目的：探究多元化护理对冠心病术后康复患者生活质量的影响。方法：选择我院收治的196例行冠状动脉搭桥术的冠心病患者，根据随机数字表法分为观察组和对照组各98例。对照组予常规护理，观察组行多元化护理。比较两组患者护理干预前后西雅图心绞痛量表（SAQ）评分、世界卫生组织生存质量测定简表（WHOQOL-BREF）评分及术后不良反应或并发症的发生率。结果：护理干预前两组SAQ、WHOQOL-BREF评分差异无统计学意义（P>0.05）；护理干预后，观察组的SAQ各项评分均较干预前显著升高（P<0.05），并显著高于对照组护理干预后（P=0.000）；护理干预后，两组患者WHOQOL-BREF各项评分均显著高于干预前（P<0.05），且观察组显著高于对照组（P<0.05）；观察组患者护理干预后术区渗血水肿、疼痛、尿潴留、失眠、心律失常、心绞痛的发生率显著低于对照组（P<0.05）。结论：多元化护理有助于提高冠心病术后康复患者的生活质量，维持患者身心健康，降低不良反应的发生率，值得进一步推广。

[1] 王婧,汤成春.糖化血红蛋白A1c水平与冠心病的相关性研究进展[J].东南大学学报(医学版),2014,33(2):238-242.
[2] NAQVI A A,SHAH A,AHMAD R,et al.Developing an integrated treatment pathway for a post-coronary artery bypass grating(CABG) geriatric patient with comorbid hypertension and type 1 diabetes mellitus for treating acute hypoglycemia and electrolyte imbalance[J].J Pharm Sci,2017,9(3):216-220.
[3] 毛瑞英,王建辉,常文红,等.社区多元化护理干预对老年心血管疾病病人的影响[J].护理研究,2014,28(9):1149-1150.
[4] Task Force Members,MONTALESCOT G,SECHTEM U,et al.2013 ESC guidelines on the management of stable coronary artery disease:the Task Force on the management of stable coronary artery disease of the European Society of Cardiology[J].Eur Heart J,2013,34(38):2949-3003.
[5] 杨丽娟,李荣,周淑英,等.冠心病患者PCI术后实施专科健康教育的效果[J].中华现代护理杂志,2014,20(19):2352-2355.
[6] SHARMR K K,GUPTA R,MATHUR M,et al.Non-physician health workers for improving adherence to medications and healthy lifestyle following acute coronary syndrome:24-month follow-up study[J].Indian Heart J,2016,68(6):832-840.
[7] 谢岩,范国颖.康复运动训练联合心理治疗对冠心病PCI术后患者的影响[J].中国循证心血管医学杂志,2016,8(2):226-228.
[8] CHAN P S,JONES P G,ARNOLD S A,et al.Development and validation of a short version of the Seattle angina questionnaire[J].Circ Cardiovasc Qual Outcomes,2014,7(5):640-647.
[9] SKEVINGTON S M,LOTFY M,O'CONNELL K A.The World Health Organization's WHOQOL-BREF quality of life assessment:psychometric properties and results of the international field trial.A report from the WHOQOL Group[J].Qual Life Res,2004,13(2):299-310.
[10] SHAH R,YI Y,BENTLEY J P,et al.Comparative effectiveness of coronary artery bypass grafting(CABG) surgery and percutaneous coronary intervention(PCI) in elderly patients with diabetes[J].Curr Med Res Opin,2016,32(11):1891-1898.
[11] 赵扬,陈振强,张辉,等.心脏瓣膜置换同期行冠状动脉旁路手术治疗心脏瓣膜病变合并冠心病的效果分析[J].现代医学,2017,45(10):1495-1497.
[12] SALAVATI M,FALLAHINIA G,VARDANJANI A E,et al.Comparison between effects of home based cardiac rehabilitation programs versus usual care on the patients' health related quality of life after coronary artery bypass graft[J].Glob J Health Sci,2016,8(4):196-202.
[13] 康琳,李艳,陈晨,等.基于老年综合评估的针对性护理干预对老年冠心病合并高血压患者代谢指标的影响[J].现代医学,2016,44(4):553-556.
[14] ZHANG H,ZHU G,CHEN J.The effects of comprehensive nursing interventions on sexual functions in young and middle-aged patients with coronary stent implantation[J].Health,2013,5(11B):1-4.
[15] 丁莉,徐菊芳,曹军华,等.延续性护理对PCI术后患者预后的影响[J].西部医学,2016,28(10):1462-1465.