摘要
目的观察晨练活动及相关护理干预改善绝经期冠心病妇女普适性和特异性生活质量的效果。方法2011年3—5月将沈阳市南湖街道某社区35例围绝经期及绝经后冠心病妇女纳入调查。由医护人员设计个体晨练活动处方，进行晨练活动，内容为晨起平路匀速步行，50～80m／min，1次／d，30～50min／次，3～5次／周，12周为1疗程，晨练期间参照社区护理模式进行相关护理干预。以32例居住在相同社区、同龄未参加健身锻炼的冠心病妇女作为对照。入选后3d内和12周时采用健康调查简易量表（sF-36），西雅图心绞痛症状调查量表（SAQ），绝经期妇女常见身心症状自评量表（Kupperman自评量表）对两组患者的生活质量进行评估。结果两组调查对象首次sF-36量表评估中各维度得分比较，差异无统计学意义（P〉0．05），12周后晨练活动组的各个维度得分均明显高于首次评估及对照组同期评估结果（P〈0．05）。12周时晨练活动组SAQ总分为（87．02±16．4）分，明显高于首次评估和对照组同期评估结果的（64．59±10．87），（68．24±9．98）分，差异有统计学意义（t值分别为2．483，2．290；P〈0．01）。两组对象首次Kupperman自评量表评估中各条目分和Kupperman总分比较差异无统计学意义（P均〉0．05），12周后晨练活动组的多数条目评分及Kupperman总分（24．62±4．10）均明显低于首次检查的（31．24±5．89）分和对照组同期结果（29．95±5．76）分，差异有统计学意义（t值分别为2．454，2．218；P〈0．01）。结论晨练活动及相关护理干预可以明显改善社区绝经期冠心病妇女普适性和特异性生活质量评分。
Objective To observe the improvement of universal and speeifical quality of life score caused by morning exercises and related nursing intervention of post-menopausal women with coronary heart disease. Methods Thirty-five post-menopausal female patients with coronary heart disease （CHD） from a community of Shenyang south lake street were involved in the study. They participated in the morning exercises consisting of a constant speed walking on level road in the morning, with the speed of 50 - 80 m/min, once a day, lasting 30 -50 min each time, 3 -5 times a week, with 12 weeks as one course of treatment, and received related nursing intervention referring to community nursing model during morning exercises. Thirty-two post- menopausal women with CHD who was not participated in the morning exercises were as control group. They were respectively received the assessment of health questionnaire （SF-36）, Seattle angina symptoms questionnaire （SAQ） and post-menopansal women common physical and mental symptoms self rating scale （Kupperman self-rating scale） quality of life in 3 days and 12 weeks. Results No significant difference was found in the first SF-36 scale assessment （P 〉 0. 05）, while, 12 weeks later, each dimension point of the morning exercises group was significantly higher than those of the first assessment as well as the control group. The SAQ score （87.02± 16.4 ） in morning exercises group was significantly higher than first assessment （64.59 ± 10.87 ）, as well as the data 12 weeks later in control group （ 68.24 ± 9.98 ）, the differences was statistically significant （t = 2. 483,2. 290;P 〈 0. 01 ）. In the first assessment of Kupperman self-rating scale, each clause score and final score of the two groups was no significant difference （ P 〉 0. 05 ）. While after 12 weeks, most clause scores and final score（ 24.62 ± 4.10 ） of the morning exercises group were significantly lower than the first assessment （ 31.24 ± 5.89 ） and the control group （ 29.95 ± 5.76 ）, the differences was statistically significant（ t = 2. 454,2. 218 ;P 〈 0. 01 ）. Conclusions Morning exercises and related nursing intervention can definitely improve the scores of universal and specific quality of life of the post-menopausal women with coronary heart disease.
出处
《中华现代护理杂志》
2013年第13期1496-1500,共5页
Chinese Journal of Modern Nursing
关键词
绝经期
女性
冠心病
晨练活动
生活质量
普适性
特异性
Post-menopausal
Women
Coronary heart disease
Morning exercises
Quality oflife
Universality
Specificity
