Influence of advanced management intervention on clinical therapeutic effect,cardiac function and quality of life in patients with coronary heart disease
10.3969/j.issn.1008-0074.2024.05.26
- VernacularTitle:超前管理干预对冠心病患者临床疗效、心功能及生活质量的影响
- Author:
Shuang YE
1
;
Si-Hui ZHANG
Author Information
1. 深圳市龙华区人民医院重症医学科,广东 深圳 518110
- Keywords:
Coronary disease;
Pain measurement;
Quality of life
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2024;33(5):639-643
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of advanced management intervention on clinical efficacy,cardiac func-tion and quality of life in patients with coronary heart disease(CHD).Methods:A total of 105 CHD patients admit-ted in Department of Critical Care Medicine,Shenzhen Longhua District People's Hospital between February 2019 and February 2023 were selected and divided into control group(n=53,routine nursing measure)and intervention group(n=52,advanced management intervention based on pain management)using the random number table method.Both groups were intervened for 1 month.Clinical therapeutic effect,cardiac function indexes,scores of Visual Analogue Scale(VAS),Kolcaba's General Comfort Questionnaire(GCQ),Pittsburgh Sleep Quality Index(PSQI)and World Health Organization Quality of Life brief version(WHOQOL-BREF)before and after inter-vention were compared between two groups.Results:Compared with control group,there were significant rise in therapeutic effective rate(66.00％vs.96.00％),left ventricular ejection fraction[(57.07±1.82)％vs.(68.85±1.81)％],scores of GCQ[(73.12±1.75)points vs.(94.96±1.95)points]and WHOQOL-BREF[(80.10±1.73)points vs.(94.82±1.95)points](P＜0.001 all),and significant reductions in left ventricular end-diastolic diameter[(52.12±1.84)mm vs.(41.28±1.74)mm],left ventricular mass index[(104.81±2.94)g/m2vs.(89.46±2.99)g/m2],left atrial volume index[(37.03±1.16)ml/m2 vs.(27.65±1.09)ml/m2],scores of VAS[(4.94±0.55)points vs.(1.85±0.56)points]and PSQI[(14.11±0.57)points vs.(8.95±0.64)points]in in-tervention group after intervention(P＜0.001 all).Conclusion:Advanced management intervention based on pain management can significantly improve clinical therapeutic effect,cardiac function,relieve pain,improve quality of life,sleep condition and comfort in CHD patients,which is worthy of clinical promotion and application.
