CAJ | 학술논문

目的：探讨临床护理中引用老年综合评估（ CGA）对老年冠心病（ CHD）患者生活质量的影响。方法纳入2012年1月-2013年6月心内科住院老年CHD患者143例，按照随机数字表法分为对照组69例和CGA组74例。对照组实施心内科专科护理，CGA组实施基于心内科专科护理的CGA护理模式。于入院及出院后6个月采用中国心血管病人生活质量评定问卷（ CQQC ）对两组患者的体力、病情、医疗状况、一般生活、社会心理、工作人际关系等方面进行评分比较。结果 CGA 组患者中有75．7％的患者具有两种或两种以上老年综合征或老年问题，其中抑郁占67．6％，睡眠障碍占66．2％，听力障碍占62．2％，视力障碍占60．8％。干预前，两组患者的生活质量评分差异无统计学意义（ P ＞0．05），干预后CGA组CQQC在体力、病情、医疗状况、一般生活、社会心理、工作人际关系等维度评分及总分分别为（10．86±5．06），（8．75±4．54），（5．90±0．40），（5．22±1．95），（8．41±3．22），（0．97±0．66），（40．11±9．05）分，明显高于对照组的（7．35±4．12），（4．57±0．85），（4．72±0．82），（3．85±1．45），（3．67±1．52），（0．70±0．64），（24．86±4．43）分，差异有统计学意义（t值分别为4．541，7．545，11．137，4．720，11．095，2．470，12．653；P＜0．05）。结论基于老年综合评估的护理干预能够在老年CHD的临床护理中起到积极作用，并能提高老年CHD患者的生活质量。
목적：탐토림상호리중인용노년종합평고（ CGA）대노년관심병（ CHD）환자생활질량적영향。방법납입2012년1월-2013년6월심내과주원노년CHD환자143례，안조수궤수자표법분위대조조69례화CGA조74례。대조조실시심내과전과호리，CGA조실시기우심내과전과호리적CGA호리모식。우입원급출원후6개월채용중국심혈관병인생활질량평정문권（ CQQC ）대량조환자적체력、병정、의료상황、일반생활、사회심리、공작인제관계등방면진행평분비교。결과 CGA 조환자중유75．7％적환자구유량충혹량충이상노년종합정혹노년문제，기중억욱점67．6％，수면장애점66．2％，은력장애점62．2％，시력장애점60．8％。간예전，량조환자적생활질량평분차이무통계학의의（ P ＞0．05），간예후CGA조CQQC재체력、병정、의료상황、일반생활、사회심리、공작인제관계등유도평분급총분분별위（10．86±5．06），（8．75±4．54），（5．90±0．40），（5．22±1．95），（8．41±3．22），（0．97±0．66），（40．11±9．05）분，명현고우대조조적（7．35±4．12），（4．57±0．85），（4．72±0．82），（3．85±1．45），（3．67±1．52），（0．70±0．64），（24．86±4．43）분，차이유통계학의의（t치분별위4．541，7．545，11．137，4．720，11．095，2．470，12．653；P＜0．05）。결론기우노년종합평고적호리간예능구재노년CHD적림상호리중기도적겁작용，병능제고노년CHD환자적생활질량。
Objective To explore the effects of the comprehensive geriatric assessment ( CGA) nursing model on the quality of life in elderly patients with coronary heart disease ( CHD ) .Methods A total of 143 cases of hospitalized elderly patients with CHD were randomly divided into two groups , from January 2012 to June 2013 .The control group ( 69 cases ) was given the cardiovascular specialty nursing and the CGA group (74 cases) was given the cardiovascular nursing based on the CGA nursing model .The scores of patients ’ physical strength, illness, medical condition, general life, social psychology, working and interpersonal relationship were surveyed using the questionnaire of quality of life in patients with cardiovascular diseases ( CQQC) when patients first admitted to the hospital and 6 months after discharge .Results In the CGA group , 75.7%patients had two or more kinds of elder problems , within which 67.6% was depression, 66.2% was sleep disorder, 62.2% were hearing disability and 60.8% was visual disability.Before the intervention, the scores of quality of life between groups had no significant differences (P >0.05).After the nursing intervention, the scores of physical strength , illness, medical condition, general life, social psychology, working and interpersonal condition in the CGA group were (10.86 ±5.06), (8.75 ±4.54), (5.90 ±0.40), (5.22 ±1.95), (8.41 ±3.22), (0.97 ±0.66) and (40.11 ±9.05).Those scores in the control group were (7.35 ±4.12), (4.57 ±0.85), (4.72 ±0.82), (3.85 ±1.45), (3.67 ±1.52), (0.70 ±0.64) and (24.86 ±4.43).The differences of scores between groups were significant ( t =4.541, 7.545, 11.137, 4.720, 11.095, 2.470, 12.653, respectively;P <0.05 ).Conclusions Based on the comprehensive evaluation, the CGA nursing model can play a positive role in clinical nursing of elderly CHD patients , and it also can improve the quality of life in elderly patients with CHD .