老年综合评估护理干预对冠心病衰弱患者的效果观察  

Observation on the effect of comprehensive geriatric assessment nursing intervention on frail patients with coronary heart disease

作　　者：李娟[1] 汪美林 林瑞桢 章雯[1] 朱美 LI Juan;WANG Meilin;LIN Ruizhen;ZHANG Wen;ZHU Mei(The Second Affiliated Hospital of Anhui Medical University,Hefei,230000,China)

机构地区：[1]安徽医科大学第二附属医院,安徽省合肥市230000

出　　处：《护理实践与研究》2023年第24期3713-3717,共5页Nursing Practice and Research

基　　金：2021年安徽医科大学校科研基金(编号:2021xkj296)。

摘　　要：目的 通过老年综合评估(comprehensive geriatric assessment,CGA)的护理干预对老年冠心病衰弱患者实施个性化的护理措施,观察其疗效。方法 选取某三级甲等医院2021年10月—2022年3月200例老年冠心病合并衰弱患者为研究对象,按照组间基线资料匹配的原则将其分为对照组和观察组,各100例。对照组进行常规的基础护理,观察组采用基于CGA的护理干预,比较两组患者护理干预前和出院后衰弱评分、基本日常生活活动能力(Barthel指数量表)、疲乏及生活质量改善情况。结果 干预后,观察组患者衰弱评分低于对照组,Barthel评分高于对照组,差异具有统计学意义(P<0.05)。干预后,观察组患者疲乏评分低于对照组,生活质量评分高于对照组,差异具有统计学意义(P<0.05)。结论CGA可以有效提高冠心病合并衰弱患者自我管理行为,减轻患者衰弱和疲乏状态,提高患者预后及生活质量。Objective To implement personalized nursing measures for elderly patients with frailty coronary heart disease through comprehensive geriatric assessment(CGA) nursing intervention,and observe its efficacy.Methods A total of 200 elderly patients with coronary heart disease combined with frailty from October 2021 to March 2022 in a tertiary hospital were selected as the research subjects.They were divided into a control group and an observation group according to the principle of matching baseline data between groups,with 100 cases in each group.The control group received routine basic care,and the observation group received CGA-based nursing intervention.The frailty scores,basic daily living activities(Barthel index scale),fatigue,and improvement in quality of life were compared between the two groups before the nursing intervention and after discharge.Results After intervention,the frailty score in the observation group was lower than that in the control group,the Barthel score was higher than that in the control group,and the differences were statistically significant(P<0.05).After intervention,the fatigue score in the observation group was lower than that in the control group,the quality of life score was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of CGA can effectively improve the self-management behavior of patients with coronary heart disease and frailty,reduce patients' frailty and fatigue,and improve patient prognosis and quality of life.

关 键 词：老年综合评估 冠心病 衰弱 护理干预 预后 

分 类 号：R473.54[医药卫生—护理学]