摘要
目的:探讨预见性护理对慢性心力衰竭(CHF)并心房颤动(AF)患者心功能及生活质量的影响。方法:选取2015年1月~2017年1月我院收治的90例CHF合并AF患者,将其随机等分为对照组和观察组。对照组给予常规心内科护理,观察组在此基础上给予预见性护理,比较两组患者抑郁评分、并发症发生情况、心功能指标、生活质量、住院时间、住院费用、护理满意情况。结果:干预后,观察组与对照组患者汉密尔顿抑郁量表评分及压疮、低血钾、低血钠发生情况相比较差异具有统计学意义(P<0.05);观察组左心室射血分数、左心室舒张末内径、6min步行距离均明显优于对照组(P<0.05);观察组明尼苏达心力衰竭生活质量量表中症状、身体活动、情感3个维度评分均明显低于对照组(P<0.05);观察组住院时间、住院费用明显低于对照组,护理满意情况明显高于对照组,差异有统计学意义(P<0.05)。结论:预见性护理对改善CHF合并AF患者心功能及生活质量有重要应用价值。
Objective: To explore the effect of predictive nursing on cardiac function and quality of life of patients with chronic heart failure( CHF) and atrial fibrillation( AF). Methods: To select 90 cases of patients with CHF and AF cured in our hospital from January 2015 to January 2017,and randomly divide them into control group and observation group. Control group was given routine cardiology nursing,while observation group,except routine cardiology nursing,was also given predictive nursing. Compare depression score,occurrence condition of complications,cardiac function index,quality of life,hospital stays,hospital fees and nursing satisfaction. Results: After intervention,compare score of Hamilton's depression scale,occurrence condition of pressure sores,hypokalemia and hyponatremia for patients between the two groups and the difference was statistically significant( P < 0. 05). Left ventricular ejection fraction,left ventricular end-diastolic diameter and walking distance in 6 minutes in observation group were all better than those in control group( P <0. 05). Scores of the three dimensions of symptom,body activity and emotion listed in Minnesota cardiac failure quality of life scale in observation group were all obviously lower than those in control group( P < 0. 05). Hospital stays and hospital fees in observation group was obviously lower than those in control group,while nursing satisfaction was obviously higher than that in control group,and the difference was statistically significant( P < 0. 05). Conclusion: Predictive nursing could have important application value on improvement of cardiac function and quality of life of patients with CHF and AF.
出处
《护理实践与研究》
2018年第4期4-7,共4页
Nursing Practice and Research
关键词
慢性心力衰竭
心房颤动
心功能
生活质量
预见性护理
Chronic heart failure
Atrial fibrillation
Cardiac function
Quality of life
Predictive nursing
