综合护理干预对老年冠心病患者主观幸福感及临床指标影响的研究.docVIP

精品论文 参考文献 综合护理干预对老年冠心病患者主观幸福感及临床指标影响的研究 牟英 肖萍萍 赵晓玲 　　宜宾市第二人民医院老年科 四川宜宾 644000 　　【摘 要】目的：分析综合护理干预对老年冠心病患者主观幸福感及临床指标的影响。方法：将我院收治的80例冠心病患者随机分为观察组40例和对照组40例。对照组患者行常规护理，观察组患者行综合护理干预。采用焦虑自评量表（SAS）和抑郁自评量表（SDS）对2组患者护理前后的焦虑、抑郁心理进行测评；采用老年主观幸福度量表（MUNSH）和生活质量评价量表（SF-36）对2组患者护理前后的主观幸福感和生活质量进行测评；同时监测2组患者护理前后的血压、血糖、血脂指标。结果：干预后，观察组患者的平均焦虑和抑郁心理平均评分均低于对照组（P＜0.05），观察组患者的主观幸福感和生活质量平均评分均高于对照组（P＜0.05）；观察组患者的平均血压、血糖、血脂指标均低于对照组（P＜0.05）。结论：老年冠心病患者经临床综合护理干预后能有效改善患者的负性心理，提高患者的生活质量和主观幸福感，同时利于患者血压、血糖、血脂指标的控制。 　　【关键词】老年冠心病；综合护理；主观幸福感；生活质量；临床指标 　　【中图分类号】R473 【文献标识码】B 【文章编号】1674-8999（2015）8-0351-02 　　【Abstract】Objective to analyze the comprehensive nursing intervention for elderly patients with coronary heart disease (CHD) the impact of subjective well-being and clinical indicators. Methods will our hospital 80 cases of coronary heart disease patients were randomly divided into observation group 40 cases and control group 40 cases. The control group patients with routine nursing care, observation group of patients with comprehensive nursing intervention. Self-evaluation of the anxiety scale (SAS) and depression self rating scale (SDS) of two groups before and after patient care anxiety, depression, psychological evaluation; The elderly subjective well-being scale (MUNSH) and life quality evaluation scale (SF - 36) of two groups of patients before and after the nursing assessment subjective well-being and quality of life; Nursing at the same time monitoring 2 groups of patients before and after the blood pressure, blood sugar, blood fat index. Results after intervention, the observation group average psychological anxiety and depression in patients with an average score were lower than that of control group (P lt; 0.05), the observation group of patients with subjective well-being and quality of life mean score were higher than control group (P lt; 0.05); Observation group of patients, on average, blood pressure, blood sugar, blood lipid indexes is lower than the control group (P lt; 0.