[1]李翠翠.医护一体化护理对冠心病患者服药依从性及生活质量的影响[J].医学信息,2023,36(07):147-150.[doi:10.3969/j.issn.1006-1959.2023.07.029]
　LI Cui-cui.Effect of Integrated Nursing Care on Medication Compliance and Quality of Life in Patients with Coronary Heart Disease[J].Journal of Medical Information,2023,36(07):147-150.[doi:10.3969/j.issn.1006-1959.2023.07.029]
点击复制

医护一体化护理对冠心病患者服药依从性及生活质量的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年07期
页码:
147-150
栏目:
护理研究
出版日期:
2023-04-01

文章信息/Info

Title:
Effect of Integrated Nursing Care on Medication Compliance and Quality of Life in Patients with Coronary Heart Disease
文章编号:
1006-1959（2023）07-0147-04
作者:
李翠翠
（天津医科大学第二医院心脏内科，天津 300211）
Author(s):
LI Cui-cui
(Department of Cardiology,the Second Hospital of Tianjin Medical University,Tianjin 300211,China)
关键词:
冠心病; 医护一体化护理; 服药依从性; 生活质量; 血脂水平
Keywords:
Coronary heart disease; Integrated nursing care; Medication compliance; Quality of life; Blood lipid level
分类号:
R473.5
DOI:
10.3969/j.issn.1006-1959.2023.07.029
文献标志码:
A
摘要:
目的 研究医护一体化护理对冠心病患者服药依从性及生活质量的影响。方法 选取2021年5月-2022年5月天津医科大学第二医院收治的84例冠心病患者，按照随机数字表法分为对照组（42例）和观察组（42例）。对照组采用常规护理，观察组在其基础上应用医护一体化护理，比较两组服药依从性、血脂水平[总胆固醇（TC）、甘油三酯（TG）、高密度脂蛋白（HDL-C）、低密度脂蛋白（LDL-C）]、心脏健康自我效能和自我管理（HH-SESM）评分、自我护理能力测定量表（ESCA）评分、生活质量[西雅图心绞痛量表（SAQ）、健康调查简表（SF-36）]。结果 观察组服药依从性优良率高于对照组（P＜0.05）；观察组TC、TG、LDL-C低于对照组，HDL-C高于对照组（P＜0.05）；两组HH-SESM、ESCA评分均高于护理前，且观察组HH-SESM、ESCA评分高于对照组（P＜0.05）；两组SAQ、SF-36评分均高于护理前，且观察组SAQ、SF-36评分高于对照组（P＜0.05）。结论 医护一体化护理可提高冠心病患者的服药依从性，改善其血脂控制效果，增强患者的自我效能及自护能力，有利于生活质量的改善。
Abstract:
Objective To study the effect of integrated nursing on medication compliance and quality of life in patients with coronary heart disease.Methods A total of 84 patients with coronary heart disease admitted to the Second Hospital of Tianjin Medical University from May 2021 to May 2022 were selected and divided into control group (42 cases) and observation group (42 cases) according to the random number table method. The control group was treated with routine nursing, and the observation group was treated with integrated nursing on the basis of routine nursing. The medication compliance, blood lipid levels [total cholesterol (TC), triglyceride (TG), high density lipoprotein (HDL-C), low density lipoprotein (LDL-C)], Heart Health Self-efficacy and Self-management (HH-SESM) score, Self-care Ability Scale (ESCA) score, quality of life [Seattle Angina Questionnaire (SAQ), the MOS Item Short from Health Survey (SF-36)] were compared between the two groups.Results The excellent and good rate of medication compliance in the observation group was higher than that in the control group (P<0.05). TC, TG and LDL-C in the observation group were lower than those in the control group, and HDL-C was higher than that in the control group (P<0.05). The HH-SESM and ESCA scores of the two groups were higher than those before nursing, and the HH-SESM and ESCA scores of the observation group were higher than those of the control group (P<0.05). The SAQ and SF-36 scores of the two groups were higher than those before nursing, and the SAQ and SF-36 scores of the observation group were higher than those of the control group (P<0.05).Conclusion Integrated nursing care can improve the medication compliance of patients with coronary heart disease, improve the effect of blood lipid control, enhance the self-efficacy and self-care ability of patients, and improve the quality of life.

参考文献/References:

[1]戴洪恩,李结环,熊志华.多维度协同护理模式对老年冠心病患者心功能恢复、生活质量及心理状态的影响[J].齐鲁护理杂志,2022,28(13):84-86.[2]梅艳阳,王霞,李贞彩.医院-家庭协同无缝隙延续护理对老年冠心病PCI患者心理状态、自我管理水平及生活质量的影响[J].保健医学研究与实践,2020,17(6):54-58.[3]马萍,徐璐,杨帆,等.冠心病PCI患者服药依从性与生活质量的关系及护理对策[J].检验医学与临床,2017,14(9):1321-1323.[4]余瑜,徐超.知信行护理模式对老年冠心病患者治疗依从性及生活质量的影响[J].中华现代护理杂志,2020,26(16):2216-2219.[5]胡珍,王春华,唐红晓.综合护理干预对冠心病患者健康行为及生活质量的影响分析[J].国际心血管病杂志,2017,44(1):38-38.[6]滕中华,阎淑婷,白素芳.医护一体化专项管理模式对冠心病PCI术后患者肢体疼痛的影响[J].护理学报,2020,27(22):8-9.[7]中华医学会心血管病学分会介入心脏病学组,中华医学会心血管病学分会动脉粥样硬化与冠心病学组,中国医师协会心血管内科医师分会血栓防治专业委员会,等.稳定性冠心病诊断与治疗指南[J].中华心血管病杂志,2018,46(9):680-694.[8]徐莉,苗慧荣.全程优质护理模式在老年冠心病患者中的应用及价值分析[J].内蒙古医科大学学报,2018,40(1):324-326.[9]邬雪梅,周建伟,夏钰婷,等.心脏健康自我效能和自我管理量表的汉化及其在冠心病患者中的信度效度检验[J].中国护理管理,2022,22(6):852-857.[10]庄毅,徐宇红,韩惠芳,等.“南丁格尔+”时代下基于奥马哈系统的冠心病患者一体化护理模式的建立与应用[J].实用临床医药杂志,2018,22(12):8-10,26.[11]刘佩,刘蓉,冯高科.临床综合康复策略对中青年冠心病患者焦虑和抑郁情绪及生活质量的影响[J].中国心血管病研究,2018,16(9):859-862.[12]刘佳妮.以患者为中心的心理护理改善冠心病患者睡眠质量的作用[J].心血管康复医学杂志,2017,26(5):558-563.[13]郑斌.综合护理干预对冠心病住院患者生活质量的影响研究[J].成都医学院学报,2017,12(5):635-637.[14]付梅英,吕峦,张玉霞,等.延续性护理干预对急性心肌梗死患者PCI术后服药依从性、生活质量及并发症的影响[J].广西医科大学学报,2018,35(3):415-418.[15]张理花,陈娅薇,李莉,等.情绪释放疗法对老年冠心病患者社会心理适应能力和自我和谐水平的影响[J].中华现代护理杂志,2018,24(32):3905-3908.[16]胡淑敏,梁晓凤,申洁,等.综合护理管理在老年冠心病中的应用效果及其对高危因素的预防作用[J].实用心脑肺血管病杂志,2018,26(1):444-445.[17]王晓蕾,黄小勇,杨霖,等.医护一体化诊疗模式的应用效果[J].解放军护理杂志,2018,35(3):66-68.[18]郝慧宁,米云娟.协同护理模式对老年冠心病患者生活质量的影响[J].中国药物与临床,2019,19(17):3033-3035.[19]李倩,厉红,马晖,等.新媒体的医护一体化健康教育在冠心病PCI术后患者中的应用[J].心脑血管病防治,2020,20(2):226-229.[20]张静,张晓燕.探究门诊协同护理对冠心病患者生活质量及自我效能的影响[J].甘肃科学学报,2018,30(6):69-72.[21]王晓蕾,黄小勇,杨霖,等.医护一体化诊疗模式的应用效果[J].解放军护理杂志,2018,35(3):66-68.

相似文献/References:

[1]袁 帅,邢晓博,李 晓,等.MTHFR基因多态性与中年男性冠状动脉病变程度的相关研究[J].医学信息,2018,31(03):67.[doi:10.3969/j.issn.1006-1959.2018.03.021]
　YUAN Shuai,XING Xiao-bo,LI Xiao,et al.Association of MTHFR Gene Polymorphism with Coronary Artery Lesions in Middle-aged Men[J].Journal of Medical Information,2018,31(07):67.[doi:10.3969/j.issn.1006-1959.2018.03.021]
[2]张挺挺.经股和桡动脉介入治疗冠心病的临床疗效对比[J].医学信息,2018,31(03):114.[doi:10.3969/j.issn.1006-1959.2018.03.038]
　ZHANG Ting-ting.Comparison of Clinical Effects of Interventional Treatment of Coronary Heart Disease by Femoral and Radial Artery[J].Journal of Medical Information,2018,31(07):114.[doi:10.3969/j.issn.1006-1959.2018.03.038]
[3]迮艳华.稳心颗粒联合美托洛尔治疗冠心病心律失常的疗效分析[J].医学信息,2018,31(03):139.[doi:10.3969/j.issn.1006-1959.2018.03.049]
　ZE Yan-hua.Therapeutic Effect of Wenxin Granule Combined with Metoprolol on Arrhythmia of Coronary Heart Disease[J].Journal of Medical Information,2018,31(07):139.[doi:10.3969/j.issn.1006-1959.2018.03.049]
[4]张 旭.冠心病心绞痛患者进行护理干预的临床效果及 对护理质量影响研究[J].医学信息,2018,31(05):182.[doi:10.3969/j.issn.1006-1959.2018.05.068]
　ZHANG Xu.Clinical Effect of Nursing Intervention in Patients with Angina Pectoris of Coronary Heart Disease and its Influence on Nursing Quality[J].Journal of Medical Information,2018,31(07):182.[doi:10.3969/j.issn.1006-1959.2018.05.068]
[5]向明明,赵晓辉.黑龙江省东部地区汉族人群冠心病的危险因素研究[J].医学信息,2018,31(07):122.[doi:10.3969/j.issn.1006-1959.2018.07.041]
　XIANG Ming-ming,ZHAO Xiao-hui.Study on Risk Factors of Coronary Heart Disease in Han Nationality Population in Eastern Heilongjiang Province[J].Journal of Medical Information,2018,31(07):122.[doi:10.3969/j.issn.1006-1959.2018.07.041]
[6]王 坤,张永春.血清胆红素水平、单核细胞数、红细胞分布宽度与 冠状动脉病变程度的关系[J].医学信息,2018,31(08):53.[doi:10.3969/j.issn.1006-1959.2018.08.017]
　WANG Kun,ZHANG Yong-chun.Relationship between Serum Bilirubin Level,Monocyte Count,Red Blood Cell Distribution Width and Severity of Coronary Artery Disease[J].Journal of Medical Information,2018,31(07):53.[doi:10.3969/j.issn.1006-1959.2018.08.017]
[7]毛红岩.冠状动脉介入治疗冠心病的疗效及 对患者血清炎症因子的影响[J].医学信息,2018,31(10):77.[doi:10.3969/j.issn.1006-1959.2018.10.023]
　MAO Hong-yan.Effect of Coronary Intervention on Coronary Heart Disease and its Influence on Serum Inflammatory Factors[J].Journal of Medical Information,2018,31(07):77.[doi:10.3969/j.issn.1006-1959.2018.10.023]
[8]杨锦龙,刘 欢,吕秋菊,等.非糖尿病患者糖化血红蛋白和胰岛素抵抗与 冠状动脉病变程度的相关性研究[J].医学信息,2018,31(10):93.[doi:10.3969/j.issn.1006-1959.2018.10.028]
　YANG Jin-long,LIU Huan,LV Qiu-ju,et al.Correlation between Glycosylated Hemoglobin and Insulin Resistance and Severity of Coronary Artery Disease in Non-diabetic Patients[J].Journal of Medical Information,2018,31(07):93.[doi:10.3969/j.issn.1006-1959.2018.10.028]
[9]李 铎,王建华.盐酸曲美他嗪片辅助治疗对冠心病伴心力衰竭患者氧化应激、心肌功能的影响[J].医学信息,2018,31(10):126.[doi:10.3969/j.issn.1006-1959.2018.10.041]
　LI Duo,WANG Jian-hua.Effect of Trimetazidine Hydrochloride Tablets Adjuvant Therapy on Oxidative Stress and Myocardial Function in Patients with Coronary Heart Disease Complicated with Heart Failure[J].Journal of Medical Information,2018,31(07):126.[doi:10.3969/j.issn.1006-1959.2018.10.041]
[10]田跃雷.冠心病介入治疗后再狭窄的中西医防治[J].医学信息,2022,35(09):46.[doi:10.3969/j.issn.1006-1959.2022.09.011]
　TIAN Yue-lei.Prevention and Treatment of Restenosis After Percutaneous Coronary Intervention with Chinese and Western Medicine[J].Journal of Medical Information,2022,35(07):46.[doi:10.3969/j.issn.1006-1959.2022.09.011]

更新日期/Last Update: 1900-01-01