摘要
目的探讨基于心脏康复需求的个体化心脏康复管理对心衰患者的作用效果。方法回顾性纳入2022年1—12月河南省人民医院收治的144例心衰患者进行研究。将接受常规护理模式的70例患者设为常规组,接受常规护理联合基于心脏康复需求的个体化心脏康复管理的74例患者设为试验组。比较两组患者护理前后的自我管理行为[心力衰竭自我护理指数量表(SCHFI)]、应对方式[医学应对方式问卷(MCMQ)]、生活质量[明尼苏达心力衰竭生活质量量表(MLHFQ)]、心理状态[焦虑状态特质问卷(ST-AI)、心理症状自评量表(SCL-90)]以及护理满意度。结果干预后,两组患者SCHFI、MCMQ面对维度评分均上升,且试验组患者高于常规组(P<0.05);两组患者的MLHFQ、ST-AI、SCL-90评分均下降,且试验组低于常规组(P<0.05);试验组患者的护理满意度(91.89%)高于常规组(80.00%)(P<0.05)。结论基于心脏康复需求的个体化心脏康复管理可以有效提升心衰患者自我管理行为,并提高患者应对方式、生活质量,并缓解心理状态。
Objective To explore the effects of individualized cardiac rehabilitation management based on cardiac rehabilitation demand on patients with heart failure.Methods A total of 144 patients with heart failure admitted to Henan People’s Hospital were retrospectively enrolled between January and December 2022,including 70 cases given routine nursing in routine group and 74 cases given routine nursing combined with individualized cardiac rehabilitation management based on cardiac rehabilitation demand in experimental group.The self-management behaviors[self-care of heart failure index(SCHFI)],coping styles[medical coping modes questionnaire(MCMQ)],quality of life[Minnesota living with heart failure questionnaire(MLHFQ)],psychological state[state-trait anxiety inventory(ST-AI),symptom check list-90(SCL-90)]and nursing satisfaction in the two groups were compared before and after nursing.Results After intervention,scores of SCHFI and facing dimension in MCMQ were increased in both groups,which were higher in experimental group than routine group(P<0.05),while scores of MLHFQ,ST-AI and SCL-90 were decreased,which were lower in experimental group than routine group(P<0.05).The nursing satisfaction in experimental group was higher than that in routine group(91.89%vs 80.00%,P<0.05).Conclusion Individualized cardiac rehabilitation management based on cardiac rehabilitation demand can effectively improve self-management behaviors,improve coping styles and quality of life,and relieve psychological state in patients with heart failure.
作者
李星
臧舒婷
常玉霞
孙文卓
姜鹏丽
姚竹音
LI Xing;ZANG Shuting;CHANG Yuxia;SUN Wenzhuo;JIANG Pengli;YAO Zhuyin(Department of Emergency Medicine,Henan People’s Hospital,Key Laboratory of Henan Nursing Medicine,Zhengzhou 450003,China)
出处
《河南医学研究》
CAS
2024年第1期171-175,共5页
Henan Medical Research
关键词
心脏康复需求
个体化心脏康复管理
心力衰竭
自我管理行为
cardiac rehabilitation demand
individualized cardiac rehabilitation management
heart failure
self-management behavior
