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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;P<0.05)。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;P<0.05)。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,P<0.05)。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。
Objective: To explore the nursing effect of outpatients with coronary heart disease under the confidante health management mode. METHODS: A total of 94 patients with CHD who were admitted to our hospital from January 2014 to January 2016 were enrolled in this study. All participating patients were divided into observation group and control group according to random number table method, including 47 cases in observation group and 47 cases in control group. Patients in the control group underwent regular outpatient care. The patients in the observation group were given special care and health care on the basis of the control group. Special care was provided from exercise, diet, medication and health education. The course of nursing was 3 months. At the end of nursing, the related indexes of body recovery (SAQ score), quality of life and patient satisfaction were compared and statistically analyzed. Results: In patients with SAQ score, the differences of limb functional restriction, steady state of angina pectoris, frequency of angina pectoris, patient satisfaction and disease awareness of patients in observation group were significantly higher than those in control group The difference was statistically significant (t = 2.470,2.246,2.441,2.662,2.113; P <0.05). In terms of patient quality of life, limb function, mental function, physical life and social function scores of patients in observation group were significantly higher than those in control group (t = 2.113,2.315,2.346,2.470; P <0.05). In patient satisfaction, patients in the observation group were significantly higher than those in the control group (χ ~ 2 = 4.814, P <0.05). Conclusion: The health care nursing program for outpatients with coronary heart disease patients can promote the recovery of patients’ body function and improve the quality of life and patient satisfaction.