冠心病合并心绞痛的应用优质护理干预对预后的影响分析.docVIP

冠心病合并心绞痛的应用优质护理干预对预后的影响分析 　　[摘要] 目的 探讨优质护理干预对冠心病合并心绞痛患者预后影响。 方法 方便选取2014年11月―2015年11月在该院实施优质护理干预的75例冠心病并发心绞痛患者作为优质护理组，同时选取同一时间段内采取常规护理服务的60例该病患者作为常规护理组，并比较两组患者护理前后血压、心率、心绞痛发作次数以及患者对护理服务满意度。结果 护理前，常规护理组患者其血压、心率和心绞痛发作次数分别为（23.8±5.4）kPa、（103.1±12.3）次和（23.1±2.1）次，优质护理组患者分别为（23.5±5.2）kPa、（102.8±12.9）次和（22.7±2.4）次，组间比较差异无统计学意义（P0.05），护理后，优质护理组患者血压、心率和心绞痛发作次数分别为（18.2±2.0）kPa、（74.2±10.2）次和（6.8±1.7）次，常规组分别为（21.3±3.6）kPa、（98.6±12.5）次和（16.2±2.0）次，组间比较差异有统计学意义（P0.05）；此外优质护理组患者对护理服务满意度（98.7%，1/75）明显高于常规护理组（90.0%，6/60）（P0.05）。 结论 对冠心病并发心绞痛患者采取优质护理服务可明显改善患者血压和心率指标，降低心绞痛发作次数，以及提高护理服务满意度，该护理方式值得在护理工作中推广应用。 　　[关键词] 冠心病；心绞痛；优质护理；预后 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2016）04（c）-0155-03 　　[Abstract] Objective To study the effect of high-quality nursing intervention on the prognosis of patients with coronary heart disease and angina. Methods 75 cases of patients with coronary heart disease and angina receiving high-quality nursing intervention in our hospital from November 2014 to November 2015 were selected as the high-quality nursing group， at the same time， 60 cases of patients receiving conventional nursing services at the same period were selected as the conventional nursing group， and the blood pressure， heart rate， angina attack frequency and satisfactory degree of patients to nursing service before and after nursing were compared between the two groups. Results Before nursing， the differences in the blood pressure， heart rate and angina attack frequency between the conventional nursing group and the high-quality nursing group had no statistical significance by comparison， [ （23.8±5.4） kPa， （103.1±12.3） times， （23.1±2.1） times vs （23.5±5.2） kPa， （102.8±12.9） times and （22.7±2.4） times]， P0.05， after nursing， the differences in the blood pressure， heart rate and angina attack frequency between the high-quality nursing group and the conventional group had statistical significance by comparison， [（18.2±2.0） kPa， （74.2±10.2） time， （6.8±1.7） times vs （21.3±3.6） kPa， （98.6±12.