摘要
目的 分析强化护理干预对冠状动脉粥样硬化性心脏病（冠心病）合并慢性心力衰竭患者的生存质量影响,探讨强化护理干预的临床治疗意义。方法 入选2013年1月-2014年12月于泰州市人民医院心血管内科收治的冠心病合并慢性心力衰竭患者122例,随机分为两组,观察组（61例）给予强化护理干预,对照组（61例）给予常规护理干预。比较两组患者的一般临床资料,使用量表调查两组患者护理前后的心理状况（抑郁度、焦虑度）、生活质量情况、护理后心绞痛情况。统计1年内因急性心力衰竭发作再次入院情况。结果 护理前,两组患者抑郁量表得分、焦虑量表得分、生活质量得分均无显著性统计学差异（P均〉0.05）;护理后两组患者的抑郁得分、焦虑得分、生活质量均显著改善,显著优于对照组,差异有统计学差异（P均〈0.05）;观察组护理满意度、心绞痛发作、病情稳定、疾病认知、对正常生活影响均显著优于对照组,差异有统计学差异（P〈0.05）。观察组一年内因急性心力衰竭发作再次入院率显著低于对照组（19.67%vs.36.06%）,差异有统计学差异（P〈0.05）。结论 给予冠心病合并慢性心力衰竭患者强化护理干预可以显著改善患者心理焦虑、抑郁程度,提高生活质量,降低因急性心力衰竭发作再入院率。
Objective To analyze the influence of strengthening nursing intervention on quality of life（QOL） in the patients with coronary heart disease（CHD） complicated with chronic heart failure（CHF）, and investigate the clinical significance of strengthening nursing intervention. Methods The patients with CHD complicated with CHF（n=122） were chosen from the Department of Cardiovasology of People＇s Hospital in Taizhou City from Jan. 2013 to Dec. 2014. All patients were randomly divided into observation group given strengthening nursing intervention and control group given routine nursing intervention（each n=61）. The general clinical data was compared between 2 groups, and psychological status（depression severity and anxiety severity）, QOL and attack of angina pectoris were investigated by using scales in 2 groups. The incidence of re-hospitalization due to acute heart failure（AHF） was observed within 1 year. Results Before the nursing, the scores of depression scale, anxiety scale and QOL had no significant statistical difference between 2 groups（all P〉0.05）. After the nursing, the scores of depression scale, anxiety scale and QOL were significantly improved in 2 groups, which was more significant in observation group than those in control group（all P〈0.05）. The degree of satisfaction to nursing care, attack of angina pectoris, stable disease status, cognition of disease and influence on normal life were significantly superior in observation group to those in control group（P〈0.05）. The incidence of re-hospitalization due to AHF within 1 year was significantly lower in observation group than that in control group（19.67% vs. 36.06%, P〈0.05）. Conclusion The strengthening nursing intervention can significantly relieve anxiety and depression, improve QOL, and reduce the incidence of rehospitalization due to AHF in patients with CHD complicated with CHF.
出处
《中国循证心血管医学杂志》
2016年第9期1116-1118,共3页
Chinese Journal of Evidence-Based Cardiovascular Medicine
关键词
强化护理干预
冠心病
慢性心力衰竭
生存质量
Strengthening nursing intervention
Coronary heart disease
Chronic heart failure
Quality of life
