基于慢性疾病轨迹模式的护理干预结合共享决策对老年冠心病心绞痛患者健康行为、睡眠、病情控制情况的影响

目的 探讨基于慢性疾病轨迹模式的护理干预结合共享决策在老年冠心病心绞痛患者中的应用效果.方法 选取2019年8月至2021年8月本科室收治的90例老年冠心病心绞痛患者进行观察,以双盲法随机将其分为对照组和观察组,各45例.对照组实施常规护理干预,观察组在常规护理基础上实施基于慢性疾病轨迹模式的护理干预结合共享决策干预....

Effects of nursing intervention based on chronic disease trajectory model combined with shared decision-making on health behavior,sleep and disease control of elderly patients with coronary heart disease and angina pectoris

Objective To explore the application effect of nursing intervention based on chronic disease trajectory model combined with shared decision-making in elderly patients with coronary heart disease and angina pectoris.Methods A total of 90 elderly patients with coronary heart disease and angina pectoris admitted in our department from August 2019 to August 2021 were selected for observation.The patients were randomly divided into control group and observation group by double-blind method,with 45 cases in each group.The control group implemented routine nursing intervention,and the observation group implemented nursing intervention based on chronic disease trajectory model combined with shared decision-making on the basis of routine nursing.The health behavior,sleep quality,disease control effect and angina pectoris symptoms of the two groups before and after one month of intervention were compared.Results After one month of intervention,the scores of health responsibility,nutrition,sports and stress management in the observation group were higher than those in the control group(P <0.05).After one month of intervention,the subjective sleep,the time to fall asleep,sleep time,sleep efficiency,sleep disorder,hypnotic drugs and daytime function scores in the observation group were lower than those in the control group(P<0.05).After one month of intervention,the duration of angina pectoris in the observation group was shorter than that in the control group,and the number of angina pectoris attacks was less than that in the control group(P<0.05).After one month of intervention,the degree of disease cognition,physical activity limitation,stable state of angina pectoris,attack of angina pectoris and treatment satisfaction scores in the observation group were higher than those in the control group(P<0.05).Conclusion The nursing intervention based on chronic disease trajectory model combined with shared decision-making applied in elderly patients with coronary heart disease and angina pectoris can help promote the formation of healthy behaviors,improve sleep quality and the effect of disease control,which is worthy of promotion.