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无缝隙护理对老年冠心病住院患者心绞痛控制与护理不良事件的影响 被引量:7

Effect of seamless nursing on angina pectoris control and nursing adverse events in elderly in-patients with coronary heart disease
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摘要 目的探讨无缝隙护理对老年冠心病住院患者心绞痛控制与护理不良事件的影响。方法选择2018年6月-2020年6月某医院收治的100例老年冠心病患者,根据随机数字表法分为干预组与对照组,每组各50例。干预组行无缝隙护理干预,对照组行常规护理干预。比较两组心理状态、心绞痛发作状态、护理不良事件及心血管不良事件发生率。结果干预组抑郁自评量表(SDS)评分为(40.24±5.87)分、焦虑自评量表(SAS)评分为(40.02±4.85)分,低于对照组的(48.15±6.24)分、(46.15±5.96)分,有统计学差异(P<0.05);干预组疾病认知程度(DP)、治疗满意度(TS)、心绞痛稳定状态(AS)、躯体活动受限程度(PL)、心绞痛发作情况(AF)评分较对照组高,有统计学差异(P<0.05);干预组护理不良事件总发生率、心血管不良事件总发生率低于对照组,有统计学差异(P<0.05)。结论无缝隙护理能够有效改善老年冠心病住院患者心绞痛发作状态与心理状况,降低护理不良事件与心血管不良事件的发生率。 Objective To explore the effect of seamless nursing on angina pectoris control and nursing adverse events in elderly in-patients with coronary heart disease.Methods From June 2018 to June 2020,100 elderly patients with coronary heart disease were treated in Urumqi Friendship Hospital.They were divided into intervention group and control group according to random number table method,each group was 50 cases.The intervention group underwent seamless nursing intervention,routine nursing intervention was performed in the control group.The incidence of mental state,angina pectoris attack state,nursing adverse events and cardiovascular adverse events were compared between the two groups.Results Self-rating depression scale(SDS)score was(40.24±5.87),self-rating anxiety scale(SAS)score was 40.02,which was lower than that(48.15±6.24),(46.15±5.96)in the control group,showing statistical difference(P<0.05).The scores of disease cognition(DP),treatment satisfaction(TS),angina pectoris stability(AS),physical activity limitation(PL),angina pectoris attack(AF)in the intervention group were higher than those in the control group,and the difference was statistically significant(P<0.05).The total incidence of nursing adverse events and cardiovascular adverse events in the intervention group were lower than those in the control group,with statistical differences(P<0.05).Conclusion Seamless nursing can effectively improve angina pectoris attack state and psychological state in elderly patients with coronary heart disease,and reduce the incidence of nursing adverse events and cardiovascular adverse events.
作者 冯芳 李芸 FENG Fang;LI Yun(Department of geriatric medicine,The Friendship Hospital of Urumqi,Urumqi,830049,China)
出处 《新疆医学》 2022年第6期719-722,共4页 Xinjiang Medical Journal
关键词 冠心病 无缝隙护理 心绞痛控制 护理不良事件 coronary heart disease Seamless Nursing Angina Control Nursing Adverse Events
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