護理干預對冠心病患者生活質(zhì)量的影響

論文編號:HL197  論文字數(shù):15058.頁數(shù):24

論文題目：護理干預對冠心病患者生活質(zhì)量的影響
摘　要
 目的：冠心病的形成和發(fā)展與患者的心理行為因素和不良生活方式密切相關(guān)，本研究旨在探討整體護理干預對老年冠心病患者生活質(zhì)量的影響程度，以期減少和消除誘發(fā)冠心病的危險因素，進而減少發(fā)病次數(shù)，提高患者的生活質(zhì)量。
 方法：本研究采用隨機抽樣的方法，選取萊西市人民醫(yī)院2009年9月～2010年9月老年冠心病入院患者為研究對象，將163例患者按單號與雙號分成兩組，兩組的人數(shù)分別為護理干預組（實驗組）82例，對照組81例。對照組的患者住院期間未進行整體護理干預，僅進行一般冠心病防治常識宣講。護理干預組的患者在此基礎(chǔ)上進行整體護理干預，干預內(nèi)容及方式是進行冠心病防治常識教育、膳食指導、康復運動訓練、戒煙酒干預、心理疏導等；出院后通過來院復診和電話聯(lián)系隨訪對患者近況進行經(jīng)常性的訓練與指導。入院初期及院后三個月對兩組患者的生活質(zhì)量等進行測評。
 結(jié)果：兩組患者在入院時生活質(zhì)量評定總分分別為34.9±9. 2和35.2±9. 4，組間比較無統(tǒng)計學差異（P>0.05）；出院時對疾病認識程度組間差異極顯著（P< 0. 01），心絞痛發(fā)作情況、治療滿意程度組間差異顯著( P < 0. 05)；出院三個月后實驗組對冠心病的認識程度與對照組相比差異十分明顯（P< 0. 01），活動受限程度、心絞痛穩(wěn)定狀態(tài)、心絞痛發(fā)作情況、治療滿意程度等組間比較差異顯著( P < 0. 05)。
 結(jié)論：整體護理干預能有效提高老年冠心病患者的認知水平、增強患者抑制冠心病危險因素的主動性，減少冠心病復發(fā)率，對老年冠心病患者實施整體護理干預是提高其生活質(zhì)量，控制疾病惡化的重要措施。
 
 關(guān) 鍵 詞：冠心病；  護理干預；  老年人；生活質(zhì)量
 論文類型：應用研究
 
 Title: Nursing intervention on the quality of life of patients with coronary artery disease effects
ABSTRACT
 Objectives: The formation and development of coronary heart disease patients with mental behavioral factors and closely related, the lifestyle of this study is to investigate the holistic nursing intervention on the quality of life of elderly patients with coronary artery disease influence, in order to reduce and eliminate the risk factors for coronary heart disease (CHD) induced and reduce the number of, improve the quality of life of the patients.    
 Methods: This study by random sampling method, the selection of vegetable in people's hospital in September 2009 to 2010 elderly patients with coronary heart disease (CHD) September as research object, the hospital will 163 patients according to the list number and the double number into two groups, the number of both groups respectively for nursing intervention group (group) 82 cases and control 81 cases. The control group hospitalization of patients without holistic nursing intervention, and just generally coronary heart disease prevention knowledge he gets. Nursing intervention group of patients on that basis holistic nursing intervention, intervention content and mode for coronary heart disease prevention education is common, dietary guidance, rehabilitation exercise training, quitting smoking wine intervention, psychological counseling, etc.; After discharge to court appointment and by telephone to patients were aconitum regular training and guidance. After initial and hospital admission for three months for both groups such as the quality of life of patients with evaluation.
    Results: Two groups of patients in hospital admission for total life quality evaluation respectively 34.9 + 9. 2 and 4, 35.2 + 9. Between groups was not statistically significant (P compared > 0.05); Discharge of disease when knowledge between-group differences is very significant (P < 0.01), heart attacks, treatment between groups satisfaction with significant difference (P < 0. 05); Three months after discharge of knowledge of the coronary artery disease compared with control difference obviously (P < 0.01), restricted movement degree, angina pectoris stable state, heart attacks, treatment satisfaction comparison between groups significant difference (P < 0. 05).
 Conclusion: Holistic nursing intervention can effectively enhance the elderly patients with coronary artery disease, enhance the cognitive level patients with coronary heart disease risk factors suppression, reduce the recurrence rate, coronary heart disease initiative in elderly patients with coronary artery disease is to improve the overall nursing intervention implementation of the quality of life, the important measures to control disease progression.

KEY WORDS: Coronary heart disease (CHD), Nursing intervention, Old people, The quality of life
TYPE OF THESIS: Application research

目  錄
1 緒論 1
1.1 背景及意義 1
1.2研究目的及目標 2
1.3關(guān)鍵詞及定義 3
1.4文獻回顧 3
2 研究方法…………………………………………………………………………………8
2.1 研究設(shè)計 8
2.2研究對象 8
2.3研究工具/方法 8
2.4研究步驟 10
2.5資料分析 10
3 研究結(jié)果…………………………………………………………………………………11
3.1 一般資料 11
3.2兩組患者在入院時生活質(zhì)量評分比較 11
3.3患者出院及出院3M后生活質(zhì)量評分比較 12
4 討論………………………………………………………………………………………13
4.1護理干預應高度關(guān)注運動療法 13
4.2戒煙和合理飲食是護理干預的重點內(nèi)容 14
5推論及建議………………………………………………………………………………15
5.1 推論 15
5.2 建議 15
致    謝 16
參考文獻 17
附    錄 19