于晓敏

[摘要] 目的 研究护理干预对心脑血管疾病患者生存质量的影响。方法 该次研究方便选取的研究对象为2015年6月—2017年6月收治的心脑血管疾病患者，将104例患者计算机随机分为2组，52例/组。将实施常规护理干预的患者纳入对照组，将采用综合护理干预的患者设为观察组。将两组心脑血管疾病患者的Barthel指数评分、生存质量、护理满意度进行比对。结果 观察组心脑血管疾病患者护理后的Barthel指数评分（67.54±12.61）分和护理满意度（94.23%）均高于对照组患者（P<0.05），观察组心脑血管疾病患者的整体健康（79.32±10.05）分、社会功能（82.64±9.27）分、生理机能（69.37±10.26）分、体能影响（49.92±10.14）分、軀体疼痛（43.87±6.33）分、情感影响（75.39±9.87）分、情感状态（83.71±9.25）分、精力（80.95±8.69）分8项生存质量指标明显更优（P<0.05）。结论 对心脑血管疾病患者实施护理干预能够促进其日常生活活动能力和生存质量的改善，患者的满意度较高，临床推广应用价值高。

[关键词] 心脑血管疾病；护理干预；生存质量

[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2018）02（a）-0132-03

Influence of Nursing Intervention on the Quality of Life of Patients with Cardiovascular and Cerebrovascular Diseases

YU Xiao-min

Nursing Department， the First Affiliated Hospital of Baotou Medical College of Inner Mongolia University of Science and Technology， Baotou， Inner Mongolia， 014010 China

[Abstract] Objective This paper tries to study the effect of nursing intervention on the quality of life of patients with cardiovascular and cerebrovascular diseases. Methods The subjects convenient selected for this study were patients with cardiovascular and cerebrovascular diseases who were admitted from June 2015 to June 2017. The 104 patients were randomly divided into two groups， with 52 patients in each group. Patients who underwent routine nursing interventions were included in the control group， and patients using the integrated care intervention were included in the observation group. Barthel index scores， quality of life and nursing satisfaction of two groups of patients with cardiovascular and cerebrovascular diseases were compared. Results The Barthel index score（67.54±12.61）points and nursing satisfaction（94.23%） in the observation group were higher than those in the control group（P<0.05）， and the overall health of the patients with cardiovascular and cerebrovascular diseases in the observation group （79.32±10.05）points， social function （82.64±9.27）points， physiological function （69.37±10.26）points， physical fitness （49.92±10.14）points， somatic pain （43.87±6.33）points， emotional impact （75.39±9.87）points， emotional state （83.71±9.25）points and energy （80.95±8.69）points were significantly better （P<0.05）. Conclusion Care intervention in patients with cardiovascular and cerebrovascular diseases can promote their activities of daily living and improve the quality of life， patients with higher satisfaction， clinical application of high value.

[Key words] Cardiovascular and cerebrovascular diseases； Nursing intervention； Quality of life

心脑血管疾病的患病人数随着我国人口老龄化现象的加重持续增加[1]，多方面的因素均会引发心脑血管疾病，降低生存质量[2]。在及时采取有效方法治疗心脑血管疾病患者的同时，还需予以相应的干预，稳定治疗效果。从该院收治的心脑血管疾病患者中方便抽取2015年6月—2017年6月收治的104例作为对象展开研究，现报道如下。

1 资料与方法

1.1 一般资料

方便选取该院收治的104例心脑血管疾病患者作为研究对象，计算机随机分为两组，一组有52例患者。纳入标准：经临床各项检查明确诊断为心脑血管疾病的患者；临床资料完整且愿意接受随访的患者；该次研究已获得医院伦理委员会的批准。排除标准：存在意识障碍、沟通障碍和认知障碍的患者；患有精神疾病以及依从性差的患者。观察组男：女=32∶20；年龄范围：45～80岁，年龄平均值（64.25±3.71）岁。疾病类型：脑梗死19例，冠心病24例，原发性高血压9例。……