老年冠心病合并消化道出血患者的延续护理效果  

The effect of continuous nursing care for elderly patients with coronary heart disease and gastrointestinal bleeding disease

作　　者：金鑫[1] Jin xin(Southeast University Affiliated Hospital,Jiangsu Nanjing 210009,China)

机构地区：[1]东南大学附属中大医院,江苏南京210009

出　　处：《中西医结合心血管病电子杂志》2023年第15期14-16,共3页Cardiovascular Disease Electronic Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的探究老年冠心病合并消化道出血患者应用延续护理的效果。方法选取我院2019年9月至2022年6月收治的冠心病合并消化道出血老年患者50例,以入院顺序均分为观察组及对照组,各25例,对照组采用常规冠心病合并消化道出血护理,观察组采用延续护理,比较两组患者的心理状态和消化道再出血情况。结果随访1个月时,两组消化道出血情况比较,差异无统计学意义(P>0.05);与对照组相比,随访2、3个月时,观察组消化道出血复发率低于对照组,差异有统计学意义(P<0.05);观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)分数低于对照组,差异有统计学意义(P<0.05)。结论冠心病合并消化道出血老年患者应用延续护理,能够减少患者出院后消化道出血复发情况,改善患者负面心理情绪。Objective To explore the application effect of continuous nursing in elderly patients with coronary heart disease and gastrointestinal bleeding disease.Methods 50 elderly patients with coronary heart disease complicated with gastrointestinal bleeding from September 2019 to June 2022 was selected,and were divided into two groups according to the order of admission:observation group(n=25)and control group(n=25).The control group received standard care for coronary heart disease with gastrointestinal bleeding,while the observation group received continuous care.The psychological state and gastrointestinal bleeding outcomes between the two groups were compared.Results At the first month of follow-up,there was no statistically significant difference in gastrointestinal bleeding between the two groups(P>0.05).Compared with the control group,at the second and third months of follow-up,the observation group had a lower incidence of gastrointestinal bleeding(P<0.05),the observation group exhibited elevated Anxiety Self-assessment Scale(SAS),Depression Self-assessment Scale(SDS)scores,with statistical significance(P<0.05).Conclusion The implementation of continuous care for elderly patients with both coronary heart disease and gastrointestinal bleeding demonstrated a reduction in the recurrence of gastrointestinal bleeding post-discharge and an improvement in their negative psychological emotions.

关 键 词：老年 冠心病 消化道出血 延续护理 

分 类 号：R473.5[医药卫生—护理学]