Effect of multidimensional individual nursing model on the quality of life of elderly patients with coronary heart disease
多维化个体护理模式对老年冠心病患者生活质量的影响

摘要

目的 验证、分析和探讨多维化个体护理模式对老年冠心病患者生活质量所产生的具体影响。通过这一研究，旨在为临床实践提供坚实的理论与实践依据，从而更好地推动多维化个体护理模式在临床中的应用与发展进程，全面保障老年冠心病患者的生命健康，最终实现理想的预后效果。方法 设定2023年9月至2024年9月为研究的具体开展时间范围，选取在此期间段院内收治的老年冠心病患者作为研究对象，共纳入80例样本。为满足本项研究的科学性和严谨性要求，严格按照“奇偶分组”的原则，采用数字编号法对患者进行分组。具体分组情况为：奇数编号的患者划入A组（n=40），接受常规心内科护理措施；偶数编号的患者划入B组（n=40），在常规护理基础上，增加多维化个体护理模式。随后对两组患者的相关数据进行系统收集和整理，对临床资料进行详细统计和归纳，并对干预效果展开全面评价、比对。比对的数据包括：护理效果、生活质量（采用SF-36量表进行评估）、不良事件发生率、护理满意度。结果 统计学分析后发现，B组患者在各项指标的表现上均显著优A组，P值＜0.05，具有重要的探讨和研究意义。结论 在老年冠心病患者的临床护理方案选择中，建议优先采用多维化个体护理模式。该模式不仅能显著提升护理干预的效果，有效改善患者的生活质量，同时还能切实降低不良事件的发生率。多维化个体护理模式的应用价值显著，具有较高的临床推广价值，值得在更广泛的范围内进行推广应用。

Abstract

Objective To verify, analyze and explore the specific effects of multidimensional individual nursing model on the quality of life of elderly patients with coronary heart disease. Through this study, it is aimed to provide a solid theoretical and practical basis for clinical practice, so as to better promote the application and development of multidimensional individual nursing model in clinical practice, comprehensively protect the life and health of elderly patients with coronary heart disease, and ultimately achieve an ideal prognosis.
Methods The specific time range of the study was set from September 2023 to September 2024. Elderly patients with coronary heart disease admitted to the hospital during this period were selected as the research subjects, and a total of 80 samples were included. In order to meet the scientific and rigorous requirements of this study, the patients were grouped by digital numbering in strict accordance with the principle of "odd-even grouping". The specific grouping situation is as follows: patients with odd numbers are divided into group A (n=40) and receive routine cardiology nursing measures; patients with even numbers are divided into group B (n=40), and multidimensional individual nursing mode is added on the basis of routine nursing. Subsequently, the relevant data of the two groups of patients were systematically collected and sorted, the clinical data were statistically summarized in detail, and the intervention effects were comprehensively evaluated and compared. The compared data included: nursing effect, quality of life (assessed by SF-36 scale), incidence of adverse events, and nursing satisfaction.
Results After statistical analysis, it was found that the performance of group B patients in various indicators was significantly better than that of group A, with a P value of <0.05, which has important discussion and research significance.
Conclusion   In the selection of clinical nursing plans for elderly patients with coronary heart disease, it is recommended to give priority to the multidimensional individual nursing mode. This mode can not only significantly improve the effect of nursing intervention and effectively improve the quality of life of patients, but also effectively reduce the incidence of adverse events. The application value of the multidimensional individual nursing mode is significant, with high clinical promotion value, and it is worth promoting and applying in a wider range.