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综合医疗护理对冠心病患者日常生活的影响。

The effect of integrated medical care on the daily life of patients with coronary heart disease.

作者信息

Xiao Han, Deng Youlun, Xiao Hui, Liu Xiaoqiong, Qin Nian

机构信息

Department of Cardiology, Cardiovascular Medicine Center, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi, Hubei, China.

出版信息

Medicine (Baltimore). 2024 Dec 6;103(49):e40587. doi: 10.1097/MD.0000000000040587.

Abstract

This study aims to explore the impact of comprehensive medical care on the daily life of patients with coronary heart disease (CHD) and to evaluate its effectiveness in improving quality of life, alleviating symptoms, and reducing the risk of cardiac events. A new comprehensive medical care scheme combining Traditional Chinese Medicine nursing differentiation, collaborative nursing interventions, and specialized community care was proposed. Patients with CHD were recruited as study subjects. Data were collected via questionnaires and interviews to assess the real-world impact of comprehensive medical care on the daily lives of patients. Significant improvements were observed in the observation group across multiple metrics. Baseline characteristics between the 2 groups showed no significant differences initially. Post-intervention, the observation group demonstrated significant improvements in left ventricular ejection fraction and self-assessment of stress (SAS), with left ventricular ejection fraction values increasing to 53.8% compared to 47.2% in the control group, and SAS scores decreasing markedly (P < .05). Additionally, the Disease Severity Index (DSI) indicated a significant reduction in disease severity in the observation group compared to a nonsignificant change in the control group (P > .05). Quality of life, assessed via MacNew and activities of daily living scores, also improved significantly post-intervention in the observation group compared to the control group (P < .05). Furthermore, the observation group exhibited a lower incidence of myocardial ischemia, myocardial infarction, and thrombosis over a 3-year period, with patient satisfaction significantly higher in the observation group (90% reported perfect contentment) compared to the control group (70% reported perfect contentment; P < .001). These findings suggest that the comprehensive nursing care approach significantly enhances cardiac function, quality of life, and patient satisfaction in CHD patients.

摘要

本研究旨在探讨综合医疗护理对冠心病(CHD)患者日常生活的影响,并评估其在改善生活质量、缓解症状及降低心脏事件风险方面的有效性。提出了一种新的综合医疗护理方案,该方案结合了中医护理辨证、协同护理干预及专业社区护理。招募冠心病患者作为研究对象。通过问卷调查和访谈收集数据,以评估综合医疗护理对患者日常生活的实际影响。观察组在多个指标上均有显著改善。两组的基线特征最初无显著差异。干预后,观察组的左心室射血分数和应激自评量表(SAS)有显著改善,左心室射血分数值增至53.8%,而对照组为47.2%,且SAS评分显著降低(P<0.05)。此外,疾病严重程度指数(DSI)显示,观察组的疾病严重程度显著降低,而对照组无显著变化(P>0.05)。与对照组相比,观察组干预后通过MacNew量表和日常生活活动评分评估的生活质量也有显著改善(P<0.05)。此外,观察组在3年期间心肌缺血、心肌梗死和血栓形成的发生率较低,观察组患者满意度显著高于对照组(90%表示非常满意),而对照组为70%(表示非常满意;P<0.001)。这些结果表明,综合护理方法显著增强了冠心病患者的心脏功能、生活质量和患者满意度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3362/11631026/f02a2261c407/medi-103-e40587-g001.jpg

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