Effects of comprehensive geriatric assessment on health management outcomes in elderly patients with coronary heart disease
10.3760/cma.j.issn.0254-9026.2019.04.005
- VernacularTitle:老年综合评估在老年冠心病患者健康管理中的应用效果
- Author:
Wei ZHANG
1
;
Jie BAI
;
Xueqing YANG
;
Jie CHEN
;
Chunpei MIAO
;
Yan HE
;
Yuyu SONG
;
Chengzhu WANG
Author Information
1. 中国人民解放军火箭军总医院干部病房
- Keywords:
Comprehensive geriatric assessment;
Coronary disease;
Health status Mdicators
- From:
Chinese Journal of Geriatrics
2019;38(4):371-374
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of comprehensive geriatric assessment on health management outcomes and quality of life in elderly patients with coronary heart disease.Methods A total of 100 elderly patients with coronary heart disease admitted into our hospital from April 2017 to April 2018 were enrolled in this study and randomly divided into a control group(n=50)receiving routine nursing intervention and an observation group (n =50)undergoing individualized health management after comprehensive geriatric assessment.Length of hospital stay,incidence of adverse events and quality of life were compared between the groups.Results The length of hospital stay was shorter in the observation group than in the control group[(10.6 ± 1.4) d vs.(15.5 ± 1.5) d,t =16.7,P＜0.05].Patients in the observation group had higher satisfaction than those in the control group[(55.6±1.4)vs.(45.5±1.5),t =34.2,P＜0.05],The incidence of cardiac adverse events was lower in the observation group than in the control group(20.0％ vs.52.0％％,x2 =5.0,P＜0.05).The scores for quality of life were higher in the observation group than in the control group(P＜0.05).Conclusions Comprehensive geriatric assessment can effectively shorten the length of hospital stay,reducethe incidence of cardiac adverse events,and improve the satisfaction and quality of life in elderly coronary heart disease patients,and should be recommended in clinical practice.
