Objective:To interview patients with heart and spleen deficiency of coronary heart disease, in order to provide medical staff with a comprehensive grasp of the symptoms of insomnia patients with heart and spleen deficiency of coronary heart disease, and to carry out scientific symptom management for patients, to promote patients' cardiac rehabilitation.Methods:Semi-structured interviews were conducted on 18 patients with insomnia of heart and spleen deficiency in coronary heart disease by phenomenological method. Colaizzi 7-step analysis method was used to analyze the interview data.The symptom perception, symptom assessment and symptom response of insomnia patients with heart and spleen deficiency in coronary heart disease were analyzed.Perception consists of 3 themes: somatic symptom perception (fatigue; CHD related symptoms include chest tightness and palpitation, shortness of breath, palpitation and forgetfulness, dizziness and headache, limb numbness, heavy head and body sleepiness, waist and knee tenderness, tinnitus, fear of cold limb cold; pain, chest pain; frequent nocturia), psychological symptom perception (tension, anxiety, depression, emotional legacy phenomenon), social adaptation changes.The symptom evaluation includes two themes: objective reasons (including disease factors, work nature, living environment, sudden life events, etc.) and subjective reasons (including personality factors, use of electronic products, and sleep cognition). Symptom response includes three themes: body and behavior (body and medication behavior, body and diet behavior, body and exercise, body and TCM nursing technology), psychology and behavior, and social culture and behavior.Results:Patients with insomnia in CHD have a variety of manifestations and many influencing factors, but most of the patients are worried about the adverse reactions of western medicine, unwilling to take western medicine to treat insomnia, willing to try TCM and traditional Chinese nursing technology, and other ways to promote sleep.Conclusions:Medical staff can carry out traditional Chinese medicine nursing technical plan, and effectively intervene the symptoms of patients with heart and spleen deficiency of coronary heart disease, so as to improve the double-heart health of patients with coronary heart disease, and improve patients' self-management ability.

[目的]探讨分层次教学模式结合护理量化表在临床带教中的应用效果。[方法]将40名临床实习6周的护生随机分为对照组和观察组,对照组采用常规带教法,观察组针对护生的学历、知识水平、教育背景等不同进行分层次带教,在教学过程中应用护理量化表对护生进行跟踪评价。[结果]观察组实习结束时理论知识、专科健康教育、技术操作、医德医风等方面评分优于对照组(P<0.01)。护生对带教老师的满意度也有显著提高(P<0.01)。[结论]通过分层次教学模式结合护理量化表带教,细化了教学目标,规范了带教程序,全面提高了带教质量。

[目的]探讨分层次教学模式结合护理量化表在临床带教中的应用效果.[方法]将40名临床实习6周的护生随机分为对照组和观察组,对照组采用常规带教法,观察组针对护生的学历、知识水平、教育背景等不同进行分层次带教,在教学过程中应用护理量化表对护生进行跟踪评价.[结果]观察组实习结束时理论知识、专科健康教育、技术操作、医德医风等方面评分优于对照组(P＜0.01).护生对带教老师的满意度也有显著提高(P＜0.01).[结论]通过分层次教学模式结合护理量化表带教,细化了教学目标,规范了带教程序,全面提高了带教质量.