中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
21期
2520-2522
,共3页
冠心病%糖尿病%综合护理干预
冠心病%糖尿病%綜閤護理榦預
관심병%당뇨병%종합호리간예
Coronary heart disease%Diabetes%Comprehensive nursing intervention
目的 观察并分析对冠心病合并糖尿病患者进行综合护理干预的临床效果.方法 选取我科2009年7月至2012年7月收治的冠心病合并糖尿病患者160例,将80例采取常规护理的病例设为对照组,另80例进行综合护理的病例设为护理干预组,利用SCL-90、SAS和SDS自评量表评测两组患者心理情绪状态改善情况,并调查患者并发症发生及满意度情况,以综合评价综合护理干预效果.结果 综合护理干预组患者心理及情绪状态显著改善,SCL-90(躯体化、人际关系、抑郁、焦虑及恐惧)、SAS和SDS量表各因子得分均显著低于对照组,差异有统计学意义(t分别为5.32,3.98,6.30,4.13,4.65,7.83,6.38；P＜0.05)；护理干预组低血糖、心力衰竭、心律失常、心肌梗死发生例数(4,2,0,5)显著低于对照组(14,9,7,14),差异均有统计学意义(x2分别为6.26,4.78,7.64,4.83;P ＜0.05)；患者及家属满意度显著提升(93.7％比77.5％),差异有统计学意义(x2=9.26,P＜0.05).结论 综合护理干预能够有效改善患者心理状态,并对患者的康复产生积极的影响,提高了患者的治疗效果和生活质量.
目的 觀察併分析對冠心病閤併糖尿病患者進行綜閤護理榦預的臨床效果.方法 選取我科2009年7月至2012年7月收治的冠心病閤併糖尿病患者160例,將80例採取常規護理的病例設為對照組,另80例進行綜閤護理的病例設為護理榦預組,利用SCL-90、SAS和SDS自評量錶評測兩組患者心理情緒狀態改善情況,併調查患者併髮癥髮生及滿意度情況,以綜閤評價綜閤護理榦預效果.結果 綜閤護理榦預組患者心理及情緒狀態顯著改善,SCL-90(軀體化、人際關繫、抑鬱、焦慮及恐懼)、SAS和SDS量錶各因子得分均顯著低于對照組,差異有統計學意義(t分彆為5.32,3.98,6.30,4.13,4.65,7.83,6.38；P＜0.05)；護理榦預組低血糖、心力衰竭、心律失常、心肌梗死髮生例數(4,2,0,5)顯著低于對照組(14,9,7,14),差異均有統計學意義(x2分彆為6.26,4.78,7.64,4.83;P ＜0.05)；患者及傢屬滿意度顯著提升(93.7％比77.5％),差異有統計學意義(x2=9.26,P＜0.05).結論 綜閤護理榦預能夠有效改善患者心理狀態,併對患者的康複產生積極的影響,提高瞭患者的治療效果和生活質量.
목적 관찰병분석대관심병합병당뇨병환자진행종합호리간예적림상효과.방법 선취아과2009년7월지2012년7월수치적관심병합병당뇨병환자160례,장80례채취상규호리적병례설위대조조,령80례진행종합호리적병례설위호리간예조,이용SCL-90、SAS화SDS자평량표평측량조환자심리정서상태개선정황,병조사환자병발증발생급만의도정황,이종합평개종합호리간예효과.결과 종합호리간예조환자심리급정서상태현저개선,SCL-90(구체화、인제관계、억욱、초필급공구)、SAS화SDS량표각인자득분균현저저우대조조,차이유통계학의의(t분별위5.32,3.98,6.30,4.13,4.65,7.83,6.38；P＜0.05)；호리간예조저혈당、심력쇠갈、심률실상、심기경사발생례수(4,2,0,5)현저저우대조조(14,9,7,14),차이균유통계학의의(x2분별위6.26,4.78,7.64,4.83;P ＜0.05)；환자급가속만의도현저제승(93.7％비77.5％),차이유통계학의의(x2=9.26,P＜0.05).결론 종합호리간예능구유효개선환자심리상태,병대환자적강복산생적겁적영향,제고료환자적치료효과화생활질량.
Objective To observe and analyze the clinical effects of integrated nursing on patients with coronary heart disease and diabetes.Methods Retrospective analysis of the clinical data of 160 cases diagnosed with coronary heart disease and diabetes from July 2009 to July 2012 was used.And 80 cases received routine nursing as the control group,other 80 cases received integrated nursing as the study group.They were investigated with the scales of SCL-90,SAS,and SDS,and the complication incidence and satisfaction degree were observed and compared between the two groups.Results After the intervention,the status of mental and emotional of study group were significantly improved,and the scores of SAS,SDS were significantly lower than that of control group (t =5.32,3.98,6.30,4.13,4.65,7.83,6.38,respectively; P ＜ 0.05).The cases number with complication of hypoglycemia(4 vs 14),heart failure(2 vs 9),arrhythmias(0 vs 7),myocardial infarction (5 vs 14)in study group were significantly lower than that in control group (x2 =6.26,4.78,7.64,4.83,respectively;P ＜0.05).and the satisfaction of patients and family in study group were significantly improved than that in control group (93.7％ vs77.5％,x2 =9.26,P ＜ 0.05).Conclusions Integrated nursing can effectively prevent the further development of the disease and has a positive impact on the rehabilitation of patients,so that further improve the treatment effects and quality of life of the patients.
