延续性护理对老年冠心病不稳定性心绞痛患者的护理效果及不良事件预防

目的探究延续性护理对老年冠心病不稳定性心绞痛患者的护理及不良事件预防的效果。方法选择本院收治的冠心病不稳定性心绞痛老年患者150例,随机数字分为对照组与观察组各75例,对照组实施常规护理,观察组在此基础上实施延续性护理。2组分别以各自的方式护理6个月后进行抑郁自评量表(SDS)、焦虑自评量表(SAS)评分,比较患者心绞痛发作频率和持续时间,评价2组护理方式的护理效果,记录患者心脏不良事件(顽固性心绞痛、急性心肌梗死、心律失常、心源性休克、心力衰竭、猝死)的发生率。结果 2组护理前SDS和SAS评分、心绞痛发生频率、心绞痛持续时间以及不良事件发生率无显著差异(P0.05),护理后观察组得分优于对照组,心绞痛发生频率、持续时间显著降低和减少,不良事件发生率降低(P0.05)。结论延续性护理可以缓解冠心病不稳定性心绞痛老年患者的焦虑和抑郁情绪,改善心绞痛症状,减少不良事件的发生。

Nursing effects of adverse nursing for unstable angina pectoris elderly patients with coronary heart disease and prevention of adverse events

Objective To explore the effect of continuous nursing on nursing efficacy and adverse event prevention in elderly patients with unstable angina pectoris.Methods A total of 150 patients with unstable angina pectoris were divided into control group and observation group according to random numbers method, 75 cases in the control group were given routine nursing.and 60 cases in the observation group implemented persistent care.The scores of depression and self-rating scale (SAS) were compared between the two groups after 6 months of treatment, and the frequency and duration of angina pectoris were compared between the two groups, and the incidence of adverse events (refractory angina pectoris, acute myocardial infarction, arrhythmia, cardiogenic shock, heart failure, sudden death) were recorded in the two groups.Results The scores of SDS and SAS, the frequency of angina pectoris, the duration of angina pectoris and the incidences of adverse events before nursing showed no significant differences between the two groups (P>0.05).The score of above indicators in the observation group were significantly better than that of the control group, the frequency of angina pectoris and the duration of angina pectoris were less, incidence of adverse events was significantly shorter than that of the control group (P<0.05).Conclusion Continuity nursing can relieve anxiety and depression of unstable angina pectoris patients with coronary heart disease, and improve the symptoms of angina, and reduce the incidence of adverse events.