协同护理干预对心肌梗死患者康复及照顾者的生活质量和照顾能力的影响

目的：探讨协同护理对心肌梗死患者康复及照顾着生活质量的护理效果。方法：选取60例心肌梗死患者，随机分为对照组和试验组，各30例。对照组采用常规护理，试验组在对照组的基础上采用协同护理进行干预，观察两组患者在死亡、再梗死、梗死后心绞痛、严重心律失常、心力衰竭等临床并症状及生活自理能力方面的差异，采用总体健康状况量表及照顾能力测量表评价干预前后照顾者生活质量与照顾能力。结果：两组患者生活自理能力无差异（P〉0．05），试验组梗死后心绞痛的发生率低于对照组（P〈0．05）；试验组照顾者的照顾能力及生活质量显著优于对照组，差异有统计学意义（P〈0．01）。结论：协同护理能明显提高心肌梗死患者照顾者的照顾能力及生活质量，利于患者康复。

Influence of Collaborative. Care Intervention for Patients of Myocardial Infarction and Caregivers with Care Ability and Quality of Life

Objective： To investigate the effects of collaborative care intervention on patients of myocardial infarction and caregivers with care ability and quality of,life. Methods： 60 cases were randomly divided into control and experimental groups, with 30 cases in each group. The patients in control group received routine nursing care, while cases in experimental group were based on the use of collaborative care for nursing intervention. The clinical complications included die, recurrent myocardial infarction, postinfarction angina pectoris, arrhythmia, heart failure and ability of living independence in the two groups were detected. Before intervention and after intervention, General Health Questionnaire （GHQ-28）and Family Caregiver Task Inventory （FCTI） were used to assess caregivers. Results： There was no statistically significant difference in ability of living independence, and the incidence of recurrent myocardial infarction in experimental group was lower than the other. Care ability and quality of life in experimental group was superior to another. Conclusion： Collaborative care helps to enhance caregivers＇s care ability and quality of life, which is necessary for recovery of patients.