冠心病合并心衰患者加强护理的效果分析

老年冠心病合并心衰患者加强护理的效果分析摘要本研究旨在分析加强护理对老年冠心病合并心衰患者的效果。目的通过对老年冠心病合并心衰患者的生活方式调整、药物管理、科普疾病相关知识、情绪支持、做好出院宣教等多方面的干预，了解患者自我管理疾病的情况，知悉患者对疾病的认识程度，以及分析护理前和护理后患者生活质量是否有所改善，进一步完善护理措施，提高对冠心病合并心衰患者的护理管理。方法采用分析调查法，在患者住院期间为患者提供全面、周到、综合的护理方法，在患者出院时发放问卷，以调查患者的依从性。结果采取加强护理后患者对疾病的认知以及依从性均有所提高。结论采用加强护理后患者的发病率有了明显的下降，患者的住院时间相对缩短，冠心病患者对疾病的了解程度均有所提升。关键词：加强护理冠心病患者疾病管控Study on the effect of quality care on disease self-controlin gout patientsThe purpose of this study was to analyze the effect of intensive nursing on elderlypatients with coronary heart disease combined with heart failure.Objective:Throughthe intervention of lifestyle ajustment,drug management,disease-related knowledgepopularization,emotional combined with heart failure,to understand the patients'self-management of disease,to know the patients'understanding of the disease,and toanalyze whether the patients'quality of life has been improved before and afternursing,so as to further improve nursing measures Nursing management of patientswith coronary heart disease combined with heart failure.Methods:The method ofanalysis and investigation was adopted during the period of hospitalization.Theresponsibility nursing system was adopted for the hospitalized patients,and theknowledge and explanation of coronary heart disease were carried out for thepatients.At the time of discharge,questionnaire were issued to check the patient'sbehavioral compliance and knowledge of the disease,and the patient's behavior duringthe hospital stay was lined to check the results of the enhanced caremodel.Results:After intensive nursing,the patients'understanding of the disease andself-control ability were significantly improved compared with that beforehospitalization.Conclusion:The intensive nursing mode adopted has achieved goodresults,and the understanding degree and self-management ability of patients withcoronary heart disease have been significantly improved,which is conducive to therecovery of disease and the reduction of morbidity,and the improvement of the qualityof life patients with coronary heart disease.Key words Strengthen nursing Patients with coronary heart disease Diseasecontrol目录第1章引言11.1意义1.2国内研究背景1.3国外研究背景第2章对象和方法22.1对象22.2.1心血管内科护士2.2.2冠心病合并心衰患者」22.2方法…22.2.1控制变量法22.2.2问卷调查法2第3章结果33.1冠心病患者的一般资料33.2冠心病患者的疾病相关比较33.3冠心病患者的学习效果比较4第4章讨论64.1加强护理的效果分析64.2加强护理的护理内容与目标的确立..64.3护士对冠心病患者的护理方法64.4加强护理对护士自身的益处74.5加强护理对冠心病患者的重要性74.6护理中的不足与期望7结论9参考文献10致谢附录A12面第1章引言1.1意义近几年以来，随着我国经济的快速发展和人口老龄化趋势的加剧，人们的生活水平明显提高并且生活方式发生巨大改变，老年冠心病合并心衰的发病率呈上升趋势，是临床上常见的一种循环系统疾病，发病率非常高。冠心病合并心衰不仅会引起呼吸困难，还会给患者的生命质量和生命安全带来严重危害，给家庭和社会带来沉重负担。冠心病的病理病因主要是冠状动脉粥样硬化导致官腔狭窄，导致患者的心肌缺血缺氧的情况最终导致心脏病。冠心病也是一种慢性进行性疾病，容易复发。因此，提高患者对疾病的认知程度，增强患者的自我约束能力，可以有效减少冠心病的发生率，降低加重其他疾病的可能性，提高冠心病患者的生活质量。1.2国内研究背景在我国，冠心病的研究和治疗现状是一个重要的公共卫生问题。根据2013年的数据，15岁及以上城市人口的缺血性心脏病患病率为12.3%，农村为8.1%，60岁以上人群的患病率更是高达27.8%。这意味着，中国15岁及以上人口中，缺血性心脏病的患病人数约为1139.6万人。在死亡率方面，2018年中国城市居民的冠心病死亡率为1.20%，且农村地区的死亡率呈上升趋势，已超过城市地区。1.3国外研究背景国外在冠心病的研究和治疗方面已经取得了显著进步。药物治疗：硝酸甘油和消心痛等必要药物：手术支架：是一种微创手术，通过在血管中植入支架来保持血管通畅：心脏搭桥手术：对于病情较