韦柳青+肖鑫+覃莹莹+黄连欣+黄璐莹

【摘要】 目的：探究全过程护理模式在冠心病介入治疗中的应用效果及价值。方法：选取2015年

6月-2016年6月笔者所在医院收治的冠心病介入治疗的患者286例，采用随机数表法将患者分为试验组和对照组，每组143例，对照组采用常规护理模式，试验组采用全过程护理模式，比较两组用SAQ量化的患者生活质量、患者的满意度以及患者抑郁、焦虑的发生率。结果：SAQ结果显示，试验组患者心绞痛稳定状态、躯体活动受限程度、治疗满意程度、心绞痛发作频率、疾病的认识5个维度的得分均比高于对照组，差异均有统计学意义（P<0.05）；试验组患者护理满意度高于对照组，差异有统计学意义（P<0.05）；试验组患者抑郁发生率、焦虑发生率均低于对照组，差异均有统计学意义（P<0.05）。结论：全程护理模式能够有效提高冠心病介入治疗患者患者恢复期的生活质量，提高患者护理满意度，以及改善抑郁和焦虑情况，值得在临床上推广。

【关键词】 全过程护理模式； 冠心病介入治疗； 效果分析

【Abstract】 Objective：To explore the application effect and value of whole process nursing model in the interventional therapy of coronary heart disease.Method： From June 2015 to June 2016，286 patients with coronary heart disease and adopted interventional treatment in our hospital were selected and divided into experimental group and control group according to the random number table method，143 cases in each group，the control group adopted routine nursing，the experimental group adopted whole process nursing mode，the life quality SAQ quantization，nursing satisfaction and the incidence rate of depression and anxiety of two groups were compared.Result：SAQ result showed that the angina stable status，level of physical activity limitation，treatment satisfaction，angina frequency，disease awareness in 5 dimension scores of the experimental group were all better than those of the control group，the differences were statistically significant（P<0.05）.Nursing satisfaction of the experimental group was higher than that of the control group，the difference was statistic significant（P<0.05）；the depression and anxiety incidence rate of the experimental group were lower than those of the control group，the differences were statistically significant（P<0.05）.Conclusion：Whole process nursing model can effectively improve the life quality of patients with coronary heart disease patients with interventional treatment，improve the nursing satisfaction of patients，relieve depression and anxiety，which is worthy of clinical application.

【Key words】 Whole process nursing mode； Coronary heart disease interventional therapy； Effect analysis

doi：10.3969/j.issn.1674-4985.2017.20.026

隨着我国经济水平的不断提高，人们的生活水平得到了很大的改善，由于营养过剩导致了一系列疾病发生率不断上升。《中国心血管病报告2014》报道[1]：我国心血管病患病率及死亡率仍处于上升阶段，心血管病占居民疾病死亡构成的40%以上，为我国居民的首位死因。其中冠心病（Coronary atherosclerotic heart disease）在心血管病大类中占据着重要地位，它的全称是冠状动脉粥样硬化性心脏病。在全球性的疾病报告中[2]，冠心病也扮演着重要角色，已经成为了全人类的负担。所以在全球范围内防治冠心病已经刻不容缓。1986年，Puol和Sigmart将第一枚冠脉支架置入人体，标志着冠心病介入疗法的一个全新的里程碑的开启。自此以后，冠心病介入疗法逐渐应用到临床上诊疗中，同时它也得到了很大的发展[3-4]。国家质控中心对冠心病介入疗法制定的质量控制体系，也进一步提高了我国冠心病介入治疗水平[5]。……