摘要
目的探究监测-培训-计划(MTP)干预模式对扩张型心肌病(DCM)合并心力衰竭(HF)患者的影响。方法前瞻性选取2020年7月至2021年7月空军军医大学第二附属医院收治的80例DCM合并HF患者作为研究对象,采用简单随机分组中掷硬币法分为A、B组,最终纳入A组47例、B组33例。A组在常规护理基础上行MTP干预模式,B组单纯行常规护理,均干预3个月。比较两组干预前后心功能变化,通过焦虑自评量表(SAS)、抑郁自评量表(SDS)评价干预前后心理状态,采用日常生活能力量表(ADL)评估干预前后生活能力,比较两组护理满意度。结果干预3个月后,两组左心室射血分数水平均高于干预前,且A组高于B组,左室收缩末期内径、左心室舒张内径水平均低于干预前,且A组低于B组,差异有统计学意义(P<0.05);两组SAS、SDS评分均低于干预前,且A组低于B组,差异有统计学意义(P<0.05);两组ADL评分均高于干预前,且A组高于B组,差异有统计学意义(P<0.05);A组护理质量、护理态度、护理专业性、护理程序及护理满意度总分高于B组,差异有高度统计学意义(P<0.01)。结论MTP干预模式对DCM合并HF患者的干预效果显著,能够改善患者心功能、心理状态及提高日常生活能力。
Objective To investigate the impact of monitoring-training-planning(MTP)intervention model in patients with dilated cardiomyopathy(DCM)and heart failure(HF).Methods Eighty patients with DCM complicated with HF admitted to the Second Affiliated Hospital of Air Force Military Medical University from July 2020 to July 2021 were prospectively selected as the study subjects.The patients were divided into group A and group B by simple random coin-flipping method.Finally,47 cases in group A and 33 cases in group B were included.Group A received MTP intervention mode on the basis of routine nursing,and group B received simple routine nursing,intervention lasted for three months.The changes of heart function before and after intervention were compared between the two groups,the psychological state before and after intervention was evaluated by self-rating anxiety scale(SAS)and self-rating depression scale(SDS),the living ability before and after intervention was evaluated by activity of daily living scale(ADL),and the nursing satisfaction between the two groups was compared.Results After three months of intervention,the levels of left ventricular ejection fraction in both groups were higher than before intervention,and those of the group A were higher than group B,the levels of left ventricular end-systolic diameter and left ventricular diastolic diameter were lower than before intervention,and those of the group A were lower than group B,the differences were statistically significant(P<0.05).SAS and SDS scores of the two groups were lower than before intervention,and those of the group A were lower than group B,the differences were statistically significant(P<0.05);ADL scale scores of both groups were higher than before intervention,and group A was higher than group B,the differences were statistically significant(P<0.05).The scores of nursing quality,nursing attitude,nursing specialty,nursing procedure,and nursing satisfaction in group A were higher than those in group B,the differences were high statistically significa
作者
尹姣
王娟
刘宁
史敏
秦海红
刘晓阳
YIN Jiao;WANG Juan;LIU Ning;SHI Min;QIN Haihong;LIU Xiaoyang(Department of Cardiology,the Second Affiliated Hospital of Air Force Military Medical University,Shaanxi Province,Xi’an 710038,China)
出处
《中国医药导报》
CAS
2022年第23期182-185,共4页
China Medical Herald
关键词
监测-培训-计划干预模式
扩张型心肌病
心力衰竭
心功能
Monitoring-training-planning intervention model
Dilated cardiomyopathy
Heart failure
Heart function
