摘要
目的探讨循证护理(EBN)对扩张型心肌病(DCM)合并心力衰竭(HF)患者的干预效果。方法选取本院2015年1月~2016年6月期间收治的DCM合并HF患者80例,并随机分为两组:观察组40例行EBN合并常规护理,对照组40例行常规护理,对比两组护理效果。结果观察组护理后焦虑自评量表(SAS)、抑郁自评量表(SDS)、明尼苏达心力衰竭生活质量调查表(MLHFQ)评分、左室舒张末径(LVEDD)及再住院率均低于对照组,左室射血分数(LVEF)、6min步行距离(6WMT)均高于对照组,组间比较差异有统计学意义(P<0.05)。结论实施循证护理能够降低DCM合并HF患者的焦虑抑郁情绪及再住院率,改善心功能及生活质量。
Objective To investigate the effect of evidence-based nursing （ EBN ） on patients with dilatedcar-diomyopathy （DCM） and heart failure （ HF）. Methods A total of 80 patients with DCM and HF admitted in our hos- pital from January 2015 to June 2016 were randomly divided into two groups： 40 cases in the observation group received EBN combined with routine nursing, 40 cases in the control group received routine nursing only. The nursing effects between the two groups were compared. Results After nursing, the Self-Rating Anxiety Scale （ SAS ） scores, Self-Rating Depression Scale （SDS） scores, Minnesota Heart Failure Quality of Life Scale （ MLHFQ ） scores, left ventricu- lar end diastolic diameter （ LVEDD ） and re-hospitalization rate in the observation group were lower than those in the control group , the left ventricular ejection fraction （LVEF） and 6-min walk test （6WMT） were higher than those in the control group, there were significant differences between the two groups （P 〈 0.05 ）. Conclusion EBN can effectively improve the anxiety and depression, reduce the re-hospitalization rate, improve the cardiac function and quality of life of patients with DCM combined with HF.
出处
《国际精神病学杂志》
2017年第2期337-341,共5页
Journal Of International Psychiatry
关键词
扩张型心肌病
心力衰竭
循证护理
焦虑抑郁
生活质量
Dilatedcardiomyopathy
Heart failure
Evidence-based nursing
Anxiety and depression
Quality of life
