摘要
目的探讨预见性护理对扩张型心肌病患者生活质量和心功能的影响。方法本研究选取2018年2月-2019年3月郑州市某医院收治的66例扩张型心肌病患者为研究对象。采用随机数字表法将患者分为对照组与观察组,每组33例。对照组患者采用常规护理,观察组患者在常规护理的基础上进行预见性护理。比较护理前及出院时2组患者的心率(HR)、B型利钠肽(BNP)及左室射血分数(LVEF)水平;比较随访3个月时2组患者的生活质量。结果出院时,观察组患者LVEF为(58.9±16.2)%,高于对照组的(52.3±6.4)%,且2组患者的LVEF水平均高于护理前,差异均有统计学意义(P<0.05)。出院时,观察组患者BNP及HR水平分别为(121.4±18.4)pg/mL及(71.4±4.1)次/min,均低于对照组的(143.1±11.7)pg/mL及(76.4±12.3)次/min,且2组患者BNP及HR水平均低于护理前,差异均有统计学意义(P<0.05)。随访3个月时,观察组患者世界卫生组织生活质量测定表简表(WHOQOL-BREF)中生理健康、心理状态、社会关系、个人信仰评分及总分均高于对照组,差异均有统计学意义(P<0.05)。结论预见性护理应用于扩张型心肌病患者的护理中,可改善患者HR,LVEF及BNP等心功能指标,并提高患者生活质量,值得临床推广应用。
Objective To investigate the effect of predictive nursing on quality of life and cardiac function in patients with dilated cardiomyopathy.Methods In this study,66 patients with dilated cardiomyopathy admitted to a hospital in Zhengzhou from February 2018 to March 2019 were selected as subjects.The patients were divided into control group and observation group by random number table method,with 33 cases in each group.Patients in the control group received routine nursing,and patients in the observation group received predictive nursing on the basis of routine nursing.The heart rate(HR),b-type natriuretic peptide(BNP)and left ventricular ejection fraction(LVEF)of the 2 groups were compared before and after nursing care.The quality of life of the two groups was compared at the 3-month follow-up.Results At discharge,LVEF in the observation group was(58.9±16.2)%,higher than that in the control group(52.3±6.4)%,and LVEF level in both groups was higher than that before nursing,with statistically significant differences(P<0.05).At discharge,the BNP and HR levels in the observation group were(121.4±18.4)pg/mL and(71.4±4.1)times/min,respectively,lower than those in the control group(143.1±11.7)pg/mL and(76.4±12.3)times/min,and the BNP and HR levels in the two groups were lower than those before nursing,with statistically significant differences(P<0.05).At the 3-month follow-up,the physiological health,psychological status,social relationship,personal belief score and total score in whoqol-bref in the observation group were all higher than those in the control group,with statistically significant differences(P<0.05).Conclusion Predictive nursing in patients with dilated cardiomyopathy can improve HR,LVEF,BNP and other indicators of cardiac function,and improve the quality of life of patients,which is worthy of clinical application.
作者
朱彩虹
王伟
赵巧燕
Zhu Caihong;Wang Wei;Zhao Qiaoyan(The 7th people′s hospital of Zhengzhou,Zhengzhou 45000,China)
出处
《保健医学研究与实践》
2020年第2期80-83,共4页
Health Medicine Research and Practice
基金
河南省科技攻关计划项目(2018020861)。
关键词
心功能
预见性护理
生活质量
扩张型心肌病
心力衰竭
心理
健康教育
Cardiac function
Predictive nursing
Quality of life
Dilated cardiomyopathy
Heart failure
Psychological
Health education
