摘要
目的评价责任制护理模式对冠心病患者的有效性。方法对沟通能力良好的冠心病患者实施观察,98例样本中,责任制护理模式者49例,普通冠心病护理者49例,属责任组、参考组,在2019年12月-2020年12月完成护理,评估护理质量,观察恢复情况,统计护理有效性,同时评估心功能分级,调查护理满意度。结果统计各组别内的护理质量分值,对应检验计算后数据在责任组比参考组高,P<0.05(t=11.6549、12.9814、13.0256、12.9812,P均是0.0001)。护理前从稳定度、发作次数以及活动受限等三个方面评估心绞痛情况,检验后在责任组(65.29±4.85)分、(57.34±4.90)分、(62.78±4.36)分和参考组无差异,P>0.05(t=0.1249、0.5071、0.7782,P=0.9009、0.6132、0.4384)。护理后从稳定度、发作次数以及活动受限等三个方面评估心绞痛情况,检验后在责任组(88.14±4.06)分、(79.63±4.31)分、(81.90±4.91)分均比参考组高,P<0.05(t=15.0531、11.6222、8.8402,P均是0.0001)。护理有效性在责任组(89.80%)比参考组(73.47%)高,P<0.05(χ^(2)=4.3556,P=0.0369)。评估各患者的心功能,针对其分级情况进行分析,其中I级率经统计检验后在责任组(55.10%)比参考组(32.65%)高,III级率经统计检验后在责任组(2.04%)比参考组(14.29%)低,P<0.05(χ^(2)=5.0140、4.9000,P=0.0251、0.0269)。统计各组别的护理满意度数据,在责任组达到93.88%,检验后比参考组的73.47%高,P<0.05(χ^(2)=7.4695,P=0.0063)。结论责任制护理模式展现出良好护理质量,除提高冠心病护理有效性外,还能使冠心病患者病情得到康复。
Objective To evaluate effectiveness of responsibility nursing model for patients with coronary heart disease.Methods The paper observed coronary heart disease patients with good communication ability.Among 98 samples,49 cases were treated with responsibility nursing mode and 49 cases with general coronary heart disease nursing,belonging to responsibility group and reference group.Nursing was completed from December 2019 to December 2020,nursing quality was evaluated,and recovery was observed,effectiveness of nursing was calculated,classification of cardiac function was evaluated,and nursing satisfaction degree was investigated.Results Nursing quality scores in each group were counted,and corresponding test calculated data in responsible group were higher than reference group,P<0.05(t=11.6549,12.9814,13.0256,12.9812,P=0.0001).Before nursing,angina pectoris was evaluated from three aspects:stability,attack times and limited activity.After the test,there was no difference between responsible group(65.29±4.85),(57.34±4.90),(62.78±4.36)and reference group(P>0.05)(t=0.1249,0.5071,0.7782,P=0.9009,0.6132,0.4384).After nursing,angina pectoris was evaluated from three aspects:stability,attack times and limited activity.After the test,scores of responsibility group(88.14±4.06),(79.63±4.31)and(81.90±4.91)were higher than reference group,P<0.05,(t=15.0531,11.6222,8.8402,P=0.0001).Nursing effectiveness in responsible group(89.80%)was higher than reference group(73.47%),P<0.05(χ^(2)=4.3556,P=0.0369).Cardiac function of each patient was evaluated and analyzed according to the classification.After statistical test,grade I rate in responsible group(55.10%)was higher than reference group(32.65%),and grade III rate in responsible group(2.04%)was lower than reference group(14.29%),P<0.05(χ^(2)=5.0140,4.9000,P=0.0251,0.0269).Nursing satisfaction degree reached 93.88%in responsible group,higher than 73.47%in reference group after the test,P<0.05(χ^(2)=7.4695,P=0.0063).Conclusion Responsibility nursing model shows good nursing quality,can improve effectiveness of coronary heart disease nursing,and help recovery of coronary heart disease patients.
作者
王玉
WANG Yu(Zibo City Boshan District Badou Town Hospital,Zibo,Shandong,255203)
出处
《智慧健康》
2022年第27期249-253,共5页
Smart Healthcare
关键词
病情康复
冠心病
临床研究
护理有效性
护理质量
责任制护理模式
Rehabilitation
Coronary heart disease
Clinical research
Nursing effectiveness
Nursing quality
Responsible nursing mode
