改进护理干预对老年冠心病患者焦虑抑郁心理及生活质量的影响研究  

Effect of Improved Nursing Intervention on Anxiety and Depression and Quality of Life in Elderly Patients with Coronary Heart Disease

作　　者：黄晓君 王冉[1] 黄龙珍 HUANG Xiaojun;WANG Ran;HUANG Longzhen(Department of Cardiovascular Medicine,the Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian Province,350004 China)

机构地区：[1]福建中医药大学附属人民医院心血管内科,福建福州350004

出　　处：《中外医疗》2021年第25期147-150,共4页China & Foreign Medical Treatment

摘　　要：目的探讨对老年冠心病患者实施改进护理对其焦虑抑郁心理及生活质量的影响。方法研究对象为随机选取2018年1月—2020年1月收治的90例老年冠心病患者,对其进行随机分组,对照组(n=45)以常规护理进行干预,观察组(n=45)以改进护理进行干预,统计分析干预前后SAS评分、SDS评分、生活质量评分及护理满意度。结果干预后,观察组SAS评分为(35.28±3.36)分、SDS评分为(32.17±3.14)分低于对照组,差异有统计学意义(t=3.137、3.634,P<0.05);观察组心理功能为(89.41±7.92)分、躯体功能为(91.77±4.63)分、社会功能为(93.34±5.96)分、生理功能为(95.48±4.91)分、角色功能为(86.73±4.20)分高于对照组,差异有统计学意义(t=3.591、3.553、2.454、5.431、3.139,P<0.05);观察组护理满意度为97.78%,高于对照组,差异有统计学意义(χ^(2)=4.444,P<0.05)。结论对老年冠心病患者实施改进护理,效果较好,可提高患者满意度,改善其焦虑及抑郁等不良情绪,同时还可提高其生活质量,改善预后效果。Objective To explore the effect of anxiety nursing on elderly patients with coronary heart disease.Methods Random selected the subjects were 90 elderly patients with coronary heart disease from January 2018 to January 2020,who were randomly divided into control group(n=45)with routine nursing intervention,observation group(n=45)with improved nursing intervention,statistical analysis of SAS score,SDS score,quality of life score and nursing satisfaction before and after intervention.Results After intervention,SAS score(35.28±3.36)points and SDS score(32.17±3.14)points in the observation group were lower than those in the control group,the differences were statistically significant(t=3.137,3.634,P<0.05).The psychological function,physical function,social function,physiological function and role function of the observation group were(89.41±7.92)points,(91.77±4.63)points,(93.34±5.96)points,(95.48±4.91)points,(86.73±4.20)points higher than the control group,the differences were statistically significant(t=3.591,3.553,2.454,5.431,3.139,P<0.05),the nursing satisfaction of observation group was 97.78%,higher than the control group,the difference was statistically significant(χ^(2)=4.444,P<0.05).Conclusion Improved care for elderly patients with coronary heart disease has a better effect,which can increase patient satisfaction,improve their anxiety and depression and other bad moods,and at the same time improve the quality of life and improve the prognosis.

关 键 词：老年冠心病 改进护理 焦虑 抑郁 生活质量 

分 类 号：R47[医药卫生—护理学]