摘要
目的探讨慢性病轨迹框架的护理方案对老年心肌梗死患者临床症状及生活质量的影响。方法选取医院2020年1月—2021年12月收治的200例老年心肌梗死患者为研究对象,按基本资料具有可比性的原则分为观察组和对照组,各100例。对照组实施常规护理干预,观察组实施基于慢性病发展转归框架下护理方案的干预措施。比较两组患者干预前和干预6个月时焦虑与抑郁量表(HADS)评分、躯体症状与体征评分、一般自我效能量表和心血管患者生活质量评定问卷评分。结果观察组干预6个月后的HADS-t、HADS-a和HADS-d评分以及心绞痛、呼吸困难、心悸、疲乏无力等症状评分都低于对照组,差异有统计学意义(P<0.05),干预6个月后的自我效能评分与生活质量评分均高于对照组,差异有统计学意义(P<0.05)。结论基于慢性病轨迹框架护理方案的干预措施能改善老年心肌梗死患者的临床症状,提高其生活质量与自我效能。
Objective To explore the effect of chronic disease on clinical symptoms and quality of life in elderly patients with myocardial infarction.Methods 200 elderly myocardial infarction patients admitted to the hospital from January 2020 to December 2021 were selected as the study objects and divided into observation group and control group according to the principle of comparable basic data,with 100 cases each.The control group implemented the usual care intervention,and the observation group implemented the intervention based on the nursing program under the framework of chronic disease development.Hospital Anxiety and Depression 1994 Nursing Practice and Scale(HADS)scores,somatic symptoms and signs scores,general self-efficacy scales,and cardiovascular patient quality of life rating questionnaires were compared before and at 6 months of intervention.Results HADS-t,HADS-a and HADS-d scores,angina,dyspnea,palpitations,fatigue and other symptoms in the observation group were statistically significant(P<0.05),and self-efficacy scores and quality of life scores were higher than those of the control group(P<0.05).Conclusion Interventions based on chronic disease trajectory can improve clinical symptoms and improve the quality of life and self-efficacy.
作者
邓雪琼
DENG Xueqiong(East Divisionl of the First Affiliated Hospital of Sun Yat-sen University,Guangzhou,510700,China)
出处
《护理实践与研究》
2023年第13期1993-1997,共5页
Nursing Practice and Research
关键词
老年
心肌梗死
慢性病发展
临床症状
生活质量
Elderly
Myocardial infarction
Development of chronic disease
Clinical symptoms
Quality of life
