综合护理干预在冠心病患者院外早期心脏康复中的应用  

Application of comprehensive nursing intervention to the early cardiac rehabilitation outside hospital in the patients with coronary heart disease

作　　者：贺树凤[1] 刘福艳[1] 

机构地区：[1]滨州市人民医院,山东滨州256610

出　　处：《齐鲁护理杂志（上旬刊）》2011年第11期12-14,共3页Journal of Qilu Nursing

摘　　要：目的:探讨综合护理干预在冠心病患者院外早期心脏康复中的应用效果。方法:将151例冠心病患者随机分为观察组78例和对照组73例,对照组出院时给予常规健康教育,观察组出院后进行为期1年的综合护理干预。评估并比较两组患者出院时、出院1年后的各项生理指标(TC、TG、LDL-C、HDL-C、BS、SBP、BMI、IMT);出院1年后的遵医行为、再入院率和病死率。结果:观察组1年后部分生理指标(TC、TG、LDL-C、BMI、IMT、HDL-C)、遵医行为、再入院率与对照组比较差异有统计学意义(P<0.05,P<0.01)。结论:对冠心病患者进行综合护理干预,可提高其院外早期心脏康复治疗的依从性,降低再入院率,改善生活质量。Objective： To investigate the application effect of comprehensive nursing intervention in the early cardiac reha bilitation outside hospital in the patients with coronary heart disease. Methods： 151 patients with coronary heart disease were randomly divided into an observation group （ n = 78 ） and a control group （ n = 73 ）. The patients in the control group were given conventional health education at discharge and the patients in the observation group were given comprehensive nursing intervention for one year after discharged. The physiological indicators （TC, TG, LDL- C, HDL- C, BS, SBP, BMI, IMT）, the compliance behavior, re -admission rate and fatality rate were assessed and compared between the two groups respectively at dis- charge and after discharge for one year. Results ： There were statistically significant differences in the comparison of some physio- logical indicators （ TC, TG, LDL - C, BMI, IMT, HDL - C ） , compliance behavior and re - admission rate between the two groups after the patient＇s discharge for one year （P 〈 0. 05 ,P 〈 0.01 ）. Conclusion： The comprehensive nursing intervention applied to the patients with coronary heart disease can improve their treatment compliance in early cardiac rehabilitation outside hospital, reduce re - admission rate and improve the quality of life.

关 键 词：综合护理干预 冠心病 心脏康复治疗 

分 类 号：R473.5[医药卫生—护理学]