张洁

【摘 要】目的：探究分析在老年冠心病患者中采取责任制护理的效果。方法：82例老年冠心病患者均是在我院2019年3月至2021年3月这一时段诊治的且根据研究内容筛选的，随机分为两组，每组的病例数均等，各41例，实验组接受责任制护理，对照组接受常规护理，对比两组临床护理效果。结果：实验组患者并发症发生率（7.32%）明显低于对照组（24.39%）（P<0.05）。护理后，实验组患者社会功能、心理健康、躯体健康、物质生活等生活质量评分明显高于对照组（P<0.05）。结论：针对老年冠心病疾病应用责任制护理后，患者出现并发生的情况显著减少，同时生活质量更高，应用价值较高，值得扩大推广。

【关键词】责任制护理；老年冠心病；护理效果

Evaluation of nursing effect of responsibility nursing on elderly patients with coronary heart disease

Zhang Jie

Guizhou Cengong Peoples Hospital， Guizhou Qiandongnan Prefecture 557801， China

【Abstract】Objective： To explore and analyze the effect of responsibility nursing in elderly patients with coronary heart disease.Methods： 82 elderly patients with coronary heart disease were diagnosed and treated in our hospital from March 2019 to March 2021 and screened according to the research content. They were randomly divided into two groups. The number of cases in each group was equal， with 41 cases in each group. The experimental group received responsible nursing and the control group received routine nursing. The clinical nursing effects of the two groups were compared.Results： The incidence of complications in the experimental group （7.32%） was significantly lower than that in the control group （24.39%） （P<0.05）. After nursing， the scores of social function， mental health， physical health and material life in the experimental group were significantly higher than those in the control group （P<0.05）.Conclusions： After the application of responsibility nursing for elderly coronary heart disease，the occurrence and occurrence of patients are significantly reduced. At the same time， the quality of life is higher and the application value is higher， which is worth expanding and popularizing.

【Key？Words】Responsible nursing； Senile coronary heart disease； Nursing effect

冠心病是臨床上发生率非常高的一种心血管疾病，主要由于冠状动脉粥样硬化所致，多发于中老年人群，尤其是对于超过60岁的老年人群，发病率更高[1]。本文从2019年3月至2021年3月我院收治的老年冠心病患者中抽选82例进行研究，研究针对老年冠心病疾病应用责任制护理的效果。

1 资料与方法

1.1 一般资料

82例老年冠心病患者均是在我院2019年3月至2021年3月这一时段诊治的且根据研究内容筛选的，随机分为两组，每组的病例数均等，各41例。实验组，男26例，女15例，年龄62岁～76岁，平均年龄（68.36±3.46）岁。对照组，男25例，女16例，年龄63岁～75岁，平均年龄（68.43±3.49）岁。两组资料统计分析差距很小（P>0.05），不影响后面的结果。

1.2 方法

对照组患者接受常规护理。

实验组患者接受责任制护理，具体操作如下：（1）成立责任制护理小组：对小组成员进行专业化培训，制定全面的、完善的护理计划，将护理职责落实到人，更好的优化护理流程。（2）收集患者信息：患者入院后，护理人员需要及时收集患者的信息，主动与患者沟通交流，制定符合患者需求的护理方案。（……