摘要
目的研究老年综合评估(CGA)在冠心病患者合并衰弱状态护理中的应用效果。方法选择安徽省亳州市人民医院老年科2021年3月至2022年8月接受治疗的76例老年冠心病合并衰弱状态患者,按照随机数字表法,将其分为常规组(常规护理)与观察组(CGA+常规护理),各38例。比较两组干预前后运动功能、睡眠质量、自我护理能力评分。结果干预后,两组上、下肢及Fugl-Meyer运动功能评定量表总分高于干预前,且观察组高于常规组(P<0.05)。干预后,两组匹兹堡睡眠质量指数量表评分低于干预前,且观察组低于常规组(P<0.05)。干预后,两组健康知识、自我责任感、自我概念、自我护理技能评分高于干预前,且观察组高于常规组(P<0.05)。结论老年冠心病伴衰弱状态患者行CGA干预,效果显著,有助于患者身体健康。
Objective To study the application effect of comprehensive geriatric assessment(CGA)in nursing care of patients with coronary heart disease combined with debilitated state.Methods A total of 76 elderly patients with coronary heart disease combined with debilitated state who received treatment at Department of Geriatrics,Bozhou People’s Hospital of Anhui Province from March 2021 to August 2022 were selected.They were divided into conventional group(routine care)and observation group(CGA+routine care)according to random number table method,with 38 cases in each group.The scores of motor function,sleep quality,and self-care ability between two groups before and after intervention were compared.Results After intervention,the scores of the upper,lower limbs,and total score of Fugl-Meyer motor function assessment scale of two groups were higher than those before intervention,and those of observation group were higher than those of conventional group(P<0.05).After intervention,the scores of Pittsburgh sleep quality index scale of two groups were lower than those before intervention,and those of observation group were lower than those of conventional group(P<0.05).After intervention,the scores of health knowledge,self-responsibility,self-concept,and self-care skills of two groups were higher than those before intervention,and those of observation group were lower than those of conventional group(P<0.05).Conclusion The effect of CGA intervention in elderly patients with coronary heart disease and debilitating is remarkable,which is helpful to the health of patients.
作者
邓坤
程亚艳
袁云霞
DENG Kun;CHENG Yayan;YUAN Yunxia(Department of Geriatrics,Bozhou Municipal People’s Hospital,Anhui Province,Bozhou 236800,China)
出处
《中国医药导报》
CAS
2024年第11期164-167,共4页
China Medical Herald
基金
安徽省护理学会科研基金项目(AHHLb 202120)。
关键词
冠心病
衰弱
老年综合评估
日常生活能力
认知功能
Coronary heart disease
Debility
Comprehensive geriatric assessment
Daily living ability
Cognitive function
