论文部分内容阅读
目的分析优化护理流程对冠心病患者遵医行为及预后的影响。方法选取某院2013年5月—2015年9月收治的100例冠心病患者作为研究对象,在征得患者知情同意的情况下随机分为对照组及研究组各50例,对照组采取常规护理,研究组采取优化护理流程干预护理,比较2组患者护理满意度、遵医行为及预后。结果 2组患者护理满意度相比较差异具有统计学意义(Z=3.025,P=0.002)。2组患者遵医行为的比较中,研究组患者在合理饮食(χ~2=5.263,P=0.022)、运动锻炼(χ~2=5.198,P=0.023)、禁烟酒(χ~2=5.741,P=0.017)、按时服药(χ~2=5.316,P=0.021)4个方面均显著优于对照组,差异有统计学意义。在预后状况方面,研究组患者心源性死亡、心肌梗死、冠状动脉再狭窄及中风人数均少于对照组。心血管事件发生率相比较,研究组显著优于对照组,差异具有统计学意义(χ~2=9.013,P=0.003)。结论优化护理流程能够显著提高冠心病患者遵医行为及预后,具有重要的临床推广使用价值。
Objective To analyze the influence of optimized nursing process on compliance and prognosis of patients with coronary heart disease. Methods A total of 100 CHD patients admitted to our hospital from May 2013 to September 2015 in our hospital were selected as study subjects and randomly divided into control group and study group with 50 informed consent. The control group received routine nursing , The research group to take care of nursing interventions to optimize the care process, the two groups of patients satisfaction with care, compliance and prognosis. Results There was significant difference in nursing satisfaction between the two groups (Z = 3.025, P = 0.002). In the comparisons of the two groups, the study group had no significant difference in the diet (χ ~ 2 = 5.263, P = 0.022), exercise (χ ~ 2 = 5.198, 5.741, P = 0.017), medication on time (χ ~ 2 = 5.316, P = 0.021) were significantly better than the control group, the difference was statistically significant. In terms of prognosis, the study group patients with cardiac death, myocardial infarction, coronary artery restenosis and stroke were fewer than the number of the control group. Compared with the incidence of cardiovascular events, the study group was significantly better than the control group, the difference was statistically significant (χ ~ 2 = 9.013, P = 0.003). Conclusion Optimization of nursing process can significantly improve compliance and prognosis of patients with coronary heart disease, which has important clinical value.