责任制护理管理模式对冠心病患者生活质量的影响  

Effect of Implementation of Responsible Nursing Management Model on Quality of Life in Patients with Coronary Heart Disease

作　　者：张瑜 ZHANG Yu(Central Hospital of Huludao City,Huludao 125000,China)

机构地区：[1]葫芦岛市中心医院,辽宁葫芦岛125000

出　　处：《中国医药指南》2021年第7期236-237,共2页Guide of China Medicine

摘　　要：目的探讨责任制护理管理模式对冠心病患者生活质量的影响。方法选择2017年6月至2018年8月医院收治的100例冠心病患者作为研究对象,根据其入院先后顺序进行分组,每组50例,观察组实施责任制护理管理模式,对照组实施常规管理模式,比较两组患者的心理状态[汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)]、生活质量[生活质量综合评定问卷(GQOLI-74)量表]、各项临床症状改善情况。结果观察组患者的HAMD评分、HAMA评分、日常生活评分、躯体健康评分、心理健康评分、社会活动评分、心绞痛发作频率、疼痛评分、心绞痛持续时间均优于对照组(P<0.05)。结论冠心病患者实施责任制护理管理模式的效果显著,能够提升其生活质量,改善负面情绪和冠心病临床症状。Objective To explore the impact of responsible nursing management model on the quality of life of patients with coronary heart disease.Methods A total of 100 patients with coronary heart disease admitted to the hospital from June 2017 to August 2018 were selected as the research objects.They were divided into groups according to the order of admission,50 cases in each group.The observation group implemented a responsible care management model,and the control group implemented routine management model.Compare the psychological status of the two groups of patients[Hamilton depression scale(HAMD)and Hamilton anxiety scale(HAMA)],quality of life[generic quality of life inventory-74(GQOLI-74)],and the improvement of various clinical symptoms.Results The HAMD score,HAMA score,daily life score,physical health score,mental health score,social activity score,frequency of angina pectoris,pain score,and duration of angina pectoris in the observation group were better than those in the control group(P<0.05).Conclusion The effect of implementing a responsible care management model for patients with coronary heart disease is significant,which can improve their quality of life,improve negative emotions and clinical symptoms of coronary heart disease.

关 键 词：冠心病 责任制护理管理模式 生活质量 临床症状 心理状态 

分 类 号：R473.5[医药卫生—护理学] R541.4[医药卫生—临床医学]