綜合評估護理在老年冠心病患者護理中的運用評價

趙華

【摘要】 目的 分析和評價在對老年冠心病患者的護理中運用綜合評估護理的效果。方法 90例冠心病患者， 隨機分為對照組和試驗組， 各45例。對照組進行常規(guī)護理， 試驗組進行綜合評估護理， 對比兩組患者的不良事件發(fā)生情況、護理前后生活質(zhì)量評分以及護理滿意度。結(jié)果 試驗組患者的不良事件發(fā)生率8.89%明顯低于對照組的26.67%， 差異具有統(tǒng)計學意義（P<0.05）。護理后兩組患者的生活質(zhì)量評分均高于護理前， 且試驗組生活質(zhì)量評分高于對照組， 差異具有統(tǒng)計學意義（P<0.05）。試驗組患者的護理滿意度86.67%明顯高于對照組的60.00%， 差異具有統(tǒng)計學意義（P<0.05）。結(jié)論 對老年冠心病患者行綜合評估護理， 有利于促進患者身心更快康復(fù)。

【關(guān)鍵詞】 綜合評估護理；冠心病；心腦血管常規(guī)護理；老年患者

DOI：10.14163/j.cnki.11-5547/r.2018.02.074

Evaluation of comprehensive evaluation nursing in the nursing of elderly patients with coronary heart disease ZHAO Hua. Shenyang Fifth Peoples Hospital， Shenyang 110011， China

【Abstract】 Objective To analyze and evaluate the effect of comprehensive evaluation nursing in the nursing of elderly patients with coronary heart disease. Methods A total of 90 patients with coronary heart disease were randomly divided into control group and experimental group， with 45 cases in each group. The control group received conventional nursing， and the experimental group received comprehensive evaluation nursing. Comparison were made on occurrence of adverse events， quality of life before and after nursing and nursing satisfaction between two groups. Results The experimental group had obviously lower incidence of adverse events as 8.89% than 26.67% in the control group， and the difference was statistically significant （P<0.05）. After nursing， both groups had higher quality of life score than before nursing， and the experimental group had higher quality of life score than the control group. Their difference was statistically significant （P<0.05）. The experimental group had obviously higher nursing satisfaction as 86.67% than 60.00% in the control group， and the difference was statistically significant （P<0.05）. Conclusion Comprehensive evaluation nursing for elderly patients with coronary heart disease help to promote faster physical and mental recovery.

【Key words】 Comprehensive evaluation nursing； Coronary heart disease； Cardiovascular conventional nursing； Elderly patients

老年綜合評估護理是針對老年人的身心狀況進行全面的評估和護理， 包括醫(yī)療、軀體、心理和社會等方面的評估護理， 這種模式近年來在臨床上用應(yīng)用廣泛[1]。此次研究通過對本院部分老年冠心病患者實行綜合評估護理來探討和分析該模式對冠心病老年患者的治療康復(fù)效果， 現(xiàn)報告如下。

1 資料與方法

1. 1 一般資料 本次研究選取的90例患者均為2015～2016年在本院就診且進行住院治療的冠心病患者， 入選患者年齡>60歲。隨機將其分為對照組和試驗組， 每組45例。對照組中男28例， 女17例， 平均年齡（63.0±1.8）歲。試驗組中男31例， 女14例， 平均年齡（64.0±1.2）歲。兩組患者一般資料比較差異無統(tǒng)計學意義（P>0.05）， 具有可比性。所有入選患者都被告知本次研究情況， 且都同意被納入研究， 并愿意積極配合。

1. 2 方法 對照組患者進行常規(guī)護理， 即對心血管進行擴張， 活血化瘀等常規(guī)治療， 常規(guī)用藥指導， 定期體征監(jiān)測

等[2]。試驗組進行綜合評估護理， 具體內(nèi)容如下。①醫(yī)療方endprint

面：配備護理人員遵循合理配置、滿足需求原則， 配置人員要求資歷高， 素質(zhì)高， 臨床經(jīng)驗豐富；相關(guān)……