多元化连续性护理模式对出院后冠心病患者心脏康复的效果研究

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目的探讨分析采用多元化连续性护理模式对冠心病患者出院后的心脏康复的临床效果。方法选取2014年6月—2015年10月该院治疗冠心病的出院患者50例作为研究对象。将其随机分为对照组和实验组,每组25例。对照组患者采用传统的院外护理康复模式,实验组患者采用多元化连续性的护理模式对其进行院外护理指导。对两组患者的血压、血压、血脂的达标率进行比较,以及康复1年后患者的再入院率以及病死率进行比较。结果两组患者出院时的血压、血糖、血脂的异常情况的发生率之间差异无统计学意义(P>0.05),患者出院康复1年后,实验组患者的血压、血脂、血糖的异常情况的发生率明显的低于对照组,差异有统计学意义(P<0.05),而且患者再入院率以及病死率实验组都低于对照组,差异有统计学意义(P<0.5)。结论对冠心病患者出院后的心脏康复采用多元化连续性护理模式可以有效的提高患者的生活质量,促进血压、血脂、血糖的达标,有效的降低了心血管事件的再次发生率,对冠心病患者在院外进行早期心脏康复具有很好的效果,值得在临床上推广应用。 Objective To investigate the clinical effect of using multiple continuous nursing model on cardiac rehabilitation after discharged from patients with coronary heart disease. Methods From June 2014 to October 2015, 50 hospitalized patients with coronary heart disease were selected as study subjects. They were randomly divided into control group and experimental group, 25 cases in each group. Patients in the control group were treated with traditional hospital care and rehabilitation model, and patients in the experimental group were guided by hospital with multiple and continuous nursing model. Blood pressure, blood pressure, blood lipid compliance rates were compared between the two groups of patients, and after 1 year of rehabilitation patients rehospitalization rate and mortality were compared. Results There was no significant difference in the incidence of abnormal blood pressure, blood glucose and blood lipid at discharge between the two groups (P> 0.05). One year after discharged from hospital, the abnormal blood pressure, blood lipids and blood glucose in the experimental group (P <0.05), and the incidence of rehospitalization and mortality in the experimental group were lower than that in the control group, the difference was statistically significant (P <0.5). CONCLUSION: The diversified continuous nursing model of cardiac rehabilitation after discharged from patients with coronary heart disease can effectively improve the quality of life of patients, promote the compliance of blood pressure, blood lipids and blood glucose, and effectively reduce the recurrence rate of cardiovascular events. Coronary heart disease Patients with early cardiac rehabilitation outside the hospital has a good effect, it is worth to promote the clinical application.
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