| 唐丹妮 贾丹 刘红 任皓 赵宇.一级预防护理干预对特需病房冠心病高危患者的影响[J].,2015,15(3):514-518 |
| 一级预防护理干预对特需病房冠心病高危患者的影响 |
| The Nursing Intervention Effect for Primary Prevention of Coronary HeartDisease in High-risk Patients at Special Ward |
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| DOI： |
| 中文关键词: 冠心病 一级预防 高危人群 护理干预 危险因素 特需病房 |
| 英文关键词: Coronary heart disease Primary prevention High-risk population Nursing intervention Risk factors Special Ward |
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| 中文摘要: |
| 目的：探讨特需病房冠心病高危患者一级预防的护理干预效果。方法：以2010 年7 月~2012 年7 月期间四川大学华西医院
金卡医疗中心收住的104 例冠心病高危患者为研究对象，随机分为对照组和干预组两组各52 例，分别实施常规护理和冠心病一
级预防护理干预并随访1 年, 观察两组效果。结果：干预组干预后血压、血脂、血糖以及体重指数的全部指标值及各项指标达标人
数和干预前比较差异均有统计学意义（P<0.05 或0.001）；除TG指标外，其他指标值以及各项指标达标人数和对照组比较差异也
均有统计学意义（P<0.05 或0.001）。对照组患除血压及血压达标人数和入院时比较有明显差异（P<0.05 或0.001），其余各项指标
及达标人数均出入不大（P>0.05）。两组随访1 年，干预组发生冠心病3 例，其他心血管事6 例，发生率均明显低于对照组（P<0.
05）。结论：对特需病房冠心病高危人群通过认知、行为、饮食、用药、心理等方面的护理干预进行冠心病的一级预防，患者血压、血
脂、血糖及体重指数均得到了较好的控制。患者若能长期坚持执行预防措施，将大大降低冠心病的发病危险。 |
| 英文摘要: |
| Objective:To investigate the effect of nursing intervention for primary prevention of coronary heart disease in
high-risk patients at VIP ward.Methods:104 cases of high-risk patients with coronary heart disease which were admitted to Golden Card
Unit of West China Hospital of Sichuan University during the period from July 2010 to July 2012 were selected as the research object,
and the patients were randomly divided into control group and intervention group with 52 cases in each, nursing intervention in primary
prevention of coronary heart disease and routine nursing were implemented to two groups respectively, and followed up for 1 year. Then,
the effect in the two groups was observed.Results:In intervention group, all the indicators value of blood pressure, blood lipid, blood
glucose and body mass index and cases of up to the standard after intervention were statistically different from pre-intervention (P<0.05
or 0.001); except TG indicator, other indicators value and cases of up to the standard after intervention were statistically different from
control group (P<0.05 or 0.001). While in control group, except blood pressure and cases of up to the standard was significant different
from pre-intervention (P<0.05 or 0.001), the rest of the index and cases of up to the standard had little change (P>0.05). Two groups'
patients were followed up for 1 year, and there were 3 cases of coronary heart disease and 6 cases of other cardiovascular events in
intervention group, the incidences of which were significantly lower than the control group (P<0.05).Conclusion:By using nursing
intervention of primary prevention for coronary heart disease with high-risk population in Special Ward through cognitive, behavior, diet,
medications and psychological, it obtained good control of blood pressure, blood lipid, blood glucose and body mass index. If patients
could be long-termadherence to performthe preventive measures, it will greatly reduce the risk of coronary heart disease. |
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