目的 探究老年冠状动脉粥样硬化性心脏病(简称冠心病)患者接受老年综合评估下护理干预价值.方法 回顾性选取2021年10月—2023年11月山东省慢性病医院收治的120例老年冠心病患者的临床资料,根据不同护理干预方式分为对照组(常规护理)和观察组(老年综合评估下护理干预)各60例.比较两组患者的心功能强度,自护能力以及生活质量.结果 干预前,两组患者的6 min步行试验(6-minute walk test,6 MWT)相近,差异无统计学意义(P>0.05);干预后,两组患者的6MWT测试结果高于干预前,且观察组6 MWT为(351.22±28.27)m,高于对照组的(340.13±28.68)m,差异有统计学意义(t=2.133;P均<0.05).干预前,两组患者的自护能力评分相近,差异无统计学意义(P>0.05);干预后,两组患者的自护能力评分高于干预前,且观察组评分高于对照组,差异均有统计学意义(P均<0.05).干预前,两组患者的生活质量评分相近,差异无统计学意义(P>0.05);干预后,两组患者的生活质量评分高于干预前,且观察组高于对照组,差异均有统计学意义(P均<0.05).结论 老年综合评估下护理干预可改善患者心功能强度、自护能力、生活质量.
Impact of Nursing Intervention under Comprehensive Geriatric Assess-ment on Cardiac Function and Quality of Life in Elderly Patients with Coronary Heart Disease
Objective To explore the value of nursing intervention under comprehensive geriatric assessment for el-derly patients with coronary atherosclerotic heart disease(referred to as coronary heart disease).Methods The clinical date of 120 elderly patients with coronary heart disease admitted to Shandong Chronic Disease Hospital from October 2021 to November 2023 were retrospectively selected.According to different nursing intervention methods,they were divided into a control group(receiving routine nursing)and an observation group(receiving nursing intervention under comprehensive geriatric assessment),with 60 cases in each group.The cardiac function intensity,self-care ability,and quality of life of the two groups were compared.Results Before intervention,the 6-minute walk test(6 MWT)in the two groups were similar,and the difference was not statistically significant(P>0.05);after intervention,the 6 MWT of both groups were higher than those before intervention,the 6 MWT of the observation group was(351.22±28.27)m,which was higher than(340.13±28.68)m of the control group,and the difference was statistically significant(t=2.133;P<0.05).Before intervention,the score of self-care ability in the two groups was similar,and the difference was not statistically significant(P>0.05),after intervention,the score of self-care ability in both groups was higher than that before intervention,and the scores of all items in the observation group were higher than those in the control group,and the differences were statistically significant(both P<0.05).Before intervention,the score of quality of life in the two groups was similar,and the difference was not statistically significant(P>0.05),after intervention,the score of quality of life in both groups was higher than that before intervention,and the score in the observation group was higher than those in the control group,and the differences were statistically significant(both P<0.05).Conclusion Nursing intervention under comprehensive geriatric assessment can improve the cardiac function intensity,self-care ability,and quality of life of patients.
Coronary heart diseaseElderlyComprehensive geriatric assessmentCardiac functionQuality of lifeSelf-care ability
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