健康管理在冠心病不稳定型心绞痛护理中的应用效果
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摘要
目的探究健康管理应用于冠心病不稳定型心绞痛的护理效果及对老年患者心理的影响。方法将在我院接受治疗的88例冠心病不稳定型心绞痛老年患者按照随机数字表法分为实验组和对照组,各44例。对照组患者接受常规护理模式,实验组在对照组的基础上予以患者健康管理模式干预。比较两组患者护理干预前和护理干预4周后的焦虑、抑郁量表评分和西雅图心绞痛量表评分。结果护理干预4周后,实验组焦虑和抑郁量表评分显著低于对照组,西雅图心绞痛量表评分显著高于对照组,差异有统计学意义(P <0.05)。结论健康管理有利于提高老年冠心病不稳定型心绞痛患者的治疗效果,改善其心理状态。
Objective To explore the effect of health management on unstable angina pectoris in coronary heart disease and its psychological impact on elderly patients. Methods 88 unstable angina pectoris elderly patients who were treated in our hospital were divided into experimental group and control group, 44 cases in each group. The control group received the routine nursing mode, and the experimental group was given the patient health management mode intervention. The anxiety(HAMA), depression(HAMD) score, and seattle angina questionnaiire scores were compared between the two groups. Results After 4 weeks of nursing intervention, the HAMA and HAMD scores of the experimental group were significantly lower than those of the control group, seattle angina questionnaire score of the experimental group was significantly higher than the control group(P < 0.05). Conclusion Health management is beneficial to improve the treatment effect and improve the psychological state of elderly patients with unstable angina pectoris in elderly patients with coronary heart disease.
Objective To explore the effect of health management on unstable angina pectoris in coronary heart disease and its psychological impact on elderly patients. Methods 88 unstable angina pectoris elderly patients who were treated in our hospital were divided into experimental group and control group, 44 cases in each group. The control group received the routine nursing mode, and the experimental group was given the patient health management mode intervention. The anxiety(HAMA), depression(HAMD) score, and seattle angina questionnaiire scores were compared between the two groups. Results After 4 weeks of nursing intervention, the HAMA and HAMD scores of the experimental group were significantly lower than those of the control group, seattle angina questionnaire score of the experimental group was significantly higher than the control group(P < 0.05). Conclusion Health management is beneficial to improve the treatment effect and improve the psychological state of elderly patients with unstable angina pectoris in elderly patients with coronary heart disease.
引文
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[2]李建明,张杰,史忠良,等.大株红景天注射液联合低分子肝素治疗不稳定型心绞痛的效果观察[J].中国医药,2015,10(5):623-625.
[3]孙淑娟,张萍,李文喆,等.通心络联合阿司匹林治疗不稳定型心绞痛的临床疗效观察[J].中医药学报,2015,43(3):126-128.
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[9]张俊修,霍旺,李绍旦,等.中药通络疗法治疗冠心病心绞痛的临床研究进展[J].中国中医急症,2014,23(10):1874-1877.
[10]段瑶,吴永全,梁金锐.不稳定型心绞痛患者血管内皮功能与微量白蛋白尿的研究进展[J].中国循证心血管医学杂志,2015,7(3):418-420.
[11]王惠来,雷寒,汪洋,等.基于大数据的智能健康管理信息模型研究[J].重庆医学,2017,46(10):1422-1424.
[12]孟云丽,陈玥,郭林林.预见性护理在不稳定型心绞痛患者护理中的效果探究[J].中国继续医学教育,2018,10(32):168-170.
[13]王菲,田月强,田春来,等.健康管理对冠心病不稳定型心绞痛老年患者的预后影响[J].河北医药,2017,39(13):2049-2051.
[2]李建明,张杰,史忠良,等.大株红景天注射液联合低分子肝素治疗不稳定型心绞痛的效果观察[J].中国医药,2015,10(5):623-625.
[3]孙淑娟,张萍,李文喆,等.通心络联合阿司匹林治疗不稳定型心绞痛的临床疗效观察[J].中医药学报,2015,43(3):126-128.
[4]李小花,王堃.延续性护理对老年冠心病不稳定性心绞痛患者的护理效果及不良事件预防[J].实用临床医药杂志,2017,21(12):5-7,11.
[5]冯艳林,冯艳惠.阿托伐他汀联合替格瑞洛治疗不稳定型心绞痛的临床疗效观察[J].实用心脑肺血管病杂志,2015,23(11):62-64.
[6]谭晓东,祝淑珍,谢棚印,等.“健康中国”背景下健康管理的发展思路[J].公共卫生与预防医学,2015,26(6):1-4.
[7]柯元南,陈纪林.不稳定性心绞痛和非ST段抬高心肌梗死诊断与治疗指南[J].中华心血管病杂志,2007,35(4):295-304.
[8]甄锡云,李东,才丽.老年冠心病患者死亡相关因素分析及护理[J].河北医药,2014,36(2):293-294.
[9]张俊修,霍旺,李绍旦,等.中药通络疗法治疗冠心病心绞痛的临床研究进展[J].中国中医急症,2014,23(10):1874-1877.
[10]段瑶,吴永全,梁金锐.不稳定型心绞痛患者血管内皮功能与微量白蛋白尿的研究进展[J].中国循证心血管医学杂志,2015,7(3):418-420.
[11]王惠来,雷寒,汪洋,等.基于大数据的智能健康管理信息模型研究[J].重庆医学,2017,46(10):1422-1424.
[12]孟云丽,陈玥,郭林林.预见性护理在不稳定型心绞痛患者护理中的效果探究[J].中国继续医学教育,2018,10(32):168-170.
[13]王菲,田月强,田春来,等.健康管理对冠心病不稳定型心绞痛老年患者的预后影响[J].河北医药,2017,39(13):2049-2051.