心内科冠心病心绞痛患者护理中精细化护理的应用效果观察  

Observation on the Application Effect of Fine Nursing in the Nursing of Patients with Coronary Heart Disease and Angina Pectoris in the Department of Cardiology

作　　者：张祖华 肖文娟 陈慧 ZHANG Zuhua;XIAO Wenjuan;CHEN Hui(Department of Cardiovascular Medicine,Youxi County Traditional Chinese Medicine Hospital,Sanming,Fujian 365100,China)

机构地区：[1]尤溪县中医医院心血管内科,福建三明365100

出　　处：《中国医药指南》2025年第10期167-169,共3页Guide of China Medicine

摘　　要：目的分析精细化护理模式在心内科冠心病心绞痛患者护理干预中的可行性。方法选取尤溪县中医医院心血管内科收治的120例冠心病心绞痛患者,选取时间为2023年5月至2024年5月,患者经随机数字表法分为两组,观察组60例患者接受精细化护理干预,对照组60例患者则采用常规护理干预,比较两组的睡眠质量,心绞痛症状评分和发作情况,自我效能评估及心理状态。结果护理后,与对照组相比,观察组在躯体活动受限、心绞痛发作情况、心绞痛稳定状态评分均更低(均P<0.05)。护理后,观察组发作频率、持续时间、疼痛评分均低于对照组(均P<0.05)。护理后,观察组睡眠质量总分低于对照组(P<0.05)。护理后,观察组自我保健、情绪控制、遵医用药评分均高于对照组(均P<0.05)。护理后与对照组相比,观察组心理状态评分均更低(均P<0.05)。结论在冠心病心绞痛患者临床护理干预过程中,对患者实施精细化护理干预方法能够改善心绞痛相关症状及不良情绪,促进患者自我效能养成,提高其睡眠质量。Objective To analyze the feasibility of refined nursing intervention in cardiology.Methods A total of 120 patients with coronary heart disease and angina pectoris admitted to the Department of Cardiovascular Medicine,Youxi County Traditional Chinese Medicine Hospital were selected from May 2023 to May 2024.The patients were divided into two groups by the random number table method.Sixty patients in the observation group received refined nursing interventions,while 60 patients in the control group received routine nursing interventions.The sleep quality,angina symptom scores,angina attack conditions,self-efficacy assessments,and psychological states of the two groups were compared.Results After nursing,compared with the control group,the scores of physical activity limitation,angina pectoris attack situation,and angina pectoris stability state in the observation group were all lower(all P<0.05).After the nursing intervention,the observation group exhibited significantly lower attack frequency,duration,and pain scores compared to the control group(all P<0.05).Additionally,following the nursing intervention,the total sleep quality score in the observation group was significantly lower than that in the control group(P<0.05).Additionally,following the nursing intervention,the scores for self-care,emotional control,and compliance with medical treatment in the observation group were significantly higher than those in the control group(all P<0.05).After the nursing intervention,the psychological state scores of the observation group were all lower than those of the control group(all P<0.05).Conclusions In the process of clinical nursing intervention for patients with angina pectoris of coronary heart disease,the implementation of refined nursing intervention methods can improve the symptoms of angina pectoris and bad emotions,promote the development of patients’self-efficacy and improve their sleep quality.

关 键 词：冠心病心绞痛 精细化护理 心理状态 自我效能 

分 类 号：R541.4[医药卫生—心血管疾病] R473.5[医药卫生—内科学]