人文关怀理念在老年冠心病患者护理中的应用

严琴　姜闪闪　孙璐　邹莺

[關键词] 人文关怀理念;老年冠心病;护理效果;SAS;SDS

[中图分类号] R541.4          [文献标识码] B          [文章编号] 1673-9701（2021）22-0168-04

The application of humanistic care concept in the nursing of elderly patients with coronary heart disease

YAN Qin   JIANG Shanshan   SUN Lu   ZOU Ying

Department of Cardiovascular Medicine， General Hospital of Eastern Theater of the People′s Liberation Army， Nanjing 210000， China

[Abstract] Objective To observe the application effect of the humanistic care concept in elderly patients with coronary heart disease. Methods Eighty-four elderly patients with coronary heart disease from January 2019 to January 2020 were randomly divided into the control group（42 cases） and the observation group （42 cases）. The control group received routine care. The observation group incorporated the concept of humanistic care based on routine care. The observation content included mental state， nursing quality， quality of life， and nursing satisfaction. Results （1） Before nursing， there was no statistically significant difference between the two groups of patients in terms of mental state scores（P>0.05）. After nursing， the mental state score was （3.21±1.05） points in the observation group and （6.89±1.58） points in the control group. Both groups showed a significant decline in scores. The observation group′s score was lower than that of the control group， and the difference was statistically significant （P<0.05）. （2）The quality of basic nursing care score was （96.38±6.58） points in the observation group and （89.23±6.86） points in the control group. The observation group′s basic nursing care score was higher than the control group， and the difference was statistically significant （P<0.05）. After nursing， the observation group′s physiological skills were （74.38±6.26） points， health status was （75.34±6.24） points， the social function was （78.23±6.34） points， mental health was （84.57±6.46） points， and physiological function was （75.68±7.23） points， body pain was （84.43±5.36） points. Both groups had different degrees of increase. The quality of life in the observation group was higher than that of the control group， and the difference was statistically significant （P<0.05）. （3）The total nursing satisfaction degree of the observation group was 97.62%， which was higher than 83.33% of the control group. The nursing satisfaction degree of the observation group was higher than that of the control group， and the difference was statistically significant （P<0.05）. Conclusion In elderly patients with coronary heart disease， the application of the humanistic care concept can play a role in improving the effect of basic nursing， which is beneficial to alleviate the negative emotions of patients， improve the quality of life， and optimize the satisfaction of patient care， which can be promoted.

[Key words] Humanistic care concept; Elderly coronary heart disease; Nursing effect; SAS; SDS

受到冠状动脉粥样硬化影响，血管腔异常狭窄，阻塞严重，形成冠心病[1]。同时，该疾病还会引发心肌组织缺血、缺氧以及坏死，产生心脏疾病。老年人属于冠心病多发群体，以社会发展作为背景，人们生活水平提高显著，我国人口老龄化情况十分明显，冠心病发病率也逐渐提升[2]。相关调查[3]表明，老年人心理健康水平较低情况较为普遍，对心理健康相关服务需求较为强烈，且相当一部分老年人存在严重心理疾病，包括焦虑、抑郁等，造成生活质量下降，特别是在老年冠心病患者中，这种情况较为显著[4]。因此，为实现患者生活质量的优化，本文建立在2019年1月至2020年1月，在老年冠心病患者中，应用人文关怀理念，观察其护理效果，现报道如下。

1 资料与方法

1.1一般资料

选择2019年1月至2020年1月84例老年冠心病患者的临床资料，分为对照组、观察组各42例。对照组：男30例，女12例，年龄55～70岁，平均（62.13±8.41）岁。体质量54～83 kg，平均（75.12±6.34）kg。观察组：男29例、女13例，年龄56～71岁，平均（63.24±8.63）岁。体质量55～82 kg，平均（74.48±6.35）kg。两组患者的一般资料比较，差异无统计学意义（P>0.05）。纳入标准[5]：（1）经冠状血管造影检查，配合心电图、胸透以及彩超检查，确诊为冠心病;（2）所有患者均为老年患者;（3）对研究知情，签署知情同意书;（4）本文研究经医院医学伦理委员会批准。排除标准[6]：（1）合并严重器质性疾病者;（2）合并精神类疾病者;（3）认知障碍者;（4）一般资料不全。

1.2方法

对照组：常规护理。内容……