摘要
目的探讨住院冠心病患者健康功能损失程度并提出相应的护理应对策略。方法收集来我院住院治疗的冠心病患者129例,采用调查问卷的形式对患者临床资料进行调查,采用SIP对健康功能损失程度进行调查,采用统计学方法对调查结果进行分析。结果①住院冠心病患者的总体健康功能损失为(26.21±4.3)分。娱乐消遣为健康功能损失程度最大的维度,而交流功能为健康功能损失程度最小的维度。②女性患者与男性比较具有更高的总体功能、躯体、睡眠休息、家务管理及饮食等各个维度得分,差异有统计学意义(P<0.05)。③在三种不同的经济收入患者间比较,<1000元组患者具有更高的总体功能、躯体、社会心理、家务管理、睡眠休息得分,差异有统计学意义(P<0.05)。④在四种不同的心功能组间进行比较,其中IV级患者具有更高的总体功能、躯体、社会心理、娱乐消遣、睡眠休息、饮食功能得分,差异有统计学意义(P<0.05)。⑤健康功能损失程度显著正相关于年龄、住院次数及病变程度。结论住院的CHD患者健康功能损失程度各有差异,具有不同的影响因素,医护人员应采取相应的护理应对策略进行干预,以对患者康复功能的恢复起到促进作用。
Objective To investigate the health care of health function loss degree in patients with coronary heart dis- ease inpatient and propose strategies to cope with. Methods A total of 129 patients with coronary heart disease were selected in our hospital, We used the questionnaire to survey the clinical data, and used the SIP to investigate the health function loss degree, We used statistical methods to analyze the results of the survey. Results （1） General health function loss in patients with coronary heart disease was 26.21±4.3. Entertainment in the dimensions of health function loss degree was the biggest, and the communication function of the healthy function loss degree was minimum. （2） Compared with men, overall function, body, sleep and rest, housekeeping and diet in the dimensions of women were higher, there were significant difference between groups（P 〈 0.05 ）. （3）The scores of Overall function, body, psychosocial, housekeeping, sleep and rest of 〈1000 yuan group were higher than the other two groups, there were sig- nificant difference （P 〈 0.05 ）. （4） Ⅳ level patients had higher overall function, physical, psychosocial, entertainment, rest, sleep eating function score in four kinds different cardiac function group, there were significant difference（P 〈 0.05 ）. （5） Health function loss degree was positively related to the age, times of hospitalization and the severity degree. Conclusion In patients hospitalized with CHD health function loss degree is different, it has different influence fac- tors. Medical staff should take the strategy of dealing with the corresponding nursing intervention on rehabilitation of patients, to play a role in promoting the recovery of function.
出处
《中国现代医生》
2013年第13期100-102,104,共4页
China Modern Doctor
基金
国家自然科学金资助项目(81070163)
关键词
冠心病
健康功能
损失
护理
Coronary heart disease
Health function
Loss
Nursing
