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目的对心血管危重症患者采用优化护理方式,探讨优化护理对心血管危重症患者的心理和生活质量的影响。方法选取中国人民解放军第三O三医院2016年12月至2017年3月收治的心血管危重症患者68例,按照随机数字表法分为观察组和对照组,各34例,均给予针对性的药物治疗。对照组采取口腔护理、皮肤护理、氧疗护理等常规护理;观察组在对照组的基础上,以患者为中心,给予心血管健康宣教和心理疏导等优化护理。出院2个月后随访,采用焦虑自评量表(SAS)比较两组患者的心理状态;通过生活质量评分量表(SF-36)比较两组患者生活质量以及护理满意度。结果两组患者入院时的焦虑评分、生活质量评分分别比较,差异均无统计学意义(t=0.683、0.321,P均>0.05);观察组出院2个月后的焦虑评分、生活质量评分改善情况显著优于对照组,差异均有统计学意义(t=0.013、0.001,P均<0.05)。观察组总满意度为97.06%(33/34),高于对照组的79.41%(27/34),差异有统计学意义(χ~2=5.1,P=0.024)。结论优化护理方式可以明显减轻心血管危重症患者的焦虑状态,提高其生活质量,且患者的护理满意度显著高于常规护理。
Objective To optimize the nursing method for patients with cardiovascular critically ill patients and explore the influence of optimized nursing on the psychology and quality of life in patients with cardiovascular critically ill patients. Methods Sixty-eight patients with cardiovascular critically ill patients admitted from December 2016 to March 2017 in the Third Orthopedic Hospital of People’s Liberation Army of China were divided into observation group and control group according to the random number table method, and each group was given the targeted Medication. The control group received routine nursing care such as oral care, skin care and oxygen therapy. On the basis of the control group, the observation group took the patients as the center and gave optimal nursing care such as cardiovascular health education and psychological counseling. The patients were followed up for 2 months after discharge. The anxiety self-rating scale (SAS) was used to compare the mental status of the two groups. The quality of life and nursing satisfaction were compared between the two groups by the quality of life scale (SF-36). Results The scores of anxiety and quality of life at admission were not significantly different between the two groups (t = 0.683,0.321, P> 0.05). The anxiety score and the quality of life score of the two groups after discharge at 2 months were improved The situation was significantly better than the control group, the differences were statistically significant (t = 0.013,0.001, P <0.05). The total satisfaction of the observation group was 97.06% (33/34), which was higher than that of the control group (79.41%, 27/34). The difference was statistically significant (χ ~ 2 = 5.1, P = 0.024). Conclusion The optimized nursing method can obviously relieve the anxiety state and improve the quality of life of the patients with cardiovascular critically ill patients, and the nursing satisfaction of patients is significantly higher than that of routine nursing care.