摘要
目的：探讨综合护理干预对高龄慢性心力衰竭患者预后的影响。方法采用前瞻性研究方法，选取我院2014年1月至2015年7月收治的76例高龄慢性心力衰竭患者作为研究对象，根据住院期间护理方式的不同，分为观察组和对照组各38例。观察组采用综合护理干预措施，对照组采用常规护理干预措施。对2组患者的护理效果、焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分、左室射血分数（LVEF）、6 min步行距离及心力衰竭生命质量评分进行比较。结果综合护理干预3个月后，观察组患者护理知识掌握好、依从、护理满意、再入院等方面的比率分别为78.95%（30/38），81.58%（31/38），92.11%（35/38），31.58%（12/38），优于对照组的57.89%（22/38），65.79%（25/38），57.89%（22/38），52.63%（20/38），2组比较差异有统计学意义（χ2=3.8974～7.9167， P＜0.05）；观察组干预后患者焦虑自评量表（SAS）、抑郁自评量表（SDS）、左室射血分数（LVEF）、6 min步行距离等指标分别为（41.6±3.9）分、（45.3±5.2）分、（52.1±5.5）%、（568.3±44.2）m，优于对照组的（46.8±4.7）分、（51.6±4.9）分、（46.8±4.6）%、（462.3±46.5）m，2组比较差异有统计学意义（t=4.5566～10.1851，P＜0.05）。结论对高龄慢性心力衰竭患者积极进行综合护理干预，对延缓疾病的进展、树立战胜疾病的信心、改善不良预后具有重要的临床意义。
Objective To know the influence of comprehensive nursing intervention on the prognosis of elderly patients with chronic heart failure. Methods By the prospective study method, 76 cases of elderly patients with chronic heart failure were selected from January 2014 to July 2015 as the research objects. According to the different methods of hospital care, they were divided into the observation group and control group, patients in the observation group had accepted the comprehensive nursing intervention measures, while the patients in the control group adopted conventional nursing intervention measures. Compared the nursing effect, anxiety scale (SAS), depression (SDS), left ventricular ejection fraction (LVEF), 6-minute walking distance and heart failure in the quality of life scores between the two groups. Results After 3 months of comprehensive nursing intervention, the rate of grasp nursing knowledge, compliance, nursing satisfaction and readmission in the observation group was 78.95%(30/38), 81.58%(31/38), 92.11%(35/38), 31.58%(12/38) respectively, which was significant better than that of in the control group 57.89%(22/38), 65.79%(25/38), 57.89%(22/38), 52.63%(20/38),respectively, the differences were statistically significant (χ2=3.897 4-7.916 7, P<0.05). The score of SAS, SDS, LVEF and the length of the 6-minute test in the observation group was 41.6±3.9, 45.3±5.2, (52.1±5.5)%, (568.3± 44.2) m, which was significant better than that of in the control group, 46.8 ± 4.7, 51.6 ± 4.9, (46.8 ± 4.6)%, (462.3 ± 46.5) m, t=4.556 6-10.185 1, P<0.05. Conclusions Comprehensive nursing intervention can effectivey improve the prognosis of patients with chronic heart failure, slow the progression of disease, and then strength the confidence of fighting disease.
出处
《中国实用护理杂志》
2016年第23期-,共3页
Chinese Journal of Practical Nursing
关键词
心力衰竭
护理
预后
高龄
Heart failure
Nursing care
Prognosis
Elder
