Study on the effect of dual heart care in the care of patients with coronary heart disease and angina pectoris
双心护理在冠心病心绞痛患者护理中的效果研究

摘要

目的 针对冠心病心绞痛患者的护理作出分析，探讨应用双心护理的效果。方法 抽选2021年5月~2023年5月期间，从本院收治的冠心病心绞痛患者中，将自愿加入研究调查的80例患者随机分成2组实施护理，每组各有患者人数40例，常规护理的患者设为常规组，双心护理的患者，设为双心组，根据2组患者护理效果进行研究比较。结果 护理前，2组患者的HAMA评分、HAMD评分相比之下差异不显著，（p＞0.050），经过护理后再次评估患者的心理状态，各项评分均比护理前更高，且双心组的HAMA评分、HAMD评分明显优于常规组，（p＜0.05）；2组患者护理前的心绞痛发作次数及持续时间相比区别不大，（p＞0.05），在护理后相比，双心组的心绞痛发作次数相比常规组更少，持续时间更短，（p＜0.05）；测评2组患者的自护能力（自护技能、自我概念、健康知识、自护责任感），双心组四项评分均显著高于常规组，（p＜0.05）；通过2组患者对护理的评价相比，双心组满意度100.0%＞常规组满意度75.00%，提示双心护理更令患者满意，（p＜0.05）。结论 对于冠心病心绞痛患者的护理，临床应用双心护理的效果十分理想，对患者的病症起到积极的缓解作用，有效改善患者不良心理情绪，利于其自护能力的提高，值得推广。

Abstract

Objective To analyze the nursing care of patients with coronary heart disease and angina pectoris, and explore the effectiveness of applying dual heart care.
Methods From May 2021 to May 2023, 80 patients with coronary heart disease and angina pectoris admitted to a hospital who voluntarily participated in the study were randomly divided into two groups for nursing care, with 40 patients in each group. Patients with routine care were assigned to the routine group, while patients with dual heart care were assigned to the dual heart group. The nursing effects of the two groups of patients were compared and studied.
Results Before nursing, there was no significant difference in the HAMA score and HAMD score between the two groups of patients (p>0.050). After nursing, the psychological status of the patients was re evaluated, and all scores were higher than before nursing. Moreover, the HAMA score and HAMD score of the dual heart group were significantly better than those of the conventional group (p<0.05); There was no significant difference in the number and duration of angina attacks between the two groups of patients before nursing care (p>0.05). However, after nursing care, the number of angina attacks in the dual heart group was lower and the duration was shorter compared to the conventional group (p<0.05); The self-care ability (self-care skills, self-concept, health knowledge, and sense of self-care responsibility) of two groups of patients was evaluated, and the four scores of the dual heart group were significantly higher than those of the conventional group (p<0.05); Compared with the evaluation of nursing by two groups of patients, the satisfaction rate of the dual heart group was 100.0%, which was higher than that of the conventional group, which was 75.00%, indicating that dual heart nursing was more satisfying for patients (p<0.05).
Conclusion   For the care of patients with coronary heart disease and angina pectoris, the clinical application of dual heart care has a very ideal effect, playing a positive role in alleviating the patient's symptoms, effectively improving the patient's negative psychological emotions, and promoting their self-care ability. It is worth promoting.