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《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:

期数:

2018年02期

页码:

142-145

栏目:

论著

出版日期:

2018-02-01

文章信息/Info

Title:

Effect of integrated nursing model on life quality of elderly patients with coronary heart disease complicated with heart failure

作者:

吴晓缺;  孙静

河南中医药大学第三附属医院，郑州450000

Author(s):

WU Xiao-que;  SUN Jing

The Third Affiliated Hospital of Henan Medical University, Zhengzhou, Henan 450000, China Corresponding author: WU Xiao-que, E-mail:13676983061@163.com

关键词:

冠心病; 一体化护理; 心力衰竭; 生存质量; 遵医行为

Keywords:

Coronary heart disease;  Integrated care;  Heart failure;  Quality of life;  Compliance behavior

分类号:

R473.5

DOI:

-

摘要:

目的一体化教育是从患者入院、住院期间、出院到院外回归家庭过程中一系列的包含健康教育及日常 监督的护理模式，本研究旨在探讨其对老年冠心病合并心力衰竭患者生存质量的影响。方法选取2015 年1 月 —2017 年1 月河南中医药大学第三附属医院收治的160 例老年（≥60 岁） 冠心病合并心力衰竭的患者，随机分为 观察组和对照组，每组80例。对照组患者采用常规护理模式及相关知识的宣讲，观察组在对照组的护理基础上给 予一体化护理模式治疗。干预前及随访3 个月时，采用河南中医药大学第三附属医院自制的遵医行为调查表及慢 性疾病生存质量评分表，评定并比较两组患者遵医行为及生存质量评分。结果干预前，两组患者遵医行为率 比较，差异无统计学意义（P>0.05）；随访3 个月时，观察组患者遵医行为率显著高于对照组，差异有统计学意 义（P<0.05）。干预前，两组患者生存质量评分比较，差异无统计学意义（P>0.05）；随访3个月，观察组生存质 量评分显著高于对照组，差异有统计学意义（P<0.05）。结论一体化护理模式可显著提高老年冠心病合并心力 衰竭患者生存质量，提高患者遵医行为。

Abstract:

Objective Integrated education is a series of nursing model which includes health education and daily supervision from admission to hospital, duration of hospital stay, hospital discharge to returning to families. This study was aimed to investigate the effect of integrated nursing model on the quality of life of elderly patients with coronary heart disease complicated with heart failure. Methods A total of 160 elderly patients （≥60 years） with coronary heart disease complicated with heart failure who were treated in the Third Affiliated Hospital of Henan Medical University from January 2015 to January 2017 were randomly divided into observation group and control group, each 80 cases. In the control group, the patients received conventional nursing model and related knowledge. The observation group was treated with integrated nursing model on the basis of the control group. Before intervention and after 3 months of follow-up, the self-made behavior questionnaire and the quality of life scale of chronic diseases were used to evaluate the compliance behavior and quality of life of the two groups. Results There was no significant difference in the compliance rate between the two groups before the intervention （P>0.05） . At the time of following up 3 months, the compliance rate in observation group was significantly higher than that of the control group （P<0.05） . There was no significant difference in the quality of life scores between the two groups before intervention （P>0.05） , but afterfollowing up three months, the life quality score in the observation group was significantly higher than that of the control group （P<0.05） . Conclusion The integrated nursing model can significantly improve the quality of life of elderly patients with coronary heart disease complicated with heart failure and the behavior of patients with compliance.

参考文献/References:

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备注/Memo

备注/Memo:

作者简介：吴晓缺，大学本科，主管护师，研究方向：内科常见疾病护理 通信作者：吴晓缺，E-mail: 13676983061@163.com

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更新日期/Last Update: 2018-02-28