Peplau人际关系理论结合康复护理治疗老年冠心病的临床分析  

Clinical analysis of Peplau’s interpersonal relationship theory combined with rehabilitation nursing in the treatment of elderly patients with coronary heart disease

作　　者：吴海燕[1] 张建薇[1] 邓小岚[1] 孟丽君 房丽丽 Wu Haiyan;Zhang Jianwei;Deng Xiaolan;Meng Lijun;Fang Lili(Department of Geriatrics,Gulou Hospital Affiliated to Medical College of Nanjing University,Nanjing,Jiangsu,210008,P.R.China;Department of Radiotherapy,Cancer Hospital Affiliated to Fudan University,Shanghai,200032,,P.R.China)

机构地区：[1]南京大学医学院附属鼓楼医院老年科,江苏南京210008 [2]复旦大学附属肿瘤医院放疗科,上海200032

出　　处：《老年医学与保健》2021年第1期109-113,共5页Geriatrics & Health Care

基　　金：南京大学医院管理研究所医院管理课题(NDYG2019013)。

摘　　要：目的探究Peplau人际关系理论结合康复护理对老年冠心病患者心脏康复和心理状态的影响,为治疗该病提供临床方法。方法选取2016年6月-2019年7月南京鼓楼医院老年科收治的老年冠心病患者196例,采用随机数字表法将患者分为对照组及观察组,每组各98例。对照组给予常规康复护理,观察组则予以基于Peplau人际关系理论的康复护理。比较2组出院时及出院6个月后心功能[左心室射血分数(LVEF)、左心室舒张末期内径(LVEDD)]、运动耐力[6 min步行试验(6MWT)、峰值摄氧量(VO2peak)]及心理状态[简版老年抑郁量表(GDS-15)、沃里克-爱丁堡积极心理健康量表(WEMWBS)]差异,并记录2组出院6个月不良心血管事件发生情况、遵从医嘱的行为依从性情况。结果出院6个月后,2组的LVEF、6MWT、VO2peak及WEMWBS评分均较同组出院时升高(P<0.05),且观察组高于对照组(P<0.05);LVEDD及GDS-15评分则较同组出院时降低(P<0.05),且观察组低于对照组(P<0.05)。出院6个月内,2组均未发生心源性猝死,2组的不良心血管事件发生情况及入院复查依从性比较,差异无统计学意义(P>0.05);观察组的禁烟、禁酒、合理饮食及运动依从性均高于对照组(P<0.05)。结论基于Peplau人际关系理论的康复护理不仅能提升老年冠心病患者心脏康复效果,还能改善患者心理状态,并对遵从医嘱的行为依从性也有积极意义。Objective To explore the effects of Peplau’s interpersonal relationship theory combined with rehabilitation nursing on cardiac rehabilitation and psychological status of elderly patients with coronary heart disease,and to provide clinical methods for the treatment of the disease.Methods 196 elderly patients with coronary heart disease treated in Department of Geriatrics of Gulou Hospital Affiliated to Medical College of Nanjing University were selected as the research subjects,and divided into control group and observation group according to the random number table method,with 98 cases in each group.The control group was given routine rehabilitation nursing,and observation group was given rehabilitation nursing based on Peplau’s interpersonal relationship theory.The cardiac function[left ventricular ejection fraction(LVEF),left ventricular enddiastolic diameter(LVEDD)],exercise tolerance[6 min walking test(6 MWT),peak oxygen uptake(VO2 peak)]and psychological status[short-form Geriatric Depression Scale(GDS-15),Warwick-Edinburgh Mental Well-Being Scale(WEMWBS)]were compared between the two groups at discharge and 6 months after discharge.The incidence of adverse cardiovascular events and compliance with doctor’s advice within 6 months after discharge in the two groups were recorded.Results Six months after discharge,the LVEF,6 MWT,VO2 peak and WEMWBS scores of the two groups were higher than those of the same group at discharge(P<0.05),and above indexes of the observation group was higher than those of the control group(P<0.05);LVEDD and GDS-15 scores of the two groups were lower than those of the same group at discharge(P<0.05),and above indexes of the observation group was lower than those of the control group(P<0.05).Within 6 months of discharge,there was no sudden cardiac death in the two groups,and there was no statistically significant difference in the incidence of adverse cardiovascular events and compliance of admission reexamination between the two groups(P>0.05).The compliance with no smoking,no

关 键 词：老年 冠心病 康复护理 Peplau人际关系理论 心理 

分 类 号：R473.5[医药卫生—护理学]