护理结局分类在老年冠心病患者群体危险因素自我控制中的应用  

Application of nursing outcomes classification in self-control of risk factors in elderly coronary heart disease patients

作　　者：薛丽娟[1] 崔丹 王艳春[1] 李冬云 王静晶[1] 于洋[1] Xue Lijuan;Cui Dan;Wang Yanchun;Li Dongyun;Wang Jinxing;Yu Yang(Department of Outpatient,Daqing Longnan Hospital,the Fifth Affiliated Hospital of Qiqihar Medical School,Daqing 163000,China)

机构地区：[1]齐齐哈尔医学院第五附属医院大庆龙南医院门诊部,大庆163000

出　　处：《中华现代护理杂志》2018年第28期3444-3448,共5页Chinese Journal of Modern Nursing

基　　金：黑龙江省自然科学基金项目（D201496）

摘　　要：目的应用护理结局分类（NOC）评价老年冠心病患者出院后危险因素控制能力和效果。方法选择2016年1-6月于齐齐哈尔医学院第五附属医院大庆龙南医院住院治疗的老年冠心病患者146例进行研究。采用随机数字表法分为对照组（n=70）和试验组（n=76）。对照组采用常规护理，试验组出院1个月后复诊时应用NOC系统中《危险控制：心血管健康》和《心脏泵血效果》等量表进行分析并进行措施改进。比较两组患者的NOC指标和护理人员考核情况。结果与对照组相比，试验组患者NOC指标中，心绞痛、按医嘱服药、认知状态、外周脉搏、收缩压、舒张压、承认有患心血管疾病的危险、监测血压、应用应激管理技巧、参加胆固醇筛查、遵从与非处方药有关的预防措施建议、参加有氧锻炼、承认有能力改变行为及避免吸烟得分差异有统计学意义（P〈0．05）。试验组责任护士的知识水平和技能考核优于对照组，差异有统计学意义（P〈0．05）。结论老年冠心病患者出院后对于危险因素控制能力仍有待加强，应从患者角度出发。根据患者具体情况执行个体化方案。Objective To evaluate the ability of controlling risk factors in elderly patients with coronary heart disease （CHD） with nursing outcomes classification （NOC）. Methods A total of 146 elderly CHD patients treated in Daqing Longnan Hospital, the Fifth Affiliated Hospital of Qiqihar Medical School between January and June 2016 were enrolled in the study. All the study subjects were divided into control group （n=70） and experimental group （n=76） by random number table method. The control group was given routine nursing, while the experimental group was analyzed by the ＂Risk Control： Cardiovascular Health＂ and ＂Cardiac Pumping Effect＂ scales in NOC system 1 month after discharge and given interventions. The indicators of NOC of the patients and assessment of nursing staff were compared between the two groups. Results The differences in the scores of NOC indicators between control group and experimental group were statistically significant （P〈0.05）. The indicators were angina pectoris, medication compliance, cognitive status, peripheral pulse, systolic blood pressure, diastolic blood pressure, recognition of cardiovascular risk, and monitoring of blood pressure, applying stress management techniques, participating in cholesterol screening, following recommendations for preventive measures related to over-the-counter drugs, participating in aerobic exercise, recognizing the ability to change behavior, and avoiding smoking. The relevant knowledge level and skill assessment of the responsible nurses in the experimental group were better than those in the control group （P〈0.05）. Conclusions The ability to control risk factors in elderly patients with CHD needs to be strengthened from the perspective of patients. Individualized programs should be implemented according to patients＇ specific conditions.

关 键 词：老年人 冠心病 护理结局分类 

分 类 号：R473.5[医药卫生—护理学]