冠心病患者风险评估策略下的预见性干预效果  

Predictive intervention effects under risk assessment strategies for coronary heart disease patients

作　　者：刘轩梓 窦帅 张明明 Liu Xuanzi;Dou Shuai;Zhang Mingming(Department of Cardiovascular Medicine,Tangdu Hospital,Second Affiliated Hospital of Air Force Medical University,Xi′an 710038,China;Supply and Disinfection Center of Tangdu Hospital,Second Affiliated Hospital of Air Force Medical University,Xi′an 710038,China)

机构地区：[1]中国人民解放军空军军医大学第二附属医院唐都医院心血管内科,西安710038 [2]中国人民解放军空军军医大学第二附属医院唐都医院供应消毒中心,西安710038

出　　处：《中国实用护理杂志》2024年第35期2730-2736,共7页Chinese Journal of Practical Nursing

基　　金：国家自然科学基金(82270366)。

摘　　要：目的探讨冠心病患者风险评估策略下的预见性干预方法的应用效果,为临床选取高效的干预对策提供依据。方法采用为随机对照研究,便利抽样法选取2021年6月至2023年6月在中国人民解放军空军军医大学第二附属医院唐都医院住院治疗的冠心病患者118例,按照随机数字表法分为对照组和观察组,各59例。对照组给予常规护理干预,观察组在常规护理基础上给予风险评估策略下的预见性干预。2组均持续干预至患者出院并随访至术后2个月。比较2组干预前、术后2个月的自我护理能力、疾病感知情况及生命质量。结果对照组男37例,女22例,年龄(58.87±10.65)岁,观察组男35例,女24例,年龄(59.02±10.72)岁;干预前2组各项观察指标比较差异均无统计学意义(均P>0.05);术后2个月,观察组疾病感知问卷(IPQ-R)总分为(103.12±13.54)分,低于对照组的(124.24±12.08)分;观察组自我护理能力测定量表(ESCA)总分及自我护理技能、自我概念、自护责任感、健康知识水平4个维度评分分别为(139.21±10.60)、(40.54±2.43)、(29.76±0.65)、(21.15±0.87)、(47.76±6.65)分,生命质量综合评定问卷(GQOLI-74)总分及4个维度心理功能、社会功能、物质生活状态、社会功能评分分别为(241.82±30.56)、(61.65±7.65)、(57.65±6.72)、(55.65±7.54)、(66.87±8.65)分,高于对照组的(114.50±11.91)、(30.76±5.65)、(25.76±0.59)、(19.32±0.65)、(38.65±5.02)分和(215.58±28.38)、(51.63±6.58)、(51.65±6.83)、(52.54±7.43)、(59.76±7.54)分,差异均有统计学意义(t值为2.26~35.00,均P<0.05)。结论风险评估策略下的预见性干预可有效提高冠心病患者疾病感知水平及自我护理能力,进而可提高患者生命质量。Objective To explore the application value of predictive intervention methods under risk assessment strategies in patients with coronary heart disease(CHD),and to provide a theoretical basis for selecting efficient intervention strategies.Methods This study was a randomized controlled study.Convenience sampling was used to select 118 patients with CHD who were hospitalized at Tangdu Hospital of the Second Affiliated Hospital of Air Force Medical University from June 2021 to June 2023,and divided into the control group and the observation group by random number table method,with 59 cases in each group.The grouping method used was a random number table.The control group received routine nursing interventions,while the observation group received predictive intervention under the risk assessment strategy on the basis of routine nursing.Both groups continued to intervene until the patients were discharged and followed up for 2 months after surgery.Self-care ability,disease perception,and quality of life before intervention and 2 months after surgery of two groups were compared.Results There were 37 males and 22 females,aged(58.87±10.65)years in the control group,and 35 males and 24 females,aged(59.02±10.72)years in the observation group.Before intervention,there was no significant difference in each observation index between the two groups(P>0.05).2 months after surgery,the total score of disease Perception Questionnaire(IPQ-R)in the observation group was(103.12±13.54)respectively,lower than(124.24±12.08)points in the control group;the total score of the Self Care Ability Assessment Scale(ESCA),and the scores of self-care skills,self-concept,self-care responsibility,and health knowledge level in four dimensions of the observation group were(139.21±10.60),(40.54±2.43),(29.76±0.65),(21.15±0.87),and(47.76±6.65),respectively.The total score of the Comprehensive Quality of Life Assessment Questionnaire(GQOLI-74)and the scores of psychological function,social function,material life status,and social function in fou

关 键 词：冠心病 风险评估 生命质量 

分 类 号：R473.5[医药卫生—护理学]