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全人全程整合照护模式在冠心病患者护理中的应用效果OA

Application effect of whole person continuous comprehensive care model in nursing of patients with coronary heart disease

中文摘要英文摘要

目的 探究全人全程整合照护模式在冠心病患者护理中的应用效果.方法 选取2022年12月至2024年12月吉安市中心人民医院收治的88例冠心病患者作为研究对象,按照随机数字表法分为常规组(44例)与全程照护组(44例).常规组采用冠心病常规护理,全程照护组则采用全人全程整合照护模式,两组护理周期均为3周.比较两组患者干预后的心理弹性量表(CD-RISC)、药物依从性量表(MAS)、冠心病自我管理行为量表(CSMS)、西雅图心绞痛量表(SAQ)及预后3个月的不良心血管事件(MACE)发生率.结果 全程照护组患者的CD-RISC各维度及总分高于常规组,差异有统计学意义(P<0.05);全程照护组患者的MAS各维度及总分高于常规组,差异有统计学意义(P<0.05);全程照护组患者的CSMS各维度及总分均高于常规组,差异有统计学意义(P<0.05);全程照护组患者的SAQ各维度及总分均高于常规组,差异有统计学意义(P<0.05);全程照护组患者预后3个月的MACE发生率低于常规组,差异有统计学意义(P<0.05).结论 全人全程整合照护模式可有效改善冠心病患者的心理状态、提高用药依从性、自我管理能力和生活质量,降低不良心血管事件的发生风险.

Objective To explore the application effect of whole person continous comprehensive care model in the nursing of patients with coronary heart disease.Methods A total of 88 patients with coronary heart disease admitted to Ji'an Central People's Hospital from December 2022 to December 2024 were selected as the research subjects,they were divided into the conventional group(44 cases)and the comprehensive care group(44 cases)according to the random number table method.The conventional group received conventional coronary heart disease care,while the comprehensive care group adopted the whole person continuous comprehensive care model.The nursing period for both groups was 3 weeks.The Connor-Davidson resilience scale(CD-RISC),medication adherence scale(MAS),coronary heart disease self-management behavior scale(CSMS),seattle angina questionnaire(SAQ),and the major adverse cardiovascular events(MACE)with 3 months after the intervention were compared between the two groups.Results The scores of each dimension and the total score of CD-RISC for patients in the comprehensive care group were higher than those in the conventional group,and the differences were statistically significant(P<0.05).The scores of each dimension and the total score of MAS for patients in the comprehensive care group were higher than those in the conventional group,and the differences were statistically significant(P<0.05).The scores of each dimension and the total score of CSMS for patients in the comprehensive care group were higher than those in the conventional group,and the differences were statistically significant(P<0.05).The scores of each dimension and the to-tal score of SAQ for patients in the comprehensive care group were higher than those in the conventional group,and the differences were statistically significant(P<0.05).The incidence of MACE in the comprehensive care group at 3 months af-ter prognosis was lower than that in the conventional group,and the difference was statistically significant(P<0.05).Con-clusion The whole person continuous comprehensive care model can effectively improve the psychological state of patients with coronary heart disease,enhance their medication compliance,self-management ability and quality of life,and reduce the risk of adverse cardiovascular events.

王娟;肖灵君;巴文强;彭丹萍;郭阳

江西省吉安市中心人民医院心血管内科,江西吉安 343000江西省吉安市中心人民医院心血管内科,江西吉安 343000江西省吉安市中心人民医院心血管内科,江西吉安 343000江西省吉安市中心人民医院门诊部,江西吉安 343000江西省吉安市中心人民医院康复科,江西吉安 343000

医药卫生

全人全程整合照护模式冠心病心理状态自我管理行为

Whole person continuous comprehensive care modelCoronary heart diseasePsychological statusSelf-management behavior

《中国当代医药》 2026 (20)

165-170,6

江西省卫生健康委科技计划项目(SKJP20228843)江西省吉安市科技计划指导性项目(20244-049343).

10.3969/j.issn.1674-4721.2026.20.33

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