护理干预对冠心病患者焦虑状态生活质量及生存方式的影响

摘要

Objective To explore the impact of the implementation of omnidirectionally comprehensive nursing intervention on the psychological status,quality of life and survival mode in the patients with coronary heart disease (CHD).Methods 80 cases of CHD in our hospital from March 2012 to July 2013 in our hospital were selected and randomly divided into the observation group and the control group,40 cases in each group.The two groups were giv-en the conventional drugs for treating CHD and basic nursing care,while the observation group was additionally im-plemented the omnidirectionally comprehensive nursing intervention,including the psychological counseling,dietary intervention,lifestyle guidance,health education and discharge guidance.The anxiety improvement situation,survival mode improvement situation and life quality evaluation after treatment were compared between the two groups.Re-sults The Self-Rating Anxiety Scale (SAS)score after the implementation of nursing intervention in the observation group was significantly decreased,the life quality score was significantly increased and the adverse survival way was significantly improved,the difference was statistically significant compared with the control group (P <0.05 ).Con-clusion The implementation of omnidirectionally comprehensive nursing intervention on the patients with CHD can significantly alleviate the psychological stress of patients and increases the quality of life,improves the adverse surviv-al mode and has an important role for promoting the patient′s physical and mental health.%目的：探讨实施全方位的综合护理干预对冠心病患者心理状态、生活质量和生存方式的影响。方法选择2012年3月至2013年7月该院治疗的80例冠心病患者，分为观察组和对照组，每组40例。两组患者均给予冠心病治疗的常规药物和基础护理，观察组再另外实施全方位的综合护理干预，包括心理辅导、饮食干预、生活方式指导、健康教育和出院指导等。比较两组患者治疗后的焦虑改善情况、生存方式改善情况和生活质量评价。结果观察组患者实施护理干预后，焦虑自评量表(SAS)评分明显降低，生活质量评分明显提高，不良生存方式明显改善，和对照组比较差异有统计学意义(P <0.05)。结论对冠心病患者实行多方位的综合护理干预，能明显减轻患者的心理压力，提高生活质量，改善不良生存方式，对促进患者的身心健康具有重要作用。