丁瑞英

[摘要]目的 探讨老年综合评估（CGA）联合无陪护护理在老年冠心病（CHD）中的应用效果。方法 选取2016年4月～2018年5月我院收治的112例无留陪老年CHD患者，随机分为观察组（56例）和对照组（56例）。对照组给予常规护理，观察组给予CGA联合无陪护护理。比较两组的护理满意度、心血管不良事件的发生率、护理前后生活质量评分。结果 观察组心血管不良事件总发生率和生活质量评分均显著低于对照组，差异有统计学意义（P<0.05）;观察组护理总满意度高于对照组，差异有统计学意义（P<0.05）。结论 CGA联合无陪护护理能显著减少老年CHD患者心血管不良事件的发生，有效提高患者的生活质量和护理的满意度，值得临床推广。

[关键词]老年综合评估;无陪护;老年;冠心病

[中图分类号] R473.5          [文献标识码] A          [文章编号] 1674-4721（2019）9（c）-0235-03

[Abstract] Objective To explore the application effect of comprehensive elderly assessment （CGA） combined with unaccompanied nursing in elderly patients with coronary heart disease （CHD）. Methods A total of 112 elderly patients with unaccompanied CHD admitted to our hospital from April 2016 to May 2018 were selected and randomly divided into observation group （56 cases） and control group （56 cases）. The control group was given routine nursing， while the observation group was given CGA combined with unaccompanied nursing. The nursing total satisfaction， incidence of cardiovascular adverse events and life quality scores before and after nursing were compared between the two groups. Results The total incidence of adverse cardiovascular events and quality of life scores in the observation group were significantly lower than those in the control group （P<0.05）. Nursing total satisfaction in the observation group was higher than that in the control group， and the difference was statistically significant （P<0.05）. Conclusion CGA combined with unaccompanied nursing can significantly reduce the incidence of cardiovascular adverse events in elderly patients with CHD， effectively improve the quality of life of patients and satisfaction with nursing， which is worthy of clinical promotion.

[Key words] Comprehensive elderly assessment; Unaccompanied; Aged; Coronary heart disease

冠心病是冠狀动脉粥样硬化性心脏病（CHD）的简称，其病因是冠状动脉血管发生粥样硬化，引起血管狭窄或阻塞，引发心肌缺血、缺氧而导致的心脏病[1-3]。随着我国人口老龄化的增速，心脑血管疾病高发，严重威胁老年人健康。老年CHD病情错综复杂，临床治疗难度大，特别是无留陪住院患者极易发生各种并发症[4-5]。如何促进CHD患者恢复健康一直是临床的研究内容。老年综合评估（CGA）是多维角度检测评估60岁以上老年人健康功能水平的工具，近年来在国内外广泛应用[6]。无陪护理为护理人员全权负责无陪护患者的专科护理和日常生活护理[7]。本研究采用CGA联合无陪护护理在老年CHD中的应用效果显著，现报道如下。

1资料与方法

1.1一般资料

选取2016年4月～2018年5月我院收治的112例无留陪老年CHD患者，随机分为观察组（56例）和对照组（56例）。对照组中，男22例，女34例;平均年龄（78.69±8.56）岁;平均病程（15.82±3.31）年。观察组中，男23例，女33例;平均年龄（79.06±7.90）岁;平均病程（16.09±3.23）年。……