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任务导向型多维护理干预在冠状动脉粥样硬化性心脏病合并高血压患者中的应用效果

Application effect of task-oriented multi-dimensional nursing intervention in patients with coronary atherosclerotic heart disease and concurrent hypertension.

作者信息

Li Weihe

机构信息

Department of Nursing of Cardiology, The First Affiliated Hospital of Harbin Medical University, Harbin, China.

出版信息

Afr Health Sci. 2024 Sep;24(3):375-381. doi: 10.4314/ahs.v24i3.41.

Abstract

BACKGROUND

The purpose of this study was to explore the application effect of task-oriented multi-dimensional nursing intervention in patients with coronary atherosclerotic heart disease (CAD) and concurrent hypertension.

METHODOLOGY

The clinical data of 196 patients with CAD and concurrent hypertension in our hospital between January 2019 and January 2022 were retrospectively analysed. The patients receiving task-oriented multi-dimensional nursing were set as study group (n=98), while those given routine nursing as control group (n=98). The two groups were compared in the Hamilton Anxiety Scale (HAMA) scores, left ventricular end-diastolic diameter (LVEDD), 36-Item Short Form Health Survey (SF-36) scores, left ventricular ejection fraction (LVEF), Hamilton Depression Scale (HAMD) scores, systolic blood pressure (SBP), treatment compliance and incidence rates of adverse events.

RESULTS

After intervention, study group showed lower HAMA and HAMD scores, SBP and LVEDD, but higher SF-36 scores and LVEF than control group (P<0.05). The treatment compliance rate was higher in control group than that in study group (92.86% vs. 80.61%), while an opposite result was detected in the total incidence rate 5.10% vs. 13.27%, P<0.05).

CONCLUSION

Multidimensional nursing benefits CAD patients with hypertension, improving emotions, compliance, and quality of life, reducing adverse events, and promoting recovery. Recommended for clinical use.

摘要

背景

本研究旨在探讨任务导向型多维护理干预在冠状动脉粥样硬化性心脏病(CAD)合并高血压患者中的应用效果。

方法

回顾性分析我院2019年1月至2022年1月期间196例CAD合并高血压患者的临床资料。将接受任务导向型多维护理的患者设为研究组(n = 98),将接受常规护理的患者设为对照组(n = 98)。比较两组患者的汉密尔顿焦虑量表(HAMA)评分、左心室舒张末期内径(LVEDD)、36项简明健康状况调查量表(SF - 36)评分、左心室射血分数(LVEF)、汉密尔顿抑郁量表(HAMD)评分、收缩压(SBP)、治疗依从性及不良事件发生率。

结果

干预后,研究组的HAMA和HAMD评分、SBP及LVEDD均低于对照组,但SF - 36评分和LVEF高于对照组(P < 0.05)。对照组的治疗依从率高于研究组(92.86%对80.61%),而不良事件总发生率则相反(5.10%对13.27%,P < 0.05)。

结论

多维护理对CAD合并高血压患者有益,可改善情绪、提高依从性和生活质量,减少不良事件,促进康复。推荐临床应用。

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