热带病与寄生虫学

热带病与寄生虫学 ›› 2015, Vol. 13 ›› Issue (1): 43-46.doi: 10.3969/j.issn.1672-2302.2015.01.014

• 论著 • 上一篇    下一篇

综合护理干预对老年冠心病患者焦虑抑郁情绪的临床效果研究

常海燕   

  1. 066000 河北秦皇岛市，秦皇岛市第二医院
  • 出版日期:2015-03-10 发布日期:2015-05-18

Clinical effects of comprehensive nursing intervention on relieving anxiety of elderly patients with coronary heart disease

Chang Haiyan   

  1. Qinhuangdao No.2 Hospital, Qinhuangdao 066000,China
  • Online:2015-03-10 Published:2015-05-18

PDF (PC)

1536

被引次数

25

摘要： 目的 探讨综合护理对老年冠心病患者焦虑情绪改善情况。 方法  将2012~2014年在本院就诊的90例老年冠心病患者随机分成实验组与对照组，每组45例。对照组采取常规护理及治疗，实验组在常规护理的基础上，进行综合护理干预。采用问卷调查及出院后随访的方式比较两组患者在护理前后对疾病认知程度、生活方式及焦虑情绪的差异。结果 干预后，实验组患者在对疾病的认识程度、生活习惯、健康状况及心理状态上均有明显改善，患者在吸烟(>5支/d)、饮酒(乙醇量>30g/d)、高脂、高盐摄入、缺乏运动上分别下降了85.7%、91.6%、87.5%、83.3%、88.6%；而对照组仅下降26.4%、56.7%、64.1%、43.9%、63.8%；实验组患者无焦虑及轻度焦虑共计40例(88.8%)；对照组为33例（73.3%）。差异均有统计学意义（P < 0.05）。结论 综合护理干预可促进老年冠心病患者建立正确的生活方式，缓解焦虑等负面情绪，从而提高患者生活质量及健康状况。

关键词: 综合护理, 冠心病, 生活方式, 焦虑

Abstract:

Objective  To investigate the effects of comprehensive nursing intervention on modifying the depressed mood for elderly patients with coronary heart disease(CHD). Methods  Ninety elderly CHD patients were included from 2012 to 2014, and randomized into observational group and control group(n=45 for each). The control group only received conventional nursing and therapy, and the observational group were provided with comprehensive nursing intervention besides the conventional care. Patients in the two groups were followed up after discharge and surveyed with questionnaire response concerning the recognition on CHD, changes in life style and modification of anxiety. Results  Patients in the observational group improved a lot in recognition on CHD, life style, health conditions and mental state. Poor life styles and diet habits, including smoking (>5/d), lack of exercise, alcohol drink(> 30g / d), intake of high fat food and high salt intake were modified by 85.7%, 91.6%, 87.5%, 83.3% and 88.6%, respectively, compared to 26.4%, 56.7%, 64.1%, 43.9% and 63.8% in the control group. Forty patients(88.8%) in the observational group were found free of any anxiety or with mild anxiety, whereas the number is 33(73.3%)in the controls, the difference was significant (P <0.05 ). Conclusion  Comprehensive nursing intervention can aid the elderly CHD patients to develop healthy living styles and relieving their anxiety as well as other negative emotions, and finally improve the quality of life and health state of such patients.

Key words: Integrated care, Coronary heart disease, Lifestyle, Anxiety