纽曼系统护理对冠心病介入治疗患者疾病自我认知及生命质量的影响  

Effect of Newman system nursing on self-cognition and quality of life of patients with coronary heart disease interventional therapy

作　　者：杨竹[1] 李军[1] Yang Zhu;Li Jun(Department of Internal Medicine Clinic,Shengjing Hospital Affiliated to China Medical University,Shenyang 110000,China)

机构地区：[1]中国医科大学附属盛京医院内科门诊,沈阳110000

出　　处：《中国实用护理杂志》2020年第31期2429-2433,共5页Chinese Journal of Practical Nursing

摘　　要：目的:探讨纽曼系统护理对冠心病介入治疗患者疾病自我认知及生命质量的影响。方法:以2016年2月至2019年2月诊治的86例冠心病介入术患者为研究对象。根据入院时间分组:2016年2月至2017年7月实施常规护理干预者设为对照组(43例),2017年8月至2019年2月实施纽曼系统护理者设为研究组(43例)。比较2组患者护理前后疾病自我认知水平、生命质量变化心脏事件发生率以及遵医行为。结果:研究组和对照组患者护理前后疾病自我认知评分分别为(4.35±0.36)、(4.26±0.14)分和(12.64±1.05)、(9.27±1.48)分,2组患者护理前疾病自我认知评分比较差异无统计学意义(P>0.05),2组患者护理后疾病自我认知评分均高于护理前,且研究组优于对照组,差异有统计学意义(t值为6.344、4.486、3.975,均P<0.05)。研究组和对照组患者护理前后生命质量评分分别为(37.99±8.15)、(37.85±8.91)分和(80.69±4.18)、(72.17±5.94)分,2组患者护理前生命质量评分比较差异无统计学意义(P>0.05),2组患者护理后生命质量评分均高于护理前,且研究组优于对照组,差异有统计学意义(t值为9.614、8.157、4.168,均P<0.05)。研究组患者出院后的心脏事件发生率为6.98%(3/43),低于对照组的20.93%(9/43),差异有统计学意义(χ2=5.108,P<0.05)。研究组患者遵医行为优良率为100.00%(43/43),高于对照组的86.05%(37/43),差异有统计学意义(χ2值为4.479,P<0.05)。结论:纽曼系统护理适宜用于冠心病介入治疗中,可增进患者对疾病的自我认知水平,改善出院后遵医行为,降低心脏事件发生率,并提高其生命质量水平,值得借鉴。Objective To explore the effect of Newman system nursing on self-cognition and quality of life of patients with coronary heart disease.Methods Clinical data of 86 patients with coronary heart disease treated by interventional surgery in the hospital from February 2016 to February 2019 were retrospectively analyzed.Grouping according to the time of admission:patients who received routine nursing intervention from February 2016 to July 2017 were set as the control group(43 cases),and those who received Newman system from August 2017 to February 2019 were set as the study group(43 cases).The changes of disease self cognition,quality of life,incidence of cardiac events and compliance behavior were compared between the two groups before and after nursing.Results The disease self cognition scores of the study group and the control group before and after nursing were(4.35±0.36),(4.26±0.14)and(12.64±1.05)and(9.27±1.48),respectively.There was no significant difference in the disease self cognition scores between the two groups before nursing(P>0.05).The disease self cognition scores of the two groups after nursing were higher than those before nursing,and the study group was better than the control group,the differences were statistically significant(t values were 6.344,4.486,3.975,all P<0.05).The quality of life scores of the study group and the control group before and after nursing were(37.99±8.15),(37.85±8.91)and(80.69±4.18),(72.17±5.94),respectively.There was no significant difference in the quality of life scores between the two groups before nursing(P>0.05).The quality of life scores of the two groups after nursing were higher than those before nursing,and the study group was better than the control group,the differences were statistically significant(t values were 9.614,8.157 and 4.168,all P<0.05).The incidence of cardiac events in the study group was 4.65%(3/43),which was lower than 20.93%(9/43)of the control group(χ2=5.108,P<0.05).The excellent and good rate of the study group was 100.00%(43/43),which w

关 键 词：生活质量 纽曼系统护理 冠心病介入术 疾病自我认知 

分 类 号：R473.5[医药卫生—护理学]