授权认知理论多学科护理团队干预在老年高血压合并冠心病患者中的应用  

Intervention effect of multidisciplinary nursing team on elderly patients with hypertension and coronary heart disease based on empowerment cognition theory

作　　者：陈利文 华文英 严多 黄欢[1] CHEN Liwen;HUA Wenying;YAN Duo;HUANG Huan(Department of General Practice,First People′s Hospital of Fuzhou,Fuzhou 344000,China)

机构地区：[1]江西省抚州市第一人民医院全科,抚州344000

出　　处：《当代护士（上旬刊）》2024年第2期42-46,共5页Modern Nurse

摘　　要：目的探讨授权认知理论多学科护理团队干预在老年高血压合并冠心病患者中的应用效果。方法采取便利抽样方法,选取本院2019年1月-2022年1月收治的116例老年高血压合并冠心病患者作为研究对象,根据随机数字表法将其分为对照组和观察组,每组各58例;对照组给予常规护理干预,观察组在对照组的基础上实施授权认知理论多学科护理团队干预;比较两组患者的血压水平、心功能指标、运动耐力及心血管不良事件发生率。结果两组患者入院时的左室射血分数(left ventricular ejection fraction,LVEF)、左心室舒张末期内径(left ventricular end-diastolic diameter,LVEDD)、左心室收缩末期内径(left ventricular end-systolic diameter,LVESD)指标比较,差异无统计学意义(P>0.05);两组患者干预12周复诊时,LVEF高于入院时,LVEDD、LVESD低于入院时(P<0.05);且观察组LVEDD、LVESD低于对照组,LVEF高于对照组(P<0.05)。两组患者干预12周复诊时,呼吸频率低于入院时,耗氧量、6 min步行试验得分高于入院时(P<0.05),且观察组患者呼吸频率低于对照组,耗氧量、6 min步行试验得分高于对照组(P<0.05)。观察组患者心源性休克、心力衰竭、心肌梗死等心血管不良事件总发生率为5.17%,低于对照组的20.70%(P<0.05)。结论针对老年高血压合并冠心病患者实施授权认知理论多学科护理团队干预,有利于患者血压的平稳控制,改善其心功能,提高患者的运动耐力,降低心血管不良事件发生率。Objective To investigate the effect of authorized cognitive theory multidisciplinary nursing team intervention in elderly patients with hypertension combined with coronary heart disease.Methods A total of 116 elderly patients with hypertension combined with coronary heart disease admitted to our hospital from January 2019 to January 2022 were selected as research objects by convenient sampling method.They were divided into control group and observation group according to random number table method,with 58 cases in each group.The control group was given routine nursing intervention.On the basis of the control group,the observation group implemented the authorized cognitive theory multidisciplinary nursing team intervention;Blood pressure level,cardiac function index,exercise endurance and incidence of cardiovascular adverse events were compared between the two groups.Results There was no statistically significant difference in LVEF,LVEDD,and LVESD between the two groups at admission(P>0.05);LVEF was higher at 12 weeks of follow-up in two intervention groups than at admission,while LVESD and LVEDD were lower at admission(P<0.05);And the LVEDD and LVESD in the observation group were lower than those in the control group,while LVEF was higher than that in the control group(P<0.05).After 12 weeks of intervention,the respiratory rate of patients in the two groups was lower than that at admission,and the oxygen consumption and 6 min walking test were higher than that at admission(P<0.05),and the respiratory rate of patients in the observation group was lower than that of the control group,and the oxygen consumption and 6 min walking test were higher than that of the control group(P<0.05).The total incidence of cardiovascular adverse events such as cardiogenic shock,heart failure and myocardial infarction in the observation group was 5.17%,which was lower than that in the control group 20.70%(P<0.05).Conclusion The implementation of authorized cognitive theory multidisciplinary nursing team intervention for elderly patie

关 键 词：老年高血压合并冠心病 授权认知理论 多学科护理团队 

分 类 号：R473.5[医药卫生—护理学]