Abstract
Objective To evaluate the effect of integrated nursing on elderly patients with coronary heart disease (CHD) and chronic kidney disease (CKD).Methods The study was conducted among 86 hospitalized patients aged≥60 years with CHD and CKD.The patients were randomly divided into control group (n =42) that received conventional medications and routine nursing intervention,and observation group (n =44) that received integrated nursing interventions on the basis of the control group treatment.Patients of two groups were followed up for 1 year.Integrated nursing measures including emergency care,general care,psychological care,risk factors care were taken.Results After the intervention,hospitalized duration of the observation group was significantly lower than that of the control group [(13.5 ± 1.81) vs (17.3 ± 2.11) d; t =4.655,P ＜0.01].Indicators of integrated care intervention were significantly prior in the observation group than the control group:lower incidence of gastrointestinal symptom(15.9％ vs 38.1％),constipation,deterioration of cardiac function (6.8％ vs 31.0％)and renal function (11.4％ vs 47.6％),and lower incidence of rehospitalization (6.8％ vs 26.2％) and mortality (2.3％ vs 14.3％) ; while higher levels of albumin,hemoglobin,higher smoking cessation (70.5％ vs 35.7％),higher incidence of glucose(59.1％ vs 28.6％)and blood pressure control (61.4％ vs 35.7％),higher life quality score [(64.47 ± 20.59) vs (55.37 ±18.62)] and the differences were statistically significant(x2/t =5.399,8.265,13.699,5.917,4.147,10.424,8.116,5.658,2.430 ; P ＜ 0.05).Conclusions It plays an important role to take comprehensive nursing care in elderly patients with CHD and CKD,which can improve the nursing level,promote the rehabilitation,delay the progression of the disease,improve quality of life and reduce mortality. Key words: Elderly; Coronary heart disease; Chronic kidney disease; Integrated nursing intervention
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