医院-社区-家庭联动模式在老年冠心病患者护理中的应用研究  

Application Research of Hospital-Community-Family Linkage Model in Nursing of Elderly Coronary Heart Disease Patients

作　　者：代萍[1] 吴际军 陈白霞 李玉娇 毛丽 DAI Ping;WU Jijun;CHEN Baixia;LI Yujiao;MAO Li(Department of Cardiology,Deyang City People's Hospital,Deyang,Sichuan 618000;Deyang City Southeast Community Health Service Center,Deyang,Sichuan 618000)

机构地区：[1]德阳市人民医院心血管内科,四川德阳618000 [2]德阳市东南社区卫生服务中心,四川德阳618000

出　　处：《智慧健康》2023年第20期265-268,共4页Smart Healthcare

基　　金：成都中医药大学杏林学者项目《基于“医院-社区-家庭”联动模式在高危冠心病患者一级预防中的构建与应用研究》(项目编号:YYZX2021021)。

摘　　要：目的 评估医院-社区-家庭联动模式在老年冠心病患者护理中的应用效果。方法 纳入2022年1—6月收治的60例老年冠心病患者,基于随机数字表法分为研究组和对照组,每组各30例;对照组实施常规护理、出院指导、不定期随访,观察组实施医院-社区-家庭联动护理模式;对比两组患者出院前及出院半年后的自我管理行为能力、生活质量总分及各维度得分。结果 两组患者出院前自我管理行为能力、生活质量总分及各维度得分对比无显著差异(P>0.05);出院半年后自我管理行为能力、生活质量总分及各维度得分对比差异显著,观察组自我管理行为能力评分、生活质量总分及活动受限程度、心绞痛稳定状态、心绞痛发作情况、治疗满意程度、疾病主观感受各维度评分均显著高于对照组(P<0.05)。两组患者出院半年内再入院率对比差异显著,观察组显著低于对照组(P<0.05)。结论 医院-社区-家庭联动模式在老年冠心病患者护理中的应用有助于提高患者自我管理行为能力水平与生活质量水平,完善老年冠心病患者的院外管理,促进分级诊疗的有效落实。Objective To evaluate application effect of hospitalcommunity-family linkage model in nursing of elderly patients with coronary heart disease.Methods The paper chose 60 elderly patients with coronary heart disease admitted from January 2022 to June 2022,and divided them into study group and control group based on random number table method,with 30 cases in each group.Control group was treated with routine nursing,discharge guidance and irregular follow-up,while observation group with hospital community family linkage nursing model.Self-management behavior ability,total scores of life quality and scores of various dimensions were compared between two groups before and six months after discharge.Results There was no significant difference in self-management behavior ability,total scores of life quality and scores of various dimensions between two groups before discharge(P>0.05).After six months of discharge,there was significant difference in self-management behavior ability,total scores of life quality and scores in various dimensions.Observation group had significantly higher scores in self-management behavior ability,total scores of life quality,degree of activity restriction,stable state of angina pectoris,incidence of angina pectoris,treatment satisfaction degree and subjective feelings of illness than control group(P<0.05).There was significant difference in readmission rate between two groups within six months of discharge,that of observation group was significantly lower than control group(P<0.05).Conclusion Hospital-community-family linkage model can improve self-management behavior ability and life quality,external management and promote effective graded diagnosis and treatment in nursing of elderly patients with coronary heart disease.

关 键 词：医院-社区-家庭联动 老年冠心病 临床护理 

分 类 号：R473.5[医药卫生—护理学]