老年冠心病患者行持续改进护理对健康行为及生活质量的影响 ?(1)
【摘要】 目的：探析持续改进护理对老年冠心病(CHD)患者的健康行为和生活质量影响。方法：将2017年1月-2019年1月笔者所在医院心内科接治的110例老年CHD患者纳入研究，通过随机数字表法分成研究组和对照组。对照组实施常规护理，研究组实施持续改进护理，随访6个月，应用健康行为量表(HPL)、心血管病人生活质量问卷(CQQC)评测护理前后两组健康行为和生活质量。结果：护理前，两组HPL、CQQC评分比较，差异均无统计学意义(P>0.05);护理后两组HPL、CQQC评分均高于护理前，且研究组显著高于对照组(P<0.05)。结论：通过持续改进护理有助于老年CHD患者健康行为形成，改善生活质量，值得临床实践。
【关键词】 持续改进护理 老年冠心病 健康行为 生活质量
[Abstract] Objective： To explore the effects of continuous improved nursing on healthy behavior and quality of life of elderly patients with coronary heart disease. Method： A total of 110 elderly patients with coronary heart disease treated in the department of cardiology of our hospital from January 2017 to January 2019 were included in the study， and they were divided into the study group and the control group by random number table method. The control group received routine nursing， and the study group received continuous improved nursing. The patients were followed up for 6 months， and the health promotion lifestyle (HPL) scale and the Chinese questionnaire of quality of life in patients with cardiovascular diseases (CQQC) scale were applied to evaluate the healthy behavior and quality of life of the two groups before and after nursing. Result： Before nursing， the scores of HPL and CQQC in the two groups were compared， and the differences were not statistically significant (P>0.05). The scores of HPL and CQQC in the two groups after nursing were higher than those before nursing， and the study group were significantly higher than those of the control group (P<0.05). Conclusion： Continuous improved nursing is helpful to form healthy behaviors and improve the quality of life of elderly patients with coronary heart disease， which is worthy of clinical practice.
冠心病(CHD)是临床常见的心血管疾病，以老年人群多发，严重威胁生命健康。随着心血管疾病治疗技术不断发展，患者可得到有效治疗，但在治疗后常因难以保持良好的生活习惯和健康行为而复发，甚至危及生命安全[1]。对于老年CHD患者，传统护理干预缺乏针对性，对不良行为及影响因素缺乏预见性，难以满足患者实际需求[2]。如何促进老年CHD患者形成并保持健康行为，改善生活质量是临床心内科护理研究的重要课题。本文对笔者所在医院收治的110例老年CHD患者展开研究，剖析持续改进护理在改善患者健康行为和生活质量中的作用，报道如下。
1 资料与方法
1.1 一般资料
选取2017年1月-2019年1月于笔者所在医院心内科住院治疗的110例老年CHD患者作为观察对象。纳入标准：(1)按照文献[3]，均经心电图、心脏彩超等检查确诊为CHD;(2)住院治疗;(3)年龄60～75岁;(4)肺肝肾功能无异常;(5)意识清楚，能正常语言交流。排除标准：(1)合并严重心律失常、恶性肿瘤等;(2)心功能分级<2级;(3)中途退出、不配合随访。按照随机数字表法分成两组，各55例。研究组男女分别为29、26例;年龄62～73岁，平均(68.2±2.4)岁;病程3～8年，平均(5.1±1.3)年;文化水平：初中及以下33例，高中19例，大专及以上3例。对照组男女分别为31、24例;年齡61～75岁，平均(69.1±2.5)岁;病程2～10年，平均(5.3±1.1)年;文化水平：初中及以下40例，高中13例，大专及以上2例。两组性别、年龄、病程比较，差异均无统计学意义(P>0.05)，有可比性。本研究得到医院伦理委员会审核和批准，患者对研究知情。, http://www.100md.com(徐鹏里 李冰玉 李怿毅)
【关键词】 持续改进护理 老年冠心病 健康行为 生活质量
[Abstract] Objective： To explore the effects of continuous improved nursing on healthy behavior and quality of life of elderly patients with coronary heart disease. Method： A total of 110 elderly patients with coronary heart disease treated in the department of cardiology of our hospital from January 2017 to January 2019 were included in the study， and they were divided into the study group and the control group by random number table method. The control group received routine nursing， and the study group received continuous improved nursing. The patients were followed up for 6 months， and the health promotion lifestyle (HPL) scale and the Chinese questionnaire of quality of life in patients with cardiovascular diseases (CQQC) scale were applied to evaluate the healthy behavior and quality of life of the two groups before and after nursing. Result： Before nursing， the scores of HPL and CQQC in the two groups were compared， and the differences were not statistically significant (P>0.05). The scores of HPL and CQQC in the two groups after nursing were higher than those before nursing， and the study group were significantly higher than those of the control group (P<0.05). Conclusion： Continuous improved nursing is helpful to form healthy behaviors and improve the quality of life of elderly patients with coronary heart disease， which is worthy of clinical practice.
冠心病(CHD)是临床常见的心血管疾病，以老年人群多发，严重威胁生命健康。随着心血管疾病治疗技术不断发展，患者可得到有效治疗，但在治疗后常因难以保持良好的生活习惯和健康行为而复发，甚至危及生命安全[1]。对于老年CHD患者，传统护理干预缺乏针对性，对不良行为及影响因素缺乏预见性，难以满足患者实际需求[2]。如何促进老年CHD患者形成并保持健康行为，改善生活质量是临床心内科护理研究的重要课题。本文对笔者所在医院收治的110例老年CHD患者展开研究，剖析持续改进护理在改善患者健康行为和生活质量中的作用，报道如下。
1 资料与方法
1.1 一般资料
选取2017年1月-2019年1月于笔者所在医院心内科住院治疗的110例老年CHD患者作为观察对象。纳入标准：(1)按照文献[3]，均经心电图、心脏彩超等检查确诊为CHD;(2)住院治疗;(3)年龄60～75岁;(4)肺肝肾功能无异常;(5)意识清楚，能正常语言交流。排除标准：(1)合并严重心律失常、恶性肿瘤等;(2)心功能分级<2级;(3)中途退出、不配合随访。按照随机数字表法分成两组，各55例。研究组男女分别为29、26例;年龄62～73岁，平均(68.2±2.4)岁;病程3～8年，平均(5.1±1.3)年;文化水平：初中及以下33例，高中19例，大专及以上3例。对照组男女分别为31、24例;年齡61～75岁，平均(69.1±2.5)岁;病程2～10年，平均(5.3±1.1)年;文化水平：初中及以下40例，高中13例，大专及以上2例。两组性别、年龄、病程比较，差异均无统计学意义(P>0.05)，有可比性。本研究得到医院伦理委员会审核和批准，患者对研究知情。, http://www.100md.com(徐鹏里 李冰玉 李怿毅)
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