The formulation and application of cardiac rehabilitation graded nursing program for patients with severe coronary heart disease
重症冠心病患者心脏康复分级护理方案的制订与应用

摘要

目的 探讨重症冠心患者者心脏康复分级护理方案的制订和应用。方法 选择2021年3月至2022年3月作为本次研究的研究时段，在此一年间我院收治的重症冠心患者者98名作为本次研究的研究对象。按照随机数字表法分为两组，为对照组与干预组，对照组录入49名，干预组录入49名。对所有重症冠心病患者都采取护理干预，其中对照组使用常规护理方式，干预组在对照组常规护理的基础上使用心脏康复分级护理。收集两组冠心病患者通过为期1个月的护理后的重症冠心患者者不良情绪、患者生存质量、护理满意度等指标进行收集对比分析。结果 通过不同护理方式进行护理后，干预组的患者术后不良情（SDS抑郁评分、SAS焦虑评分）低于对照组，差异均有统计学意义（P＜0.05）；同时干预组患者术后生存质量高于对照组，差异均有统计学意义（P＜0.05）。结论 在对重症冠心病患者护理时，采用心脏康复分级护理的方式进行疾病护理，能够提高重症冠心患者者生存质量，同时能够减轻心绞痛和缓解冠心患者术后不良情绪，提升护理满意度，值得推广。

Abstract

Objective To explore the formulation and application of cardiac rehabilitation grading nursing program in patients with severe coronavirus heart.
Methods From March 2021 to March 2022 were selected as the research period of this study, and 98 severe coronavirus patients admitted to our hospital were selected as the re- search subjects of this study. They were divided into two groups, including the control group and the intervention group, with 49 entries in the control group and 49 entries in the intervention group. Nursing intervention was per- formed for all patients with severe CAD, in which the control group used the usual care approach, and the inter- venetion group used cardiac rehabilitation graded care based on the usual care of the control group. The two groups of coronary heart disease patients were collected through the adverse mood, patient quality of life and care satisfac- tion for 1 month of care.
Results After nursing with different nursing methods, the postoperative adverse conditions (SDS depression score and SAS anxiety score) of the patients in the intervention group were lower than those in the control group, and the differences were statistically significant (P<0.05). The quality was higher than that of the control group, and the difference was statistically significant (P<0.05).
Conclusion   In the nursing of patients with severe coronary heart disease, the use of cardiac rehabilitation graded nursing for disease nursing can improve the quality of life of patients with severe coronary heart disease, reduce angina pectoris and relieve postoperative adverse emotions in patients with coronary heart disease, and improve nursing satisfaction. Worth promoting.