摘要
目的探讨社区护理干预对老年慢性心力衰竭患者情绪和生活质量的改善效果。方法选取2013年金华市西关街道社区卫生服务中心辖区内的老年慢性心力衰竭患者68例,随机分为实验组和对照组,每组各34例。实验组采用社区护理干预,对照组采用责任医生常规走访。比较干预前后两组患者的情绪和生活质量评分的变化。结果两组患者干预后焦虑自评定量表(SAS)、抑郁自评定量表(SDS)及生活质量评分均较干预前明显降低(P<0.05)。且干预后实验组患者的SAS为(45.17±4.86),SDS为(41.05±5.27)及生活质量评分(包括体力限制为(8.21±5.03)),社会限制为(3.99±1.52),情绪为(5.33±3.62)和症状评分为(5.04±1.88),均明显低于对照组(P<0.05)。结论社区护理干预可明显改善老年慢性心力衰竭患者情绪及生活质量。
Objective To investigate the effects of community nursing intervention on mood and life quality of elderly patients with chronic heart failure. Methods 68 patients within the jurisdiction of Xiguan Street Community Health Service Center in Jinhua were randomly divided into experimental group and control group with 34 cases in each group in 2013. The community nursing intervention was applied in the experimental group while routine physician visits was taken in the control group. Comparison of changes in score of mood and life quality before and after the intervention between the groups was conducted. Results The scores of Self-Rating Anxiety Scale（SAS）, Self-rating depression scale（SDS） and life quality were significantly lower after the intervention（P 〈0.05） in both groups. After the intervention, the average patients＇ score of the experimental group for SAS was 45.17±4.86, SDS 41.05±5.27, life quality（including physical limitation） 8.21±5.03, social constraints 3.99±1.52, the mood 5.33±3.62 and symptom 5.04±1.88, all of which were significantly lower than the control group（P〈 0.05）. Conclusion Community nursing intervention can significantly improve the mood and life quality of elderly patients with chronic heart failure.
出处
《医院管理论坛》
2014年第10期63-64,57,共3页
Hospital Management Forum
关键词
社区护理干预
心力衰竭
生活质量
Community nursing intervention
Heart Failure
Life quality
