双心医学护理模式对高血压/冠心病并心理障碍患者住院效果的影响

摘要

目的 探讨双心医学护理模式对高血压/冠心病并心理障碍患者住院效果的影响.方法 选取本院2013年1月至2014年12月收治的高血压或冠心病合并有心理障碍患者共148例,随机将2013年的74例患者作为对照组,2014年的患者74例作为观察组,对照组患者予以常规的内科护理,观察组患者采用双心医学模式的护理干预,比较两组患者的住院效果,并对其影响进行分析.结果 观察组高血压患者平均住院天数缩短1.12 d,冠心病患者平均住院天数缩短1.4 d;患者总体满意度提高1.6％,对护士的满意度提高2.1％;患者日常生活活动能力(ADL)得分高出9.06分.观察组效果明显高于对照组(P＜0.05),差异有统计意义(P＜0.05).结论 采用双心医学模式对高血压或冠心病合并有心理障碍患者进行的护理干预,配合医疗在临床治疗中的“身心同治”,收到满意的效果.%Objective To investigate the influence of psychological and cardiac medical care mode on hospitalization effect in patients with hypertension or coronary heart disease outcomes.Methods 148 patients with hypertension or coronary heart disease complicated with psychological disorders treated at our hospital from January,2013 to December,2014 were selected.Among the 148 patients,the 74 treated in 2013 were set as a control group and the other 74 in 2014 an observation group.The control group were routinely cared and the observation group received psychological and cardiac medical care.The hospitalization effects were compared between these two groups.Results After the nursing care,the hospital stay was averagely 1.12 days shorter in the patients with hypertension and 1.4 days shorter in the patients with coronary heart disease in the observation group;the patients' overall satisfaction degree increased 1.6％;the satisfaction degree to nurses increased 2.1％;the patients' activities of daily living (ADL) score was 9.06 points higher;and the effect was significantly higher than that before the intervention,with a statistical difference (P＜0.05).Conclusion Psychological and cardiac medical care for patients with hypertension or coronary heart disease is effective.