过渡期护理干预对冠心病患者康复、自我管理能力及负性情绪的影响  

Effects of transitional nursing care on rehabilitation,self-management and negative emotion in patients with coronary heart disease

作　　者：杨丽丽[1] 于淑军 Yang Lili;Yu Shujun(Department of Cardiovascular Medicine,the First Affiliated Hospital of Nanyang Medical College,Nanyang 473000,China)

机构地区：[1]南阳医学高等专科学校第一附属医院心血管内科,南阳473000

出　　处：《中华现代护理杂志》2019年第24期3161-3164,共4页Chinese Journal of Modern Nursing

基　　金：河南省科技厅科技攻关项目(142102310427)。

摘　　要：目的探讨过渡期护理干预对冠心病患者康复、自我管理能力及负性情绪的影响。方法选择南阳医学高等专科学校第一附属医院2015年1月—2017年3月住院治疗的120例冠心病患者,随机分为观察组和对照组,每组各60例。对照组采取常规护理,观察组在此基础上给予过渡期护理干预3个月。比较两组患者干预后冠心病危险因子达标率、自我管理能力及负性情绪情况。结果干预3个月后,观察组患者血压达标率81.67%,低密度脂蛋白胆固醇达标率75.00%,BMI达标率63.33%,均高于对照组,差异有统计学意义(χ^2值分别为5.057、8.000、10.812;P<0.05)。干预后观察组自我管理能力(87.23±8.10)分,对照组(78.10±8.03)分,差异有统计学意义(t=6.200,P<0.05)。结论过渡期护理干预能有效控制冠心病患者出院后危险因子,明显提高患者自我管理能力,降低负性情绪。Objective To explore the effects of transitional nursing care on the rehabilitation,self-management and negative emotion in patients with coronary heart disease(CHD).Methods Totally 120 CHD patients admitted in the First Affiliated Hospital of Nanyang Medical College between January 2015 and March 2017 were selected and equally randomized into a treatment group(n=60)and a control group(n=60).Patients in the control group received routine nursing,while patients in the treatment group received transitional nursing care for 3 months on this basis.The rehabilitation,self-management and negative emotion were compared between the two groups.Results Three months post intervention,81.67%,75.00%and 63.33%of the patients reached the standard for blood pressure,low density lipoprotein cholesterin and body mass index,which were higher than those of the patients in the control group(χ^2=5.057,8.000,10.812;P<0.05).The patients in the treatment group(87.23±8.10)scored higher than the patients in the control group(78.10±8.03)in the dimension of self-management(t=6.200,P<0.05).Conclusions Transitional nursing care can effectively control the risk factors of CHD patients after discharged from hospital,improve their self-management significantly and reduce negative emotion.

关 键 词：康复 冠心病 过渡期护理干预 负性情绪 自我管理能力 再入院 

分 类 号：R47[医药卫生—护理学]