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 . Key words: Coronary heart disease; Quality of life; Comprehensive geriatric assessment
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