延续性4C护理联合健康教育在老年冠状动脉粥样硬化患者中的应用研究  

Study on the Application of Continuous 4C Nursing Combined with Health Education in Elderly Patients with Coronary Atherosclerosis

作　　者：王金凤 陈诗仪 Wang Jinfeng;Chen Shiyi(Department of Cardiology,The First Affiliated Hospital of Henan University of Science and Technology,Luoyang,Henan,471022,China)

机构地区：[1]河南科技大学第一附属医院心内科,河南洛阳471022

出　　处：《黑龙江医学》2025年第6期750-753,共4页Heilongjiang Medical Journal

摘　　要：目的:探究延续性4C护理联合健康教育在老年冠状动脉粥样硬化患者中的应用效果。方法:选取2020年7月—2022年7月河南科技大学第一附属医院收治的96例老年冠状动脉粥样硬化患者作为研究对象,采用随机数表法将其分为研究组和对照组,每组各48例。对照组48例患者予以常规临床干预,研究组48例患者予以延续性4C护理联合健康教育干预。评价两组干预前后的认知水平、健康行为、治疗依从性、生活质量和满意度。结果:干预后,两组患者疾病、治疗及自护知识评分均升高,研究组的评分高与对照组,差异均有统计学意义(t=6.910、11.214、11.764,P<0.05);干预后,两组患者HPLP-Ⅱ量表各维度评分均升高,研究组的评分高于对照组,差异均有统计学意义(t=5.979、10.438、5.594、9.416、5.858、3.794,P<0.05);研究组的治疗依从性显著高于对照组,差异有统计学意义(χ^(2)=5.790,P<0.05);干预后,两组患者SF-36量表各维度评分均升高,研究组的评分高于对照组,差异均有统计学意义(t=7.454、9.381、4.857、6.839、6.042、5.232、7.498、6.920,P<0.05);研究组干预满意度高于对照组,差异有统计学意义(χ^(2)=7.500,P<0.05)。结论:将延续性4C护理联合健康教育应用于老年冠状动脉粥样硬化患者效果明显,可有效提升患者的认知水平,改善其健康行为及应对方式,提高其生活质量及满意度。Objective:To explore the effect of continuous 4C nursing combined with health education in elderly patients with coronary atherosclerosis.Methods:96 elderly patients with coronary atherosclerosis admitted to the hospital from July 2020 to July 2022 were randomly divided into two groups 48 cases in control group were given routine clinical intervention,and 48 cases in study group were given continuous 4C nursing combined with health education intervention.Cognitive level,health behavior,treatment compliance,quality of life and satisfaction before and after intervention were evaluated.Results:After the intervention,the scores of disease,treatment and self-care knowledge of both groups were increased,and the scores of the study group were higher than those of the control group,with statistically significant difference(t=6.910,11.214,11.764;P<0.05).After the intervention,the scores of HPLP-Ⅱscale in both groups were increased,and the scores in the study group were higher than those in the control group,with statistically significant difference(t=5.979,10.438,5.594,9.416,5.858,3.794;P<0.05).The treatment compliance of the study group was significantly higher than that of the control group,the difference was statistically significant(χ^(2)=5.790,P<0.05).After the intervention,the scores of SF-36 scale in both groups were increased,and the scores in the study group were higher than those in the control group,with statistical significant difference(t=7.454,9.381,4.857,6.839,6.042,5.232,7.498,6.920;P<0.05).The intervention satisfaction of the study group was higher than that of the control group,and the difference was statistically significant(χ^(2)=7.500,P<0.05).Conclusion:Continuous 4C nursing combined with health education has obvious effect on elderly patients with coronary atherosclerosis,which can effectively improve the cognitive level of patients,their health behavior and coping style,and their quality of life and satisfaction.

关 键 词：老年冠状动脉粥样硬化 健康教育 延续性4C护理 认知水平 健康行为 应对方式 生活质量 

分 类 号：R47[医药卫生—护理学]