Application of nursing outcomes classification in self-control of risk factors in elderly coronary heart disease patients

Abstract

Objective To evaluate the ability of controlling risk factors in elderly patients with coronary heart disease (CHD) with nursing outcomes classification (NOC) . Methods A total of 146 elderly CHD patients treated in Daqing Longnan Hospital, the Fifth Affiliated Hospital of Qiqihar Medical School between January and June 2016 were enrolled in the study. All the study subjects were divided into control group (n=70) and experimental group (n=76) by random number table method. The control group was given routine nursing, while the experimental group was analyzed by the Risk Control: Cardiovascular Health and Cardiac Pumping Effect scales in NOC system 1 month after discharge and given interventions. The indicators of NOC of the patients and assessment of nursing staff were compared between the two groups. Results The differences in the scores of NOC indicators between control group and experimental group were statistically significant (P<0.05) . The indicators were angina pectoris, medication compliance, cognitive status, peripheral pulse, systolic blood pressure, diastolic blood pressure, recognition of cardiovascular risk, and monitoring of blood pressure, applying stress management techniques, participating in cholesterol screening, following recommendations for preventive measures related to over-the-counter drugs, participating in aerobic exercise, recognizing the ability to change behavior, and avoiding smoking. The relevant knowledge level and skill assessment of the responsible nurses in the experimental group were better than those in the control group (P<0.05) . Conclusions The ability to control risk factors in elderly patients with CHD needs to be strengthened from the perspective of patients. Individualized programs should be implemented according to patients' specific conditions. Key words: Aged; Coronary heart disease; Nursing outcomes classification