延续护理模式在老年冠心病出院患者健康恢复中应用.docVIP

延续护理模式在老年冠心病出院患者健康恢复中应用 　　[摘要]目的 探?延续护理模式对老年冠心病出院患者治疗依从性及血压、血脂的影响，以评价延续护理模式对患者健康恢复中的应用效果。方法 选取2015年1月～2016年1月我院接诊的老年冠心病患者110例作为研究对象。根据不同护理模式分为观察组和对照组，每组55例。观察组采用延续护理模式，对照组采用一般护理模式。比较两组出院后的依从性、血压和血脂水平。结果 观察组用药依从性（87.27%）、饮食依从性（83.64%）、适量活动依从性（69.09%）、自我检测依从性（81.82%）和定期检查依从性（85.45%），均明显高于对照组（63.64%、67.27%、45.45%、58.18%和65.45%），两组比较差异有统计学意义（P0.05）；治疗后，观察组患者的DBP[（75.11±8.14）mmHg]、SBP[（120.12±15.42）mmHg]、 TC[（4.41±0.38）mmol/L]和TG[（1.68±0.32）mmol/L]均低于对照组[（79.05±8.57）mmHg、（127.64±16.12）mmHg、（4.67±0.45）mmol/L、（1.82±0.36）mmol/L]，两组比较差异有统计学意义（P0.05）。结论 延续护理模式可以满足患者的健康需求，为老年冠心病出院患者树立健康的生活习惯，提高患者的生活质量，可降低血压与血脂水平，有利于控制病情，值得在临床上推广应用。 　　[关键词]延续护理模式；老年冠心病；预后 　　[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721（2017）11（a）-0167-03 　　Application of Continuous Nursing Model in Health Recovery of Discharged Elderly Patients with Coronary Heart Disease 　　XIAO Lu1 HE Ye2▲ 　　1.Department of Geriatrics，People′s Hospital of Jiangxi Province，Nanchang 330006，China；2.Department of liver Oncology， Jiangxi Tumor Hospital，Nanchang 330029，China 　　[Abstract]Objective To analyze and explore the effect of continuous nursing model on the effect of treatment compliance， blood pressure and blood lipid in discharged elderly patients with coronary heart disease （CHD） so as to evaluate the effect of continuous nursing model on patients health recovery.Methods Altogether 110 elderly patients with coronary heart disease who were treated in our hospital from January 2015 to January 2016 were selected as the research objects and divided into the observation group and the control group according to different nursing modes， with 55 cases in each group.The observation group adopted continuous nursing mode， and the control group adopted general nursing mode.The compliance， blood pressure and blood lipid levels were compared between the two groups after discharge. Results The medication compliance， diet compliance， moderate activity compliance， self-examination compliance and regular examination compliance of observat