摘要
目的:观察一体化护理模式对老年冠状动脉粥样硬化性心脏病合并心力衰竭患者遵医行为的影响,为提升此类患者临床护理效果提供参考。方法:选择2015年3~8月在我院接受治疗的80例老年冠状动脉粥样硬化性心脏病合并心力衰竭患者,将其随机等分为试验组与对照组。对照组采用常规护理,试验组采用一体化护理模式护理。入组3个月后采用一般自我效能感量表(GSES)对两组患者自我效能进行评价并比较;采用本院自制遵医行为调查问卷对患者入组3个月后的遵医行为进行评定并比较;比较两组患者入组3个月后心肌缺血控制、心功能分级变化情况并比较。结果:两组患者入组3个月后,试验组患者自我效能评分、治疗依从性、心肌缺血有效控制情况明显高于对照组(P<0.05),试验组患者心功能分级情况优于对照组,差异均有统计学意义(P<0.05)。结论:一体化护理模式可有效提升患者的自我效能水平及治疗依从性,有效改善患者心功能,具有较高的临床价值。
Objective： To observe effect of comprehensive nursing model on behaviors of following doctors＇ instructions of patients with both senile coronary atherosclerotic heart disease and heart failure, providing references to promote clinical nursing effects on these patients. Methods ： A total of 80 patients with both senile coronary atherosclerotic heart disease and heart failure were treated in our hospital from March to August 2015. They were selected and then were randomly divided into experimental group and control group. Routine nursing was adopted in the control group. Comprehensive nursing model was intro- duced in the experimental group. After 3 months of grouping, the General Self - Efficiency Scale （GSES） was adopted in the two groups of patients for ap- praisal and comparison. After 3 months of grouping, the questionnaire made by our hospital for behaviors of following the doctor＇ s instructions was also a- dopted for appraisal and comparison. The control of myocardial ischemia and the change of cardiac functional grading were compared after 3 months of grouping. Results： After 3 months of grouping, the score of self - efficiency, the treatment compliance and the effective control of myocardial ischemia of the experimental group were much higher than those of the control group （ P 〈 0.05 ）. The cardiac functional grading of the experimental group was better than that of the control group. Their differences were both of statistical significance （ P 〈 0.05 ）. Conclusion ： The comprehensive nursing model was of higher clinical value, because it can effectively promote patients self - efficiency and treatment compliance as well as their cardiac function.
作者
吴丽莹
WU Li -ying(People＇ s Hospital of Enping City, Enping 52940)
出处
《护理实践与研究》
2017年第1期13-15,共3页
Nursing Practice and Research
关键词
冠心病
心力衰竭
遵医行为
一体化护理模式
Coronary heart disease
Heart failure
Behaviors of following doctor＇s instructions
Integrated nursing model
