摘要
目的探讨综合护理在高龄急性发作期房颤患者中的应用效果。方法选取2015年5月~2017年5月我院接诊的70例高龄急性发作期房颤患者进行研究。根据患者护理方法不同分为观察组(n=40)和对照组(n=30)。观察组患者采用综合护理措施。对照组应用常规护理。比较两组的护理效果、护理前后焦虑、抑郁自评量表评分、房颤知识掌握情况及满意度。结果观察组患者护理总有效率为87.50%,对照组患者护理总有效率为66.67%,组间比较差异有统计学意义(P<0.05)。两组患者护理后焦虑、抑郁自评量表评分均低于护理前,差异有统计学意义(P<0.05)。观察组患者护理后焦虑、抑郁自评量表评分[(42.48±4.15)分、(39.26±4.16)分]均低于对照组评分[(49.47±5.37)分、(45.25±4.46)分],组间比较差异有统计学意义(P<0.05)。观察组患者对致病机制、药物治疗方法及饮食注意事项的掌握率分别为67.50%、75.00%、87.50%,显著高于对照组患者掌握率16.67%、33.33%、26.67%,组间比较差异有统计学意义(P<0.05)。观察组患者满意度为95.00%,显著高于对照组患者满意度43.33%,组间比较差异有统计学意义(P<0.05)。结论高龄急性发作期房颤患者采用综合护理取得了显著的效果,能够有效地减轻患者焦虑、抑郁的情绪,并有效提高患者对房颤知识的掌握率,值得临床推广使用。
Objective To explore the effect of comprehensive nursing care in elderly patients with acute exacerbation of atrial fibrillation. Methods From May 2015 to May 2017, 70 elderly patients with acute attack and atrial fibrillation in our hospital were investigated. According to different nursing methods, the patients were divided into observation group （n=40） and control group（n=30）. Patients in observation group were treated with comprehensive nursing measures. The control group received routine nursing care. The anxiety, nursing effect, score of self rating depression scale, knowledge of atrial fibrillation and satisfaction were compared between the two groups before and after nursing care. Results The total effective rate of observation group and control group were 87.50% ,66.67% respectively. The difference between two groups was statistically significant（P〈0.05）. The scores of anxiety and depression self-rating scale were lower than that of nursing before nursing, and the difference was statistically significant（P〈0.05）. The team after nursing patients with alixiety, depression self rating scale scores were（42.48±4.15）, （39.26±4.16） points score,lower than the control group （49.47±5.37）,（45.25±4.46） points, the difference was statistical significant between two groups （P〈0.05）. In study group, the control rate was 67.50%, 75.00%, 87.50%, respectively, and the control rate was 16.67%, 33.33% and 26.67% in respectively. The difference between two groups was statistically significant（P〈0.05）. The patient satisfaction of the study group was 95.00%, significantly higher than that in the control group with 47.33%, and the difference between two groups was statistically significant （P〈0.05）. Conclusion Elderly acute stage in patients with atrial fibrillation in an integrated care has obtained the remarkable effect, can effectively relieve patients with anxiety, depression, mood, and effectively improve the control rate of atrial vfibrillation in patients with knowledge, worth clinical promotion use.
出处
《中国现代医生》
2017年第27期159-162,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2017KY164)
关键词
高龄
房颤
急性发作
综合护理
Old age
Atrial fibrillation
Acute onset
Comprehensive nursing
