基于老年综合评估的针对性护理干预对老年冠心病合并高血压患者代谢指标的影响  

Effect of targeted intervention on metabolic parameters in elderly patients with coronary heart disease complicated with hypertension based on CGA

作　　者：康琳 李艳[1] 陈晨[1] 王缘[1] 朱琳琳[1] 孙海鑫[1] 

机构地区：[1]哈尔滨医科大学附属第二医院,黑龙江哈尔滨150086

出　　处：《现代医学》2016年第4期553-556,共4页Modern Medical Journal

摘　　要：目的:探讨基于老年综合评估(CGA)的针对性护理干预对老年冠心病合并高血压患者代谢指标的影响。方法:选取2013年5月至2014年5月我院收治的100例老年冠心病合并高血压患者,按照随机数字表法将其平均分为对照组和观察组。对照组患者采用常规护理模式进行护理,观察组患者采用基于CGA的针对性干预护理,观察并记录两组患者干预前后监测指标、健康知识掌握情况以及复发率。结果:经重复方差分析,两组患者干预前、干预后3个月、干预后6个月知识测评得分差异明显(P值分别为0.003、0.031和0.023),体质量指数(BMI)和血压组间,多时间点,组间、多时间点比较均差异明显(均P<0.05),随着时间延长患者BMI和血压逐渐改善,明显优于干预前(P<0.05),但观察组改善程度明显优于对照组(P<0.05);甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)组间,多时间点,组间及多时间点比较均差异明显(均P<0.05),随着时间延长患者TG、TC、LDL-C逐渐改善,明显优于干预前(P<0.05),但观察组改善程度明显优于对照组(P<0.05)。干预6个月后两组患者复发人数差异明显(P<0.05)。结论:基于CGA的针对性护理干预可促使患者掌握健康知识,改善患者冠心病以及高血压相关指标水平,降低患者复发率。Objective： To explore and analyze the effect of the targeted intervention based on comprehensive geriatric assessment（CGA） in elderly patients with coronary heart disease and hypertension. Results： From May 2013 to May 2014,100 cases with coronary heart disease complicated with hypertension were randomly divided into control group and observation group according to the random number table method. The control group was cared with routine nursing. The observation group was nursed with targeted intervention based on CGA. The monitoredindex, patients＇ comprehension of health information and recurrent rate of the disease were documented before and after intervention in the two groups. Results： After intervention for 3 months the knowledge assessment scores in the observation group were higher than those in the control group （ P 〈 0.05 ）, and were much higher 6 months after the intervention in the observation group （ P 〈 0.05 ）. After intervention the TC, BMI and blood pressure were improved in both groups, but were much better in the observation group（P 〈 0.05）. The levels of TG, TC, LDL- C were gradually improved and better than those before intervention （P 〈 0.05 ）, but the improvement in the observation group was significantly better than that in the control group （ P 〈 0.05 ）, with statistical significance. After intervention for 6 months, the number of recurrent cases between the two groups was different with statistical significance （χ2 = 6. 043, P 〈 0.05 ）. Conclusions： The targeted intervention based on CGA can effectively help the patients to command the health knowledge and reduce the risk of coronary heart disease and high blood pressure and the recurrence rate.

关 键 词：针对性护理干预 老年冠心病 高血压 代谢指标 

分 类 号：R473.59[医药卫生—护理学]