前臂血肿的效果[J]. 中华护理杂志, 2020, 55(1):5.
[9]林森, 姚文强, 韩旭. 韩旭辨治老年冠心病临床经验撷菁[J]. 内蒙古中医药, 2020, 39(1):2.
[10]陈影, 张爽, 陈员,等. 居家老年冠心病伴衰弱患者心肺运动康复效果评价[J]. 中国护理管理, 2021, 21(3):7.
[11]王杰, 单裕清, 胡伟,等. 冠状动脉CT血管成像定量参数与老年冠心病患者病情严重程度的相关性[J]. 中华老年心脑血管病杂志, 2020, 22(2):4.
[12]常培学, 李海波, 许振培. 银杏叶联合尼可地尔对药物洗脱支架治疗后老年冠心病患者多支病变的疗效分析[J]. 中华老年心脑血管病杂志, 2020, 22(3):4.
[13]张金莲, 刘焕兵, 胡美迪,等. 老年冠心病病人血脂达标率及其影响因素的研究[J]. 实用老年医学, 2021.
[14]王柳, 郑颖, 林德洪,等. 美托洛尔片联合曲美他嗪片治疗老年冠心病心力衰竭患者的临床研究[J]. 中国临床药理学杂志, 2020, 36(15):3.
[15]张涵亮, 高健雄, 徐红岩,等. 丹参多酚酸盐联合磷酸肌酸钠对老年冠心病心力衰竭患者tPA,PAI-1,GDF-15及NGAL水平的影响[J]. 中国老年学杂志 2021年41卷11期, 2247-2249页, ISTIC PKU CA, 2021.
[16]卢佳, 黄畇入. 硝苯地平控释片联合马来酸依那普利片用于老年冠心病合并顽固性高血压治疗的效果及对缺血事件发生的影响[J]. 2021.
[17]王新兵. 不同剂量瑞舒伐他汀钙治疗老年冠心病合并高脂血症的疗效及安全性对比分析[J]. 2022(2).