摘要
目的探讨个性化容量管理对慢性心力衰竭(CHF)患者预后的影响。方法选择2019年7月-2020年7月于我院就诊的CHF患者200例。排除中途失访的4例患者,最终纳入196例,采用随机数字表法分为试验组和对照组,各98例。对照组给予常规治疗和护理,试验组在对照组的基础上增加个性化的自我容量管理。比较两组干预前、干预后3个月、干预后6个月、干预后12个月自护能力、6min步行距离、心功能指标和生活质量的差异。结果试验组干预后自护能力评分高于对照组,6min步行距离长于对照组,心功能各项指标均优于对照组,生活质量评分低于对照组(P<0.05)。结论个性化自我容量管理有效提升患者的自护能力,改善其心功能,提高生活质量,可应用于临床。
Objective To explore the effect of individualized volume management on the prognosis of patients with chronic heart failure.Methods 200 patients with chronic heart failure in our hospital from July 2019 to July 2020 were selected.Four patients who lost to follow-up were excluded and 196 patients were finally included.They were randomly divided into experimental group(98patients)and control group(98 patients).The patients in the control group were given routine treatment and nursing,and the experimental group was given personalized self-capacity management on the basis of the intervention of the control group.The changes of self-care ability,6 min walking distance,cardiac function index and quality of life were compared between the two groups at admission,3 months,6 months and 12 months after intervention.Results After different interventions,the score of self-care index of the experimental group was higher than that of the control group,the 6min walking distance of the experimental group was longer than that of the control group,the indexes of cardiac function of the experimental group were better than those of the control group,and the score of quality of life was lower than that of the control group(P<0.05).Conclusion Personalized self-capacity management can effectively improve the self-care ability of patients,improve their cardiac function and quality of life.It is suggested to carry out clinical application.
作者
赵娜
阙静
ZHAO Na;QUE Jing(Department of Cardiology,Fuwai Central China Cardiovascular Hospital,Zhengzhou 450003)
出处
《临床护理杂志》
2022年第6期17-20,共4页
Journal of Clinical Nursing
基金
2018年度河南省医学科技攻关计划项目(2018020464)。
关键词
慢性心力衰竭
个性化容量管理
chronic heart failure
personalized capacity management
