延续护理在农村老年冠心病患者健康管理中的应用效果-现代医学

延续护理在农村老年冠心病患者健康管理中的应用效果

单位：1. 唐山市丰南区中医医院内科, 河北唐山 063000;
2. 唐山市丰南区医院骨科, 河北唐山 063000;
3. 唐山市丰南区中医医院妇产科, 河北唐山 063000;
4. 唐山市丰南区医院内科, 河北唐山 063000

分类号：R473.5

出版年·卷·期（页码）：2024·52·第十一期（1768-1773）

摘要：

目的: 探讨延续护理在农村老年冠心病患者自我健康管理中的临床应用效果。方法: 选择2021—2023年唐山市某中医医院住院治疗的农村冠心病患者作为研究对象，随机分为干预组101人和对照组104人，干预组给予延续护理，对照组给予常规的健康宣教；分析比较干预后两组家庭功能、体力活动、自护能力、生活质量及并发症之间的差异。结果: 干预前，两组年龄、性别、BMI、病程等一般信息比较差异无统计学意义(P＞0.05)。干预后，两组患者较干预前家庭功能、体力活动、自护能力及生活质量评分均有所缓解(P<0.05)；延续护理组家庭功能及体力活动评分降低幅度明显高于常规护理组(P<0.05)。干预组自我概念、自护知识及自护技能评分的上升幅度明显高于对照组(P<0.001)；两组患者自护责任感评分的上升幅度比较差异无统计学意义(P＞0.05)；干预组患者在精神健康、情感职能、总体健康、社会功能、活力及躯体疼痛等6个维度的评分升高的幅度明显高于对照组(P<0.001)；干预组的心力衰竭、心律失常及心绞痛等并发症发生率低于对照组。结论: 延续护理在农村老年人冠心病健康管理中效果显著。

Objective: To explore the clinical application effects of continuation care in self-health management among rural elderly patients with coronary heart disease. Methods: Rural coronary heart disease patients hospitalized in a Traditional Chinese Medicine Hospital in Tangshan from 2021 to 2023 were selected as the study subjects. They were randomly divided into an intervention group(101 patients) and a control group(104 patients). The intervention group received continuation care, while the control group received conventional health education. Differences in family function, physical activity, self-care ability, quality of life, and complications between the two groups were analyzed and compared after the intervention. Results: Before the intervention, there were no statistically significant differences in general information such as age, gender, BMI, and disease duration between the two groups(P＞0.05). After the intervention, scores for family function, physical activity, self-care ability, and quality of life in both groups improved compared to before the intervention(P<0.05). The reduction in family function and physical activity scores was significantly greater in the continuation care group than in the conventional care group(P<0.05). The increase in scores for self-concept, self-care knowledge, and self-care skills in the intervention group was significantly higher than that in the control group(P<0.001). There was no statistically significant difference in the increase of self-care responsibility scores between the two groups(P＞0.05). The increase in scores for mental health, emotional function, general health, social function, vitality, and bodily pain in the intervention group was significantly higher than that in the control group(P<0.001). The incidences of complications such as heart failure, arrhythmia, and angina pectoris were lower in the intervention group than in the control group. Conclusion: Continuation care is highly effective in health management for elderly patients with coronary heart disease in rural areas.

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