冠心病患者開展延續護理服務對負性情緒的影響研究

趙云

[摘要] 目的 分析延續護理服務對冠心病所致并發癥發生的影響。方法 方便選取該院2016年1月—2019年1月收治的80例冠心病患者，隨機分組，常規護理組給予常規化護理，對延續護理服務組患者開展延續護理服務。比較兩組滿意度;患者出院后服藥依從評分、運動依從評分、低脂低鹽飲食依從評分、定期復查依從評分;護理前后負性情緒的指標;并發癥發生率。 結果 延續護理服務組的滿意度是100.00%高于常規護理組（χ2=5.256，P<0.05）。護理前兩組后負性情緒的指標相關評分值差異無統計學意義（P>0.05）;護理后延續護理服務組焦慮心理評分（24.01±2.13）分、抑郁心理評分（20.01±0.12）分優于常規護理組（P<0.05）;延續護理服務組冠心病患者出院后服藥依從評分、運動依從評分、低脂低鹽飲食依從評分、定期復查依從評分分優于常規護理組（t=6.245、7.103、6.561、8.045，P<0.05）;延續護理服務組并發癥發生率5.00%更少（χ2=6.944，P<0.05）。 結論 冠心病患者實施延續護理服務效果確切，可有效改善冠心病患者的心理狀態，提高依從性，減少并發癥，提高滿意度。

[關鍵詞] 延續護理;滿意度;冠心病患者;護理效果;心理狀況

[中圖分類號] R47 ? ? ? ? ?[文獻標識碼] A ? ? ? ? ?[文章編號] 1674-0742（2020）04（a）-0135-03

[Abstract] Objective To analyze the effect of continuous nursing service on complications caused by coronary heart disease. Methods 80 patients with coronary heart disease convenientlly selected in our hospital From Janaury 2016 to January 2019 were randomly divided into groups. The routine nursing group gave routine nursing care and continued care services for patients in the continuous care service group. The satisfaction of the two groups was not compared. The patients were discharged from the hospital after the medication compliance score， exercise compliance score，low-fat and low-salt diet compliance score，regular review compliance scores;negative emotion indicators before and after treatment; complication rate. Results The satisfaction of the extended care group was 100.00% higher than that of the conventional care group（χ2=5.256， P<0.05）. The scores of negative emotions in the two groups before treatment were statistically significant difference（P>0.05）. After the nursing，the anxiety service scores of the nursing service group （24.01±2.13）points and depression scores （20.01±0.12）points were better than the routine nursing group（P<0.05）; continuing care service group patients with coronary heart disease after discharge from medication compliance score， exercise compliance score， low-fat low-salt diet compliance score， regular review compliance scores were better than the regular care group（t=6.245， 7.103， 6.561， 8.045， P<0.05）; the complication rate of the extended care group was 5.00%（χ2=6.944， P<0.05）. Conclusion The implementation of continuous care service in patients with coronary heart disease is effective， which can effectively improve the psychological state of patients with coronary heart disease， improve compliance，reduce complications and improve satisfaction.

[Key words] Continuation of care; Satisfaction; Patients with coronary heart disease; Nursing effect; Psychological status

冠心病患者在出院后可發生相關的并發癥，需要給予有效的護理指導。另外，在出院后，仍需要堅持遵醫服藥和保持健康的生活習慣，加強康復鍛煉，以加速患者的康復進程，避免病情惡化。除此之外，冠心病患者還可發生一系列生理和心理變化，可出現各種不良情緒，影響冠心病康復和生活質量水平。延續護理作為從醫院到家庭護理的延伸，使冠心病患者在出院后能夠接受延續的指導，這對于促進冠心病患者的康復很重要[1]。該研究將該院2016年1月—2019年1月的80例冠心病患者作為研究對象，分析延續護理服務用于冠心病患者護理的效果，具體報道如下。

1 ?資料與方法

1.1 ?一般資料

方便選取該院80例冠心病患者，隨機分組，延續護理服務組（n=40）年齡41～73歲（56.27±6.78）歲。男25例，女15例。心功能等級3級有29例，4級有11例。……