综合护理干预对复杂冠脉病变介入治疗患者生活质量的影响  

Effect of comprehensive nursing intervention on quality of life in patients with complex coronary artery disease treated by interventional therapy

作　　者：杨滢瑞 赵晓莉[1] 孟华[1] 赵玉 Yang Yingrui;Zhao Xiaoli;Meng Hua;Zhao Yu(Cardiovascular Medicine Department,Henan Provincial People's Hospital,Zhengzhou City of Henan Province 450000,China)

机构地区：[1]河南省人民医院心血管内科,河南郑州450000

出　　处：《国际护理学杂志》2019年第10期1459-1462,共4页international journal of nursing

摘　　要：目的探讨综合护理干预对复杂冠脉病变介入治疗患者预后及生活质量的影响。方法选取2016年5月~2017年5月该院PCI术后的复杂冠脉病变患者100例作为研究对象。按照随机数字表法把患者分为对照组和观察组,各50例。对照组介入治疗期间行常规护理,观察组介入治疗期间实施综合护理干预。比较两组患者干预前后不良情绪及生活质量改善情况。结果观察组干预后焦虑自评量表(Self-rating Anxiety Scale,SAS)评分、抑郁自评量表(Self-rating Depression Scale,SDS)评分均低于对照组,差异有统计学意义(均P<0.05)。观察组出院后30d躯体功能、认知功能、情绪功能、角色功能、社会功能及总体生活质量评分均高于对照组,差异有统计学意义(均P<0.05)。结论综合护理干预能有效减轻复杂冠脉病变介入治疗患者围术期焦虑及抑郁情绪,提高患者远期生活质量。Objective To explore the effect of comprehensive nursing intervention on prognosis and quality of life in patients with complex coronary artery disease treated by interventional therapy. Methods From May 2016 to May 2017, a total of 100 patients with complex coronary artery disease after PCI in the hospital were selected as the research objects.According to the random number table method, they were divided into control group and observation group, 50 cases of each group.The control group received routine nursing during interventional therapy.The observation group received comprehensive nursing intervention during interventional therapy.The adverse mood and life quality improvement before and after intervention were compared between the two groups. Results After intervention, the Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) scores of the observation group were lower than those of the control group, and the differences were statistically significant(P<0.05). The scores in body function, cognitive function, emotional function, role function, social function and overall quality of life of observation group were higher than those in the control group 30 days after discharge, and the differences were statistically significant(P<0.05). Conclusion Comprehensive nursing intervention can effectively reduce perioperative anxiety and depression in patients with complex coronary artery disease and improve their long-term quality of life.

关 键 词：综合护理干预 复杂冠脉病变 介入治疗 预后 生活质量 

分 类 号：R473.5[医药卫生—护理学]