基于协同护理模式的舒适护理干预对冠心病患者焦虑状态和护理满意度的影响

摘要

目的 探讨基于协同护理模式的舒适护理干预对冠心病患者焦虑状态和护理满意度的影响.方法选取2014年1月至2016年1月心内科住院部冠心病患者124例,采用随机数字表法将患者分为2组,每组62例.对照组患者采用常规护理,观察组患者采用基于协同护理模式的舒适护理干预,采用 Zung焦虑自评量表(self-rating anxiety scale,SAS)与西雅图心绞痛调查问卷(Seattle angina questionnaire,SAQ)标准分别评定焦虑状况与生活质量.结果 护理前,2组SAS评分比较差异无统计学意义(P>0.05),护理后,全部患者SAS评分明显低于护理前,护理前后比较差异有统计学意义(P<0.05),其中观察组SAS评分明显低于对照组,2组比较差异有统计学意义(P<0.05).观察组护理满意度明显高于对照组,2组比较差异有统计学意义(P<0.05).护理前,2组疾病认知、治疗护理满意度、心绞痛发作频率、心绞痛稳定状况与躯体活动受限程度共5个维度的 SAQ评分比较差异无统计学意义(P >0.05),护理后,全部患者上述评分明显高于护理前,护理前后比较差异有统计学意义(P<0.05),其中观察组上述评分明显高于对照组,2组比较差异有统计学意义(P<0.05).结论 基于协同护理模式的舒适护理干预有助于明显改善冠心病患者焦虑状态,提升护理满意度与生活质量,值得临床推广应用.%Objective To investigate the effects of comfortable nursing intervention based on collaborative care model on anxiety status and nursing satisfaction degree in patients with coronary heart disease (CHD).Methods A total of 124 patients with CHD who were admitted and treated in department of cardiology of our hospital from January 2014 to January 2016 were divided into two groups by means of random number table method,with 62 patients in each group. The patients in control group were given routine nursing,however,the patients in observation group were given comfortable nursing intervention based on collaborative care model.The anxiety status and life quality of patients were evaluated by Zung Self Rating Anxiety Scale (SAS) and Seattle angina questionnaire (SAQ) standard, respectively. Results Before nursing, there were no significant differences in SAS scores between two groups(P>0.05),however,after nursing,the SAS scores were significantly decreased in both groups,as compared with those before nursing (P<0.05),moreover, the SAS scores in observation group were significantly lower than those in control group (P<0.05),and the nursing satisfaction degree in observation group was significantly higher than that in control group (P<0.05).Before nursing, there were no significant differences in total five dimensions SAQ scores including disease cognition, treatment and nursing satisfaction degree, frequency of angina pectoris attacks,stable status of angina pectoris and body activity limitation degree between two goups (P >0.05),however, after nursing,the scores mentioned above were significantly increased in both groups,as compared with those before nursing (P<0.05),moreover,which in observation group were significantly higher than those in control group(P<0.05).Conclusion The comfortable nursing intervention based on collaborative care model is beneficial to improve obviously the anxiety status of patients with CHD,which can improve nursing satisfaction degree and life quality of patients,therefor,which is worth using widely in clinical practice.