摘要
目的观察基于生命网的延续性护理对冠心病患者康复行为的影响。方法收集从2017年5月至2018年11月来该院心内科就诊的临床诊断为冠心病的患者118例,将其随机分为观察组与对照组,每组各59例,其中对照组仅进行“生命网”管理模式,观察组施行基于生命网的延续性护理,然后对两组患者的健康行为能力评分、生存质量评分、心绞痛发生率和护理满意度进行比较。结果干预前观察组的健康行为能力总分(56.32±8.43)与对照组(56.08±8.12)之间的差异无统计学意义(P>0.05);干预后观察组的健康行为能力总分(76.90±9.32)高于对照组(67.19±8.74),且观察组在健康责任、营养、运动和心理安适方面的评分高于对照组,差异具有统计学意义(P<0.05);观察组患者干预后的心绞痛发作、躯体活动受限、心绞痛稳定、治疗满意度和疾病认识度方面的评分高于对照组,且干预后观察组生存质量总分(69.76±11.34)高于对照组(58.73±12.15),此外观察组患者心绞痛发作率(28.8%)低于对照组(52.5%),护理总满意度(96.6%)高于对照组(84.7%),差异均具有统计学意义(P<0.05)。结论基于生命网的延续性护理可以提高冠心病患者的生存质量,促进康复效果,推荐在临床上应用。
Objective To observe the effect of transitional care based on heart care network on the quality of life for the patients with coronary heart disease.Methods A total of 118 patients with clinically diagnosed coronary heart disease who visited the department of cardiology of this hospital from May 2017 to November 2018 were randomly divided into observation group and control group,with 59 cases in each group.The control group was only treated with"life network"management mode,and the observation group was treated with life network based continuous care.The health behavior ability score,the quality of life score,the incidence of angina pectoris and the satisfaction of nursing between the two groups were compared.Results There was no significant difference of the total score of the healthy behavior ability between the observation group(56.32±8.43)and the control group(56.08±8.12)before the intervention(P>0.05).The total score of health behavior in the observation group(76.90±9.32)was higher than the control group(67.19±8.74),the scores of health responsibility,nutrition,exercise,and psychological comfort in the observation group were higher than those of the control group,and the differences were statistically significant.(P<0.05).The scores of angina pectoris,physical activity limitation,stable angina pectoris,treatment satisfaction and disease cognition in the observation group were higher than those of the control group after intervention.The total score of the quality of life in the observation group(69.76±11.34)was higher than that of the control group(58.73±12.15).The incidence of angina pectoris in the observation group(28.8%)was lower than the control group(52.5%),and the total satisfaction rate(96.6%)was higher than the control group(84.7%),the differences were statistically significant(P<0.05).Conclusions The continuous care based on the life network can improve the quality of life of patients with coronary heart disease,promote the rehabilitation effect,and is recommended for clinical application.
作者
苏严琳
吴萍华
任玉娇
周焕芳
曾华萍
莫琳勤
陈丽娜
Su Yanlin;Wu Pinghua;Ren Yujiao;Zhou Huanfang;Zeng Huaping;Mo Linqin;Chen Lina(Wuxi Second People's Hospital Affiliated to Nanjing Medical University,214002,China)
出处
《国际护理学杂志》
2021年第23期4403-4407,共5页
international journal of nursing
基金
无锡市科协软科学研究课题(KX-19-B26)。
关键词
延续性护理
生命网
冠心病
生存质量
Transitional care
life network
Coronary heart disease
Quality of life
