摘要
目的探讨强化护理干预对冠心病合并慢性心力衰竭患者的影响。方法将2009年1月至2010年11月因慢性心力衰竭急性加重在首都医科大学电力教学医院心血管内科住院的180例冠心病患者按随机数字法分为观察组和对照组各90例。对照组给予常规护理,观察组在常规护理基础上实施强化护理。比较两组患者症状缓解时间、CCU治疗时间、总住院时间和死亡率。结果观察组在实施强化护理干预后症状缓解时间为（3.42±0.390）d，少于对照组的（4.81±0.297）d，差异有统计学意义（t=-26.991,P〈0.05）；CCU治疗时间少于对照组［（5.04±0.559）d比（7.18±0.862）d］，差异有统计学意义（t=-19.728,P〈0.05）；住院总时间明显少于对照组［（13.800±2.061）d比（16.642±2.856）d］，差异有统计学意义（t=-7.665,P〈0.05）；死亡率明显低于对照组［（6.7%）比（17.8%）］,差异有统计学意义（χ2=5.178,P〈0.05）。结论强化护理干预可明显增强冠心病合并慢性心力衰竭患者治疗效果，能够缩短症状缓解时间，减少CCU治疗时间及总住院时间和降低死亡率。
Objective To explore the effect of strengthening nursing care on coronary heart disease patients with chronic heart failure. Methods Totals of 180 consecutive patients with coronary heart disease hospitalized for acute exacerbation of chronic heart failure were enrolled in the period from January 2009 to November 2010. They were randomly divided into observation group and control group, 90 cases in each group. Both groups received traditional nursing, observation group received additionally strengthening nursing care. Remission time, CCU treatment duration, total hospitalization duration and mortality rate respectively were compared. Results Compared observation group with control group, the mean remission time [ （3.42 ± 0. 390） d vs （4.81 ± 0.297 ） d J, CCU treatment duration [ （ 5.04 ± 0.559 ） d vs （ 7.18 ± 0. 862 ） d ], total hospitalization duration [ （ 13. 800 ± 2. 061 ） d vs （ 16. 642 ± 2. 856 ） d ], mortality rate （ 6.7% vs 17.8% ） were lower in observation group than control group, and significant difference was found （t = -26.991, - 19. 728, -7. 665, - 5. 178, respectively; P 〈 0.05 ）. Conclusions The strengthening nursing care can remarkably enhance the therapeutic effect. It can not only shorten duration, but also reduces the mortality rate.
出处
《中华现代护理杂志》
2013年第6期656-658,共3页
Chinese Journal of Modern Nursing
关键词
冠心病
慢性心力衰竭
疗效
强化护理干预
Coronary heart disease
remission time, CCU treatment duration, total hospitalization Chronic heart failure
Treatment effect
Strengthening nursing care
