护理干预对冠心病患者生活质量的影响

论文编号:HL197  论文字数:15058.页数:24

论文题目：护理干预对冠心病患者生活质量的影响
摘　要
 目的：冠心病的形成和发展与患者的心理行为因素和不良生活方式密切相关，本研究旨在探讨整体护理干预对老年冠心病患者生活质量的影响程度，以期减少和消除诱发冠心病的危险因素，进而减少发病次数，提高患者的生活质量。
 方法：本研究采用随机抽样的方法，选取莱西市人民医院2009年9月～2010年9月老年冠心病入院患者为研究对象，将163例患者按单号与双号分成两组，两组的人数分别为护理干预组（实验组）82例，对照组81例。对照组的患者住院期间未进行整体护理干预，仅进行一般冠心病防治常识宣讲。护理干预组的患者在此基础上进行整体护理干预，干预内容及方式是进行冠心病防治常识教育、膳食指导、康复运动训练、戒烟酒干预、心理疏导等；出院后通过来院复诊和电话联系随访对患者近况进行经常性的训练与指导。入院初期及院后三个月对两组患者的生活质量等进行测评。
 结果：两组患者在入院时生活质量评定总分分别为34.9±9. 2和35.2±9. 4，组间比较无统计学差异（P>0.05）；出院时对疾病认识程度组间差异极显著（P< 0. 01），心绞痛发作情况、治疗满意程度组间差异显著( P < 0. 05)；出院三个月后实验组对冠心病的认识程度与对照组相比差异十分明显（P< 0. 01），活动受限程度、心绞痛稳定状态、心绞痛发作情况、治疗满意程度等组间比较差异显著( P < 0. 05)。
 结论：整体护理干预能有效提高老年冠心病患者的认知水平、增强患者抑制冠心病危险因素的主动性，减少冠心病复发率，对老年冠心病患者实施整体护理干预是提高其生活质量，控制疾病恶化的重要措施。
 
 关 键 词：冠心病；  护理干预；  老年人；生活质量
 论文类型：应用研究
 
 Title: Nursing intervention on the quality of life of patients with coronary artery disease effects
ABSTRACT
 Objectives: The formation and development of coronary heart disease patients with mental behavioral factors and closely related, the lifestyle of this study is to investigate the holistic nursing intervention on the quality of life of elderly patients with coronary artery disease influence, in order to reduce and eliminate the risk factors for coronary heart disease (CHD) induced and reduce the number of, improve the quality of life of the patients.    
 Methods: This study by random sampling method, the selection of vegetable in people''''s hospital in September 2009 to 2010 elderly patients with coronary heart disease (CHD) September as research object, the hospital will 163 patients according to the list number and the double number into two groups, the number of both groups respectively for nursing intervention group (group) 82 cases and control 81 cases. The control group hospitalization of patients without holistic nursing intervention, and just generally coronary heart disease prevention knowledge he gets. Nursing intervention group of patients on that basis holistic nursing intervention, intervention content and mode for coronary heart disease prevention education is common, dietary guidance, rehabilitation exercise training, quitting smoking wine intervention, psychological counseling, etc.; After discharge to court appointment and by telephone to patients were aconitum regular training and guidance. After initial and hospital admission for three months for both groups such as the quality of life of patients with evaluation.
    Results: Two groups of patients in hospital admission for total life quality evaluation respectively 34.9 + 9. 2 and 4, 35.2 + 9. Between groups was not statistically significant (P compared > 0.05); Discharge of disease when knowledge between-group differences is very significant (P < 0.01), heart attacks, treatment between groups satisfaction with significant difference (P < 0. 05); Three months after discharge of knowledge of the coronary artery disease compared with control difference obviously (P < 0.01), restricted movement degree, angina pectoris stable state, heart attacks, treatment satisfaction comparison between groups significant difference (P < 0. 05).
 Conclusion: Holistic nursing intervention can effectively enhance the elderly patients with coronary artery disease, enhance the cognitive level patients with coronary heart disease risk factors suppression, reduce the recurrence rate, coronary heart disease initiative in elderly patients with coronary artery disease is to improve the overall nursing intervention implementation of the quality of life, the important measures to control disease progression.

KEY WORDS: Coronary heart disease (CHD), Nursing intervention, Old people, The quality of life
TYPE OF THESIS: Application research

目  录
1 绪论 1
1.1 背景及意义 1
1.2研究目的及目标 2
1.3关键词及定义 3
1.4文献回顾 3
2 研究方法…………………………………………………………………………………8
2.1 研究设计 8
2.2研究对象 8
2.3研究工具/方法 8
2.4研究步骤 10
2.5资料分析 10
3 研究结果…………………………………………………………………………………11
3.1 一般资料 11
3.2两组患者在入院时生活质量评分比较 11
3.3患者出院及出院3M后生活质量评分比较 12
4 讨论………………………………………………………………………………………13
4.1护理干预应高度关注运动疗法 13
4.2戒烟和合理饮食是护理干预的重点内容 14
5推论及建议………………………………………………………………………………15
5.1 推论 15
5.2 建议 15
致    谢 16
参考文献 17
附    录 19