整体护理对急性冠脉综合征患者预后的影响  

The effect of integral nursing on prognosis of patients with acute coronary syndrome

作　　者：连萍红[1] 

机构地区：[1]解放军第一七四医院干部病房,福建厦门361003

出　　处：《中国医药导报》2013年第6期134-135,共2页China Medical Herald

摘　　要：目的探讨行整体护理对急性冠脉综合征患者预后的影响。方法入选2010年2-9月在解放军第一七四医院住院治疗的急性冠脉综合征患者179例，根据患者在住院期间给予的护理方式的不同将其分为对照组（n：89）和观察组（n=90），对照组患者给予心内科常规护理，观察组患者给予整体护理，比较两组患者预后情况。结果经护理后，两组患者生活质量各维度项评分均显著提高，与护理前相比，差异均有统计学意义（均P〈0．05），且观察组患者改善程度优于对照组（P〈0．05）；对患者进行随访2年发现，对照组患者再梗死、心绞痛发作、死亡比例分别为19．1％、51．7％、14．6％均显著高于观察组患者11．1％、37．8％、7．8％，差异均有统计学意义（均P〈0．05）。结论整体护理对于改善急性冠脉综合征患者的近期和远期预后均有显著的作用。Objective To investigate the effect of integral nursing on prognosis of patients with acute coronary syn- drome. Methods 179 patients with acute coronary syndrome were enrolled from February to September in 2010 in 174th hospital of PLA. They were divided into control group （n -- 89） and observation group （n = 90） according to different nursing methods, the control group were given routine nursing in department of cardiology and the observation group were given integral nursing. Prognosis was compared in the two groups. Results After nursing, the grade of qual- ity of life was increasing in the two groups （all P 〈 0.05） and the grade in the control group was better than that in the observation group （P 〈 0.05）. Two years later, the reoccurrence of myocardial infarction, angina and mortality were 19.1%, 51.7%, 14.6% in the control group and 11.1%, 37.8%, 7.8% in the observation group, there were significant differences （all P 〈 0.05）. Conclusion Integral nursing has a great significance in improving the near-and-long-term prognosis of patients with acute coronary syndrome.

关 键 词：整体护理 急性冠脉综合征 冠心病 预后 

分 类 号：R472[医药卫生—护理学]