Application of comprehensive geriatric assessment nursing model on the quality of life in elderly patients with coronary heart disease
10.3760/j.issn.1674-2907.2014.20.012
- VernacularTitle:老年综合评估护理干预在提高老年冠心病患者生活质量中的应用
- Author:
Haihong QU
1
,
2
;
Changxiang CHEN
;
Airu XU
;
Limeng MA
Author Information
1. 063009 唐山，河北联合大学护理与康复学院
2. 063000 河北省唐山市人民医院心内科
- Keywords:
Coronary heart disease;
Quality of life;
Comprehensive geriatric assessment
- From:
Chinese Journal of Modern Nursing
2014;20(20):2485-2488
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of the comprehensive geriatric assessment ( CGA) nursing model on the quality of life in elderly patients with coronary heart disease ( CHD ) .Methods A total of 143 cases of hospitalized elderly patients with CHD were randomly divided into two groups , from January 2012 to June 2013 .The control group ( 69 cases ) was given the cardiovascular specialty nursing and the CGA group (74 cases) was given the cardiovascular nursing based on the CGA nursing model .The scores of patients ’ physical strength, illness, medical condition, general life, social psychology, working and interpersonal relationship were surveyed using the questionnaire of quality of life in patients with cardiovascular diseases ( CQQC) when patients first admitted to the hospital and 6 months after discharge .Results In the CGA group , 75.7%patients had two or more kinds of elder problems , within which 67.6% was depression, 66.2% was sleep disorder, 62.2% were hearing disability and 60.8% was visual disability.Before the intervention, the scores of quality of life between groups had no significant differences (P >0.05).After the nursing intervention, the scores of physical strength , illness, medical condition, general life, social psychology, working and interpersonal condition in the CGA group were (10.86 ±5.06), (8.75 ±4.54), (5.90 ±0.40), (5.22 ±1.95), (8.41 ±3.22), (0.97 ±0.66) and (40.11 ±9.05).Those scores in the control group were (7.35 ±4.12), (4.57 ±0.85), (4.72 ±0.82), (3.85 ±1.45), (3.67 ±1.52), (0.70 ±0.64) and (24.86 ±4.43).The differences of scores between groups were significant ( t =4.541, 7.545, 11.137, 4.720, 11.095, 2.470, 12.653, respectively;P <0.05 ).Conclusions Based on the comprehensive evaluation, the CGA nursing model can play a positive role in clinical nursing of elderly CHD patients , and it also can improve the quality of life in elderly patients with CHD .
