Analysis of specific measures and application effect of health education in nursing care of elderly patients with coronary heart disease
老年冠心病患者护理中健康教育的具体措施及应用效果分析

摘要

目的 对老年冠心病患者实施健康教育护理干预的效果进行分析。方法 选取94例老年冠心病患者，患者均为2020年2月至2022年4月间于本院就诊，将其按照入院治疗的前后顺序随机分组，实施健康教育护理干预者共47例患者：观察组，实施常规护理干预者共47例患者：对照组，结合两组生活质量评分、治疗依从性、护理满意度评估方案的应用效果。结果 干预后，两组治疗依从性对比，观察组的97.87%，＞对照组的76.60%，数据组别差异性较大，（P＜0.05）。较对照组患者及家属的护理满意度评价对比，观察组的护理满意度评价明显较高，两组护理满意度差异显著，97.87%＞76.60%，（P＜0.05）。观察组干预后的生活质量评分（疼痛、社会、情感、生理机能等）分别与对照组干预后的评分相比，数据差异显著，观察组的各项评分明显较高，（P＜0.05）。结论 为了提升老年冠心病患者的疾病认知水平和治疗依从性，保证护理效果，改善预后，建议临床对症治疗的同时选择应用健康教育护理干预模式。

Abstract

Objective: to analyze the effect of health education and nursing intervention on elderly patients with coronary heart disease.
Methods: 94 elderly patients with coronary heart disease were selected and treated in our hospital from February, 2020 to April, 2022. They were randomly divided into two groups according to the sequence before and after admission. There were 47 patients who implemented health education nursing intervention: the observation group and 47 patients who implemented routine nursing intervention: the control group, combined with the application effect of the two groups' quality of life score, treatment compliance and nursing satisfaction evaluation scheme.
Results: after the intervention, the treatment compliance of the two groups was compared, 97.87% in the observation group and 76.60% in the control group. There was significant difference between the data groups (P < 0.05). Compared with the nursing satisfaction evaluation of patients and their families in the control group, the nursing satisfaction evaluation of the observation group was significantly higher, and the difference between the two groups was significant, 97.87% > 76.60% (P < 0.05). The scores of quality of life (pain, society, emotion, physiological function, etc.) in the observation group were significantly higher than those in the control group (P < 0.05).
Conclusion  : in order to improve the disease cognition level and treatment compliance of elderly patients with coronary heart disease, ensure the nursing effect and improve the prognosis, it is suggested that the health education nursing intervention mode should be selected while clinical symptomatic treatment.