综合护理干预对冠心病患者生活质量的影响观察

目的探讨综合护理干预对冠心病患者生活质量的影响情况。方法分析浙江省湖州市中心医院2012年9月～2013年4月心内科收治的冠心病患者120例临床资料，依据护理干预措施不同进行分组，常规护理组60例和综合护理组60例。观察两组冠心病患者一般资料性别构成、年龄分布、平均病程、冠心病类型情况；观察两组冠心病患者护理前后健康调查表SF-36情况；观察两组冠心病患者护理前后自我效能和社会支持评分情况。结果两组冠心病患者一般资料性别构成、年龄分布、平均病程、冠心病类型情况差异无统计学意义（P〉0．05），两组患者护理前健康调查表sF一36、自我效能和社会支持评分差异无统计学意义（P〉0．05），综合护理组患者护理后健康调查简表SF一36、自我效能和社会支持评分明显优于常规护理组，差异均有统计学意义（P〈0．05）。结论综合护理干预对冠心病患者应用后可以明显提高其生活质量，改善自我效能和社会支持评分，值得临床推广应用。

The influence observation of comprehensive nursing intervention on quali- ty of life in patients with coronary heart disease

Objective To discuss influence of comprehensive nursing intervention in quality of life in patients with coronary heart disease. Methods Clinical data of 120 cases coronary heart disease patients in Department of Cardiology of Huzhou Central Hospital from September 2012 to April 2013, they were divided into two groups, routine nursing group of 60 cases and comprehensive nursing group of 60 cases. The general information on sex, age, course of disease, coronary heart disease and type distribution of average of two groups were detected, the short form health survey （SF-36） before and after nursing of two groups were detected, self efficacy and social support scores before and after nursing of two group were detected. Results The general information on sex, age, course of disease, coronary heart disease and type distribution of average of two groups were not different, the SF-36 scores, self efficacy and social support scores before nursing of two group were not different （P 〉 0.05）, the SF-36, self efficacy and social support scores after nurs ing of comprehensive nursing group were better than routine nursing group, the differences were statistically significant （P 〈 0.05）. Conclusion The quality of life for coronary heart disease patients by comprehensive nursing intervention has increased, self efficacy and social support score are improved, which is worthy to be used.