家庭护理干预对冠心病病人生活质量影响的研究
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摘要
目的:为了预防和减少冠心病的复发和并发症的发生,提高冠心病病人的生活质量,本课题运用一系列家庭护理措施,对出院的冠心病病人进行有效地护理干预,从而探讨如何有效地对其进行护理干预及其对冠心病病人的遵医性及生活质量和生理指标的影响。
方法:选取来自吉林省四平市中心人民医院心血管内科的60例冠心病病人,将其随机分为研究组和对照组,对研究组的30例冠心病病人进行一系列的家庭护理干预措施,包括:制定家庭护理计划、健康知识讲座、建立良好的护患关系、电话访视、家访、监测生理指标等。研究结束后,对实验组和对照组的病人在生活质量和生理指标以及对健康教育的认知程度等方面进行对比分析。
结果:研究组冠心病病人在通过家庭护理干预后,对健康教育的认知程度有所提高,遵医性提高,各项生理指标得到控制,生活质量得到提高。
结论:1.家庭护理干预使冠心病病人的生活质量得到提高;2.家庭护理干预使健康教育得到系统有效地落实;3.家庭护理干预使冠心病病人各项生理指标得到有效控制;4.增加了全民保健意识,充分认识到防大于治的重要意义;5.家庭护理干预为开展其他系统疾病的家庭护理干预提供了参考。
In the study, a range of home care measures were used to effectively nurse intervention on patients with coronary atherosclerotic heart disease in order to prevent and reduce the recurrence of coronary atherosclerotic heart disease (CHD)and improve quality of life whose have CHD. so as to discuss how effectively nurse intervention on patients with coronary atherosclerotic heart disease and the influence of compliance, quality of life and physiological indices.
Method: 30 patients coronary atherosclerotic heart disease were randomly divided into study group and control group who were selected from the Siping People's Hospital Department of Cardiology, then 60 patients with coronary artery disease were randomly divided into study group and control group, and 30 patients coronary atherosclerotic heart disease Implemented Home health nursing intervention including the development of family care plans, health lectures, to establish a good nurse-patient relationship, phone visits, home visits, to monitor the physiological indices. After the end of the study, the quality of life, physiological indices of the experimental group and control group of patients and the awareness level of health education aspects were analyzed.
Results: The patients with coronary atherosclerotic heart disease as the study group whose awareness level of health education had increased, compliance was improved, all of the physiological indices were under control and quality of life improved after Home health nursing intervention
Conclusion: 1. Home health nursing intervention made the quality of life of the patients with coronary atherosclerotic heart disease improved; 2. Home health nursing intervention was to be effective implementation of the system; 3. Home health nursing intervention made all of the physiological indices to be under control; 4. The National health awareness was increased and to be fully aware of the importance of prevention more than treatment;5. Home health nursing intervention was to carry out other diseases Home health nursing intervention as the reference.
方法:选取来自吉林省四平市中心人民医院心血管内科的60例冠心病病人,将其随机分为研究组和对照组,对研究组的30例冠心病病人进行一系列的家庭护理干预措施,包括:制定家庭护理计划、健康知识讲座、建立良好的护患关系、电话访视、家访、监测生理指标等。研究结束后,对实验组和对照组的病人在生活质量和生理指标以及对健康教育的认知程度等方面进行对比分析。
结果:研究组冠心病病人在通过家庭护理干预后,对健康教育的认知程度有所提高,遵医性提高,各项生理指标得到控制,生活质量得到提高。
结论:1.家庭护理干预使冠心病病人的生活质量得到提高;2.家庭护理干预使健康教育得到系统有效地落实;3.家庭护理干预使冠心病病人各项生理指标得到有效控制;4.增加了全民保健意识,充分认识到防大于治的重要意义;5.家庭护理干预为开展其他系统疾病的家庭护理干预提供了参考。
In the study, a range of home care measures were used to effectively nurse intervention on patients with coronary atherosclerotic heart disease in order to prevent and reduce the recurrence of coronary atherosclerotic heart disease (CHD)and improve quality of life whose have CHD. so as to discuss how effectively nurse intervention on patients with coronary atherosclerotic heart disease and the influence of compliance, quality of life and physiological indices.
Method: 30 patients coronary atherosclerotic heart disease were randomly divided into study group and control group who were selected from the Siping People's Hospital Department of Cardiology, then 60 patients with coronary artery disease were randomly divided into study group and control group, and 30 patients coronary atherosclerotic heart disease Implemented Home health nursing intervention including the development of family care plans, health lectures, to establish a good nurse-patient relationship, phone visits, home visits, to monitor the physiological indices. After the end of the study, the quality of life, physiological indices of the experimental group and control group of patients and the awareness level of health education aspects were analyzed.
Results: The patients with coronary atherosclerotic heart disease as the study group whose awareness level of health education had increased, compliance was improved, all of the physiological indices were under control and quality of life improved after Home health nursing intervention
Conclusion: 1. Home health nursing intervention made the quality of life of the patients with coronary atherosclerotic heart disease improved; 2. Home health nursing intervention was to be effective implementation of the system; 3. Home health nursing intervention made all of the physiological indices to be under control; 4. The National health awareness was increased and to be fully aware of the importance of prevention more than treatment;5. Home health nursing intervention was to carry out other diseases Home health nursing intervention as the reference.
引文
[1]高润霖,吴锡桂,陈纪林,等.我国冠心病研究主要成就.中华心血管病杂志[ J],1999;27:3252-3321.
[2] Gu DF,W u XG, Xin X, et al . P revalence of cardiovascular disease in China: The International Collaborative Study of Cardiovascular disease in A S I A ( inter A S I A )[R].42nd A nnual Conference on Cardiovascular Disease Epidemiology and Prevention. American Heart Association Fighting Heart Disease and Stroke[J]; April, 2002 Hawall .
[3]吴锡桂.我国人群冠心病流行现况与趋势.中国慢性病预防与控制[ J],2003 ;11(4):190-191.
[4]张小平,姜红.冠心病危险因素与冠状动脉病变程度的关系.中华医学杂志[J] ,1998;78(1):49-51.
[5]赵国琴,戚雯琰,黄晓玉,等.城镇社区老年人家庭护理研究.护理学杂志[J],2006;21 (3):62.
[6]王桂凤,范维玲,张漪源,等.对心肌梗死恢复期病人提供持续健康教育的体会.中原医刊[J],2005;32(8):61.
[7] LinZhan MS.Quality of life:Conceptual and Measurement issues.Jof Adyanced Nursing[J],1992;17:795
[8]王爱平,王彦.冠心病患者的家庭护理.河北职工医学院学报[J],2008;259(1)8-59.
[9]张审恭.《内科护理学》,河北:教育出版社[M], 1997,6:197-198.
[10]张建,华琦.《冠心病基础与临床》,人民卫生出版社[M],2008,4:101-102.
[11]青华,顾东风.心血管病预防的现状和展望.中国预防医学杂志[J],2003;37(2):75-76.
[12]臧明霞,周杰.冠心病患者的心理特征分析.中国医药卫生[J],2005;6(13):97-98.
[13]陶寿淇,武阳丰.医疗卫生人员心血管病防治知识.中国友谊出版公司[M],2000:3-4.
[14]胡锦心.参芍片治疗冠心病心绞痛的临床及实验.中西医结合心脑血管病杂志[J],2003;1(1):36.
[15]吴锡桂.我国高血压、冠心病的流行现况与展望.中国慢性病预防与控制[J],1998;6(2) :52-53.
[16]胡大一.《冠心病》.北京,化学工业出版杜[M],2006:1.
[17] Ginzburg K,Solomon Z,BleichA.Repressive coping mode,acutc stress disorder,and posttraumatic stree disorder after myocardial infarction.Psychosomatic Medicine[J], 2002;64(5):748-757.
[18]龙金亮,王红玉.冠心病患者的心理社会影响因素比较研究.临床心身疾病杂志[J],2005;11(2):140-142.
[19]许玉韵.2005年心血管疾病防治回顾并展望2006年.中国医药导刊[J],2006;8(1):6
[20]顾学琪.关于社区高血压控制的模式研究.中国慢性病预防与控制[J], 1999;7:176.
[21] World Health Organization. Primary health care– now more than ever [R], Geneva: WHO , 2008.
[22]焦溥蕙.冠心病的预防策略.中国老年学杂志[J], 2005;25(7):860-861.
[23] Thomas A ,Steven N,Stephen R,et al.AHA guidelines for primary prevention of cardiovascular disease and stroke:2002 update:consensus panel guide to comprehensive risk reduction for adult patients without coronary or other atherosclerotic vascular diseases.Circulation,2002,106:388-391.
[24] World Health Orgnization.Prevention of cardiovascular disease.Guidelines for assessment and management of cardiovascular risk.Geneva 2007.
[25] European guidelines on cardiovascular disease prevention in clinical practice:executive summary.Fourth joint task force of the European society of cardiology and other societies on cardiovascular deisease prevention in clinical practice(constituted by representatives of nine societies and by invited experts).European Heart J,2007,28:2375-2414
[26]中华心血管病学分会.中华心血管病杂志编辑委员会.多重心血管病危险综合防治建议.中华心血管病杂志[J],2006;34:1061-1071.
[27]李星,徐文君,卢建华,等.冠心病预防的健康管理模式初探.医学与哲学[J],2009;30(6):71.
[28]陆召军,李君荣.健康教育奄健康促进.南京.东南大学出版社[M], 2004 , 3- 4.
[29] Buse JB,Ginsberg Hn,Bakris GI,et al.Primary prevention of cardiovascular disease in people with diabetes mellitus; A scientific staternent from the American Heart Association and the Amercan Diabetes Association, Diabetes care,2007,30:162-172
[30] Preventing and managing diabetic complications in elderly patients.Cleve Clin JMed,2008,75:153-158
[31]古春华.冠心病患者的健康教育.国际医药卫生导报[J],2008;14(9):72-73.
[32]李春卉,马春艳.医疗体育干预社区冠心病患者存在的问题.中国临床康复[J], 2003; 7( 12):1856.
[33] Roserberg L. et al:JAMA.253(20):2965,1985
[34]张敬芳,王光浩.冠心病的健康教育.现代医药卫生[J],2007;23(16):2485-2486
[35]王蓉,王超,王芸.健康教育在冠心病患者中的临床应用及研究[R],全国外科护理学术交流暨专题讲座会议、全国神经内、外科护理学术交流暨专题讲座会议论文汇编
[36]赵凤玲.冠心病病人的健康教育对策.中国医药导报[J],2008;5(20):162.
[37]肖美莲,陶新陆.冠心病健康教育的研究进展.中华现代护理杂志[J],2008;14(13):1536-1537.
[38]魏来临,刘平,张华岩.冠心病理想治疗方式的选择.医学与哲学[J],2009;30(7):8-9.
[39] Smit h S C J ,Allen J , Blair SN,et al . AHA/ ACC guidelines for secondary prevention for patient s wit h coronary and other atherosclerotic vascular disease : 2006 update : endorsed by t he National Heart , Lung , and Blood Institute[J ] . Circulation ,2006 ,113 (19) :2363 - 2372.
[40]徐浩.冠心病防治理念更新与策略转变.中华医学会第九次全国老年医学学术会议暨第三届全国老年动脉硬化与周围血管疾病专题研讨会:201.
[41]姜安丽.《新编护理学基础》.人民卫生出版社[M],2006,5:148-149.
[2] Gu DF,W u XG, Xin X, et al . P revalence of cardiovascular disease in China: The International Collaborative Study of Cardiovascular disease in A S I A ( inter A S I A )[R].42nd A nnual Conference on Cardiovascular Disease Epidemiology and Prevention. American Heart Association Fighting Heart Disease and Stroke[J]; April, 2002 Hawall .
[3]吴锡桂.我国人群冠心病流行现况与趋势.中国慢性病预防与控制[ J],2003 ;11(4):190-191.
[4]张小平,姜红.冠心病危险因素与冠状动脉病变程度的关系.中华医学杂志[J] ,1998;78(1):49-51.
[5]赵国琴,戚雯琰,黄晓玉,等.城镇社区老年人家庭护理研究.护理学杂志[J],2006;21 (3):62.
[6]王桂凤,范维玲,张漪源,等.对心肌梗死恢复期病人提供持续健康教育的体会.中原医刊[J],2005;32(8):61.
[7] LinZhan MS.Quality of life:Conceptual and Measurement issues.Jof Adyanced Nursing[J],1992;17:795
[8]王爱平,王彦.冠心病患者的家庭护理.河北职工医学院学报[J],2008;259(1)8-59.
[9]张审恭.《内科护理学》,河北:教育出版社[M], 1997,6:197-198.
[10]张建,华琦.《冠心病基础与临床》,人民卫生出版社[M],2008,4:101-102.
[11]青华,顾东风.心血管病预防的现状和展望.中国预防医学杂志[J],2003;37(2):75-76.
[12]臧明霞,周杰.冠心病患者的心理特征分析.中国医药卫生[J],2005;6(13):97-98.
[13]陶寿淇,武阳丰.医疗卫生人员心血管病防治知识.中国友谊出版公司[M],2000:3-4.
[14]胡锦心.参芍片治疗冠心病心绞痛的临床及实验.中西医结合心脑血管病杂志[J],2003;1(1):36.
[15]吴锡桂.我国高血压、冠心病的流行现况与展望.中国慢性病预防与控制[J],1998;6(2) :52-53.
[16]胡大一.《冠心病》.北京,化学工业出版杜[M],2006:1.
[17] Ginzburg K,Solomon Z,BleichA.Repressive coping mode,acutc stress disorder,and posttraumatic stree disorder after myocardial infarction.Psychosomatic Medicine[J], 2002;64(5):748-757.
[18]龙金亮,王红玉.冠心病患者的心理社会影响因素比较研究.临床心身疾病杂志[J],2005;11(2):140-142.
[19]许玉韵.2005年心血管疾病防治回顾并展望2006年.中国医药导刊[J],2006;8(1):6
[20]顾学琪.关于社区高血压控制的模式研究.中国慢性病预防与控制[J], 1999;7:176.
[21] World Health Organization. Primary health care– now more than ever [R], Geneva: WHO , 2008.
[22]焦溥蕙.冠心病的预防策略.中国老年学杂志[J], 2005;25(7):860-861.
[23] Thomas A ,Steven N,Stephen R,et al.AHA guidelines for primary prevention of cardiovascular disease and stroke:2002 update:consensus panel guide to comprehensive risk reduction for adult patients without coronary or other atherosclerotic vascular diseases.Circulation,2002,106:388-391.
[24] World Health Orgnization.Prevention of cardiovascular disease.Guidelines for assessment and management of cardiovascular risk.Geneva 2007.
[25] European guidelines on cardiovascular disease prevention in clinical practice:executive summary.Fourth joint task force of the European society of cardiology and other societies on cardiovascular deisease prevention in clinical practice(constituted by representatives of nine societies and by invited experts).European Heart J,2007,28:2375-2414
[26]中华心血管病学分会.中华心血管病杂志编辑委员会.多重心血管病危险综合防治建议.中华心血管病杂志[J],2006;34:1061-1071.
[27]李星,徐文君,卢建华,等.冠心病预防的健康管理模式初探.医学与哲学[J],2009;30(6):71.
[28]陆召军,李君荣.健康教育奄健康促进.南京.东南大学出版社[M], 2004 , 3- 4.
[29] Buse JB,Ginsberg Hn,Bakris GI,et al.Primary prevention of cardiovascular disease in people with diabetes mellitus; A scientific staternent from the American Heart Association and the Amercan Diabetes Association, Diabetes care,2007,30:162-172
[30] Preventing and managing diabetic complications in elderly patients.Cleve Clin JMed,2008,75:153-158
[31]古春华.冠心病患者的健康教育.国际医药卫生导报[J],2008;14(9):72-73.
[32]李春卉,马春艳.医疗体育干预社区冠心病患者存在的问题.中国临床康复[J], 2003; 7( 12):1856.
[33] Roserberg L. et al:JAMA.253(20):2965,1985
[34]张敬芳,王光浩.冠心病的健康教育.现代医药卫生[J],2007;23(16):2485-2486
[35]王蓉,王超,王芸.健康教育在冠心病患者中的临床应用及研究[R],全国外科护理学术交流暨专题讲座会议、全国神经内、外科护理学术交流暨专题讲座会议论文汇编
[36]赵凤玲.冠心病病人的健康教育对策.中国医药导报[J],2008;5(20):162.
[37]肖美莲,陶新陆.冠心病健康教育的研究进展.中华现代护理杂志[J],2008;14(13):1536-1537.
[38]魏来临,刘平,张华岩.冠心病理想治疗方式的选择.医学与哲学[J],2009;30(7):8-9.
[39] Smit h S C J ,Allen J , Blair SN,et al . AHA/ ACC guidelines for secondary prevention for patient s wit h coronary and other atherosclerotic vascular disease : 2006 update : endorsed by t he National Heart , Lung , and Blood Institute[J ] . Circulation ,2006 ,113 (19) :2363 - 2372.
[40]徐浩.冠心病防治理念更新与策略转变.中华医学会第九次全国老年医学学术会议暨第三届全国老年动脉硬化与周围血管疾病专题研讨会:201.
[41]姜安丽.《新编护理学基础》.人民卫生出版社[M],2006,5:148-149.
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