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医疗联合体背景下精细化护理对社区老年冠心病患者的应用效果。

Application Effect of Meticulous Nursing on Community Elderly Patients with Coronary Heart Disease under the Background of Medical Treatment Partnerships.

机构信息

Lvjing Community Health Service Center, Central Hospital Affiliated to Shandong First Medical University, Jinan Central Hospital Affiliated to Shandong University, Jinan 250013, Shandong Province, China.

Health Care and Rehabilitation Ward, Jinan Municipal Hospital of Traditional Chinese Medicine, Jinan 250012, Shandong, China.

出版信息

J Healthc Eng. 2021 Dec 11;2021:3511985. doi: 10.1155/2021/3511985. eCollection 2021.

Abstract

OBJECTIVE

To explore the application effect of meticulous nursing on community elderly patients with coronary heart disease (CHD) under the background of medical treatment partnerships.

METHODS

A total of 96 elderly CHD patients treated in the community from July 2019 to July 2020 were selected as the research objects and divided into the experimental group ( = 48) and control group ( = 48) by the medical personnel according to their admission order. Clinical routine nursing was performed to the patients in the control group, and meticulous nursing under the background of medical treatment partnerships was conducted to the patients in the experimental group, so as to evaluate their quality of life (QOL) and self-care agency after intervention by the Chinese Questionnaire on Quality of Life in Patients with Cardiovascular Disease (CQQC) and Exercise of Self-Care Agency (ESCA) scale.

RESULTS

Compared with the control group after intervention, the patients in the experimental group presented significantly higher ESCA scores, HHI scores, and CQQC scores and longer 6 min walking distance ( < 0.001) and remarkably lower POMS scores ( < 0.001) and had obviously higher numbers of cases with various health-related actions ( < 0.05).

CONCLUSION

Meticulous nursing under the background of medical treatment partnerships is a reliable method for improving the QOL and mood state of community elderly CHD patients, which greatly promotes patients' self-care agency and expectation. Further research will be conducive to establishing a better solution for patients.

摘要

目的

探讨医疗合作背景下精细化护理对社区老年冠心病(CHD)患者的应用效果。

方法

选取 2019 年 7 月至 2020 年 7 月在社区治疗的 96 例老年 CHD 患者为研究对象,按照入院顺序由医务人员将其分为实验组(n=48)和对照组(n=48)。对照组患者给予临床常规护理,实验组患者在医疗合作背景下给予精细化护理,通过心血管疾病患者生活质量问卷(CQQC)和自我护理能力量表(ESCA)评价干预后两组患者的生活质量(QOL)和自我护理能力。

结果

干预后实验组患者的 ESCA 评分、HHI 评分、CQQC 评分均明显高于对照组,6min 步行距离明显长于对照组(P<0.001),POMS 评分明显低于对照组(P<0.001),且采取各种健康相关行为的例数明显多于对照组(P<0.05)。

结论

医疗合作背景下的精细化护理是提高社区老年 CHD 患者 QOL 和情绪状态的可靠方法,可显著提高患者的自我护理能力和期望,进一步的研究将有利于为患者建立更好的解决方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6b4/8684519/fbb38a982bec/JHE2021-3511985.001.jpg

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