以家庭为基础的自我管理在老年心肌梗死病人护理中的效果

目的:探讨以家庭为基础的自我管理在老年心肌梗死病人护理中的效果。方法:纳入郑州市第七人民医院2017年1月—2018年8月收治的160例老年心肌梗死病人。采用随机数字表法分为观察组和对照组各80例。对照组根据相关指南要求采用常规健康教育,观察组采用以家庭为基础的自我管理干预。两组均干预12周。收集并分析两组干预前后生活质量评分、焦虑评分、抑郁评分、血脂、血压、血糖情况。结果:两组干预前后躯体功能健康及精神心理健康评分比较差异均无统计学意义(P>0.05);干预后观察组躯体活动、药物不良反应、饮食及担心用药评分均低于对照组,差异具有统计学意义(P<0.05);观察组干预后SAS评分及SDS评分均低于对照组,差异具有统计学意义(P<0.05);观察组体质指数、收缩压、舒张压、总胆固醇(TC)、三酰甘油(TG)及空腹血糖水平均低于对照组,差异具有统计学意义(P<0.05)。结论:以家庭为基础的自我管理可改善老年心肌梗死病人的生活质量及相关生理指标水平,减少不良情绪的发生。

Nursing effect of home-based self-management programs in elderly patients with myocardial infarction

Objective:To explore the nursing effect of home-based self-management programs in elderly patients with myocardial infarction.Methods:A total of 160 elderly patients with myocardial infarction admitted to Zhengzhou Seventh People′s hospital from January 2017 to August 2018 were selected into the clinical data.The patients were randomly divided into observation group(n=80)and control group(n=80).The patients in control group received routine health education according to the relevant guidelines.The patients in observation group adopted family-based self-management intervention.Both groups were intervened for 12 weeks.The quality of life(QOL)score,anxiety score,depression score,blood lipid,blood pressure,and blood sugar were collected and analyzed before and after the intervention.Results:There was no significant difference in the scores of physical function health and mental health between the two groups before and after the intervention(P>0.05).The scores of physical activities,adverse drug reactions,diet,and worry about medication in the observation group were lower than those in the control group(P<0.05).The SAS score and SDS score of the observation group after intervention were lower than those of the control group,with statistical significance(P<0.05).The body mass index,systolic blood pressure,diastolic blood pressure,TC,TG,and fasting blood sugar levels in the observation group were lower than those in the control group,with statistical significance(P<0.05).Conclusions:Home-based self-management programs could improve the QOL and related physiological indicators in elderly patients with myocardial infarction,and reduce the occurrence of adverse emotions.