|本期目录/Table of Contents|

[1]毛秀建,陈翠芹,李玲.循证护理对老年冠心病心绞痛患者焦虑抑郁情绪、生活质量及治疗依从性的影响[J].慢性病学杂志,2019,20(05):644-647.
　MAOXiu-jian,CHENCui-qin,LILing.Effect of evidence-based nursing on anxiety and depression, quality of life and compliance with treatmentin in elderly patients with coronary heart disease and angina pectoris[J].,2019,20(05):644-647.
点击复制

循证护理对老年冠心病心绞痛患者焦虑抑郁情绪、生活质量及治疗依从性的影响(PDF)

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
20
期数:
2019年05期
页码:
644-647
栏目:
心肺预防康复
出版日期:
2019-05-28

文章信息/Info

Title:
Effect of evidence-based nursing on anxiety and depression, quality of life and compliance with treatmentin in elderly patients with coronary heart disease and angina pectoris
作者:
毛秀建; 陈翠芹; 李玲
广东省东莞市厚街医院，广东 东莞 523945
Author(s):
MAOXiu-jian; CHENCui-qin; LILing
Houjie Hospital, DongguanCity,Guangdong Province,Dongguan,Guangdong523945,China Correspondingauthor:MAOXiu-jian,E-mail:gd26028@sina.com
关键词:
循证护理; 老年人; 冠状动脉粥样硬化性心脏病; 心绞痛; 焦虑; 抑郁; 生活质量; 治疗依从性
Keywords:
Evidence-based nursing;  Elderly;  Coronary heart disease;  Angina pectoris;  Anxiety;  Depres-sion;  Quality of life;  Treatment compliance
分类号:
R473.5；R541.4
DOI:
-
摘要:
目的 探讨循证护理在老年冠心病心绞痛患者中的应用效果。方法 选取2018年1至6月东莞市厚街医 院收治的60例冠心病心绞痛患者作为研究对象，随机分为干预组与对照组，每组30例。对照组给予常规护理， 干预组给予循证护理。比较出院后患者SAS、SDS、SF-36评分以及治疗依从性。结果 出院1周，干预组 SAS和SDS评分均低于本组干预前及对照组干预后，差异有统计学意义（P<0.05）。出院1周，干预组SF-36各 维度得分均显著高于同组干预前及对照组干预后，差异有统计学意义（P<0.05）。出院1个月随访治疗依从性， 干预组显著高于对照组，差异有统计学意义（P<0.05）。结论 老年冠心病心绞痛患者实施循证护理，能显著改 善焦虑抑郁情绪，提高生活质量，提高治疗依从性。
Abstract:
Objective To discuss the application of evidence-based nursing in elderly patients with cor-onary heart disease and angina pectoris. Methods Sixty patients with coronary heart disease and angi-na pectoris diagnosed and treated in Houjie Hospital, Dongguan city from January 2018 to June 2018 were selected as the study subjects. They were randomly divided into intervention group and control group with 30 cases in each group. The control group was given routine nursing and the intervention group was given evidence-based nursing. The scores of SAS, SDS, SF-36 and treatment compliance were compared after discharge.Results One week after discharge, the SAS and SDS scores in the intervention group were significantly lower than those before intervention and those in the control group （P<0.05）. One week after discharge, the scores of SF-36 dimensions in the intervention group were significantly higher than those before intervention and those in the control group （P<0.05）. One month after discharge, the treatment compliance of the intervention group was significantly better than that of the control group, and the difference was statistically significant（P<0.05）. Conclusion Evi-dence-based nursing for elderly patients with coronary heart disease and angina pectoris can significantly improve their anxiety and depression, quality of life, and treatment compliance.

参考文献/References:


[1] 程月召,田松.关于冠心病中医临床流行病学研究的思考[J].湖南 中医杂志,2015,31(3):12-14.
[2] 吴美珍.冠心病心绞痛老年患者的循证护理及应用效果[J].医疗 装备,2017,30(13):9-10.
[3] 左效梅.冠心病患者行循证护理后对心绞痛发生率和心理状态的 作用效果分析[J].航空航天医学杂志,2017,28(6):746-748.
[4] Zung WWK. A rating instrument for anxiety disorders [J]. Psychosomatics,1971,12(6):371-379.
[5] Zung WW. A self- rating depression scale [J]. Arch Gen Psychiatry,1965,12:63-70.
[6] Ware JE, Sherbourne CD. The MOS36-item short-from health survery (SF-36): Conceptual framework and item selection [J]. Med Care, 1992,30(6):473.
[7] Morisky DE, Ang A, Krousel-Wood M,et al. Predictive validity of a medication adherence measure in an outpatient setting [J]. J Clin Hypertens (Greenwich), 2008,10(5):348-354.
[8] 覃策,胡敏.重庆江北区居民冠心病流行病学调查及危险因素分 析[J].医学临床研究,2018,35(8):1653-1655.
[9] 徐福禄,蒋伟,黄露,等.武汉市25~45岁居民急性冠心病院前死 亡的流行病学研究[J].实用预防医学,2018,25(5):592-594.
[10] 马云玲,陈静,赵再仙,等.冠心病介入治疗患者实施循证护理对 降低术中并发症发生率的影响研究[J].国际心血管病杂志,2017, 57(A01):62-63.
[11] 徐艳辉.2型糖尿病并冠心病患者予以循证护理对疗效及预后的 影响研究[J].糖尿病新世界,2015,35(18):119-121.
[12] 张小霞,李阳.循证护理对改善老年心绞痛患者医嘱依从性和康 复效果的影响[J].中国老年保健医学,2018,16(2):136-137.
[13] 赵阿迎.循证护理干预对冠心病心绞痛患者疾病认知及康复效果 的影响[J].医疗装备,2018,31(14):25-26.
[14] 张淑宜.冠心病心绞痛患者综合护理的要点分析[J].中国医药指 南,2018,16(7):257-258.
[15] 王瑾,陈云,杜艳芳,等.双心医学对老年冠心病心绞痛合并焦虑 及抑郁患者的效果研究[J].现代医药卫生,2018,34(19):3061-3065.
[16] 胡永仓,张建华,汪家才,等.冠心病患者规范用药的依从性及其 影响因素[J].中国基层医药,2015,22(10):1441-1443.
[17] 马岩.基于健康信念模型稳定性心绞痛患者服药依从性的影响因 素研究[J].华西医学,2014,29(5):835-837.
[18] 秦延平,王素芳,白瑞娟.循证护理对老年心绞痛患者医嘱依从性 及康复效果的影响[J].黑龙江医药科学,2018,47(2):154-155.
[19] 王丹丹.循证护理对老年心绞痛患者医嘱依从性及生活质量的影 响[J].中国卫生标准管理,2016,7(1):213-214.

备注/Memo

备注/Memo:
作者简介：毛秀建，大学本科，主管护师，研究方向：心 血管内科护理 通信作者：毛秀建，E-mail：gd26028@sina.com
更新日期/Last Update: 2019-05-28