目的探讨无缝隙护理在老年冠状动脉粥样硬化性心脏病(CHD)患者中的应用价值。方法选取2014年10月至2015年10月辽宁省普兰店市中心医院收治的66例老年CHD患者作为研究对象,按护理方式不同将其分为对照组和无缝护理组,各33例。对照组患者给予常规护理,无缝护理组患者实施无缝隙护理干预措施,比较两组患者心绞痛改善情况、生命质量及心血管不良反应发生情况。结果无缝护理组患者心绞痛稳定状态、发作情况、疾病认知度、躯体活动受限程度、治疗满意度评分均明显高于对照组,差异均有统计学意义(均P<0.05);护理后,无缝护理组患者生理功能、生命活力、社会功能、总体健康评分均明显高于对照组,差异均有统计学意义(均P<0.05);无缝护理组患者心血管不良反应发生率明显低于对照组,差异有统计学意义(P<0.05)。结论对老年CHD患者实施无缝隙护理效果显著,能有效改善心绞痛症状,提高患者生命质量,降低心血管不良反应发生率。 Objective To investigate the value of seamless nursing in elderly patients with coronary atherosclerotic heart disease (CHD). Methods Sixty-six elderly patients with CHD admitted to Central Hospital of Pulandian in Liaoning Province between October 2014 and October 2015 were selected as study subjects, and divided into control group and seamless nursing group according to different nursing methods, with 33 cases in each group. Patients in the control group were given routine care. Patients in the seamless care group were given seamless nursing interventions. The improvement of angina pectoris, quality of life and cardiovascular adverse reactions were compared between the two groups. Results In the seamless nursing group, the steady state of angina pectoris, the onset of disease, the degree of disease cognition, the degree of physical activity limitation and the satisfaction degree of treatment were all significantly higher than those of the control group (all P <0.05) (P <0.05). The incidence of adverse cardiovascular events in patients in seamless care group was significantly higher than that in control group (all P <0.05). The incidence of cardiovascular adverse reactions in patients in seamless care group was significantly higher than that in control group Lower than the control group, the difference was statistically significant (P <0.05). Conclusion The effect of seamless nursing on elderly CHD patients is significant, which can effectively improve the symptoms of angina, improve the quality of life of patients and reduce the incidence of adverse cardiovascular events.