目的 探讨以整合照护理念为基础的综合干预体系对稳定性冠心病患者衰弱的影响.方法 选择2021年8月—2022年6月在驻马店市中医院诊治的老年稳定性冠心病患者78例,根据1∶1随机数字表法分为两组,每组各39例.常规组给予常规护理,整合组在常规组护理的基础上给予以整合照护理念为基础的综合干预体系,记录两组患者的预后情况.结果 两组患者在护理3个月后的平衡测试评分、座椅站立测试评分均低于护理前,整合组护理3个月后的平衡测试评分、座椅站立测试评分与常规组相比也降低(P＜0.05).整合组护理3个月后的躯体、心理、社会、精神等维度的生活质量评分均高于常规组(P＜0.05).整合组随访1年的靶血管重建、心肌梗死、心源性死亡、冠状动脉再狭窄等主要心血管事件不良事件发生率为5.13%,常规组为25.64%,整合组低于常规组(P＜0.05).结论 以整合照护理念为基础的综合干预体系能缓解老年稳定性冠心病患者的衰弱状况,改善患者的生活质量,降低主要心血管事件不良事件发生率.
Objective To explore and analyze the effects of a comprehensive intervention based on integrated care on the frailty of elderly stable coronary heart disease(CHD)patients.Methods From August 2021 to June 2022,78 cases of elderly stable CHD patients who were diagnosed and treated in Zhumadian City Hospital of Traditional Chinese Medicine were selected.According to a 1:1 random number table method,78 patients were divided into the integrated group and the traditional group,with 39 cases of each group.The traditional group was given routine care,while the integrated group was given a comprehensive intervention based on integrated care concepts on the basis of the traditional group's care,and the patients'prognosis was recorded.Results The balance test scores and chair stand test scores of both groups after 3 months of nursing care were lower than those before nursing care.The balance test scores and chair stand test scores of the integrated group after 3 months of nursing care were also significantly lower than those of the traditional group(P＜0.05).After 3 months of nursing care,the quality of life scores in physical,psychological,social,and spiritual dimensions in the integrated group were significantly higher than those in the traditional group(P＜0.05).The incidence of major cardiovascular adverse events such as cardiac death,myocardial infarction,target vessel reconstruction,and coronary artery restenosis during a one-year follow-up in the integrated group was 5.13%,compared to 25.64%in the traditional group.The integrated group was significantly lower than the traditional group(P＜0.05).Conclusions The application of a comprehensive intervention based on integrated care concept in elderly stable CHD patients can alleviate frailty,improve quality of life,and reduce the incidence of major cardiovascular adverse events.
程贺勤;姚明松;马爱勤;孙建设;韩申
驻马店市中医院护理部(河南驻马店 463000)
整合照护理念;综合干预体系;老年人;稳定性冠心病;心血管事件不良事件
integrated care concept;comprehensive intervention;elderly people;stable coronary heart disease;cardiovascular adverse events
《广州医药》 2024 (004)
432-436 / 5
10.3969/j.issn.1000-8535.2024.04.018
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