知己健康管理在门诊冠心病患者中的护理效果

目的:探究知己健康管理模式下门诊冠心病患者的护理效果。方法:选取2014年1月—2016年1月于本院就诊并确诊为冠心病的94例患者作为研究对象。将所有参与研究的患者根据随机数表法分为观察组与对照组,其中观察组患者47例,对照组患者47例。对照组患者行门诊常规护理方案,观察组患者在对照组基础上加以知己健康管理护理,从运动、饮食、用药、健康教育方面加以专门护理,护理疗程为3个月。护理结束后,比较两组患者机体恢复情况(即SAQ得分),生活质量及患者满意度等方面相关指标并进行统计分析。结果:在患者SAQ得分方面,观察组患者护理前后肢体功能限制程度、心绞痛稳定状态、心绞痛发病频率、患者满意度与患者疾病认知度五项测试分数的差值均明显高于对照组,比较差异具有统计学意义(t=2.470,2.246,2.441,2.662,2.113;P0.05)。在患者生活质量方面,观察组患者肢体功能、心理功能、物质生活及社会功能得分均明显高于对照组,比较差异具有统计学意义(t=2.113,2.315,2.346,2.470;P0.05)。在患者满意度方面,观察组患者满意度明显高于对照组,比较差异具有统计学意义(χ~2=4.814,P0.05)。结论:对于门诊冠心病患者行知己健康管理护理方案能够促进患者机体功能的恢复,提高患者生活质量以及患者护理满意度。

Effect of"ZHIJI"Health Management in Patients with Coronary Heart Disease in Patients with Coronary Heart Disease

Objective:To explore the effect of nursing care of patients with coronary heart disease under the"ZHI-JI"health management mode.Methods:From January 2014 to January 2016,94 patients with coronary heart disease in our hospital were selected to be the study subj ects.The patients were randomly divided into observation group and control group,the observation group were 47 cases,the control group were 47cases.Patients in the control group were treated with routine nursing,while the observation group was treated with a bosom friend health management on the basis of the control group.The treatment course was 3 months from the exercise,diet,medication and health education.After the end of nursing,the two groups of patients with SAQ score,quality of life and patient satisfaction and other aspects of the relevant indicators were statistically analyzed.Results:The difference of limb function limit, stable angina pectoris,frequency of angina pectoris,patient satisfaction and patient's disease cognition were signifi-cantly higher in the observation growp than those in the control group(t=2.470,2.246,2.441,2.662,2.113;P<0.05).The scores of limb function,mental function,material life and social function of observation group were signifi-cantly higher than those of control group(t=2.113,2.315,2.346,2.470;P<0.05).The satisfaction degree of the ob-servation group was significantly higher than the control group,the difference was statistically significant (χ2 =4.814,P<0.05).Conclusion:For patients with coronary heart disease outpatient,"ZHIJI"health management nurs-ing can promote the body recovery,improve the quality of life and nursing satisfaction.