综合护理干预对冠心病患者健康行为和生活质量影响.docVIP

综合护理干预对冠心病患者健康行为和生活质量影响 　　[摘要] 目的:探讨综合护理对冠心病患者健康行为和生活质量的影响。方法:选择2008年3月～2009年3月在我科住院治疗的冠心病心绞痛型患者50例(年龄≥60岁),随机分为观察组和对照组,各25例。对照组给予常规心血管药物治疗和护理;观察组在此基础上实施综合护理干预,包括健康教育、生活护理、饮食指导、运动锻炼、心理护理和出院指导。采用自身对照法,对两组患者分别在入院时和出院后3个月进行冠心病患者健康行为问卷调查和生活质量调查测试,并进行统计学分析。结果:干预后两组控制体重、合理膳食、规律睡眠、戒烟限酒情况、运动锻炼、社会限制等健康行为指标比较,观察组显著优于对照组,观察组生活质量评分显著优于对照组。结论:综合护理干预能促使患者健康行为的形成,改善生活方式,从而提高生活质量。 　　[关键词] 护理干预;冠心病;健康行为;生活质量 　　[中图分类号] R473.5[文献标识码]A [文章编号]1673-7210(2010)04(c)-016-03 　　 　　Impact of integrated care intervention on health behavior and quality of life for patients with coronary heart disease 　　LIU Rongxue, LIANG Ting, JIANG Xiaoyan, HE Lianying 　　(Department of Cardiovascular Medicine, Sichuan Academy of Medical Sciences Sichuan Provincial Peoples Hospital, Chengdu 610072, China) 　　[Abstract] Objective: To explore the impact of integrated care on health behavior and quality of life for patients with coronary heart disease. Methods: Fifty patients (age≥60 years) suffering coronary heart disease with angina-type in our department from March 2008 to March 2009 were randomly divided into two groups, with 25 patients in each group. Regular cardiovascular drug treatment and care were performed in control group, besides the integrated care intervention in the observation group, integrated care including health education, life care, dietary guidance, exercise, psychological care and discharge guidance was performed. With self-control law, health behavior and quality of life survey were conducted in two groups of patients at admission and 3 months after discharge, then statistical analysis was conducted. Results: Weight control, rational diet, regular sleep, smoking cessation alcohol limit situation, physical activity, social indicators of health behavior index and quality of life score were significantly prior in the observation group than the control group. Conclusion: Integrated care intervention can promote the formation of patients health behavior, improve lifestyles, and improve