摘要
目的探讨目标管理理论的针对性护理干预在老年慢性心力衰竭患者中的应用效果.方法将93例老年慢性心力衰竭患者按随机数字表法分为两组,观察组47例,对照组46例,均予以常规护理干预,观察组在此基础上予以目标管理理论的针对性护理干预,观察住院全程.干预前后采用Mishel疾病不确定感量表评定两组疾病不确定感,焦虑自评量表、抑郁自评量表评定两组焦虑、抑郁状况,6 min步行试验评定两组运动耐量,明尼苏达心力衰竭生活质量问卷评定两组生活质量,医院自行设计护理满意度调查问卷评定两组对护理工作满意度.结果干预后两组M ishel疾病不确定感量表、焦虑自评量表、抑郁自评量表、明尼苏达心力衰竭生活质量问卷评分均较干预前显著下降(P<0.05或0.01),且观察组评分均显著低于对照组(P<0.01);两组6 min步行试验距离均较干预前显著延长(P<0.01),且观察组显著长于对照组(P<0.05);观察组对护理工作满意度(97.87%)显著高于对照组(80.43%)(P<0.05).结论目标管理理论的针对性护理干预能显著降低老年慢性心力衰竭患者疾病不确定感,改善心理状态,延长患者6 min步行试验距离,提高生活质量及护理工作满意度.
Objective To investigate the application effect of targeted nursing in the theory of target management in elderly patients with chronic heart failure(CHF).Methods 93 patients with CHF were divided into groups according to the random number table,46 cases in the control group given routine nursing,and 47 cases in the observation group treated with targeted nursing in the theory of objective management on the basis of routine nursing.Observe the whole process of hospitalization.Before and after intervention,MUIS was used to assess the uncertainty of the two groups.SAS and SDS were used to assess the anxiety and depression of the two groups.6 MWT was used to assess the exercise tolerance of the two groups.MLHFQ was used to assess the quality of life of the two groups.The hospital designed the nursing satisfaction questionnaire was used to assess the satisfaction of the two groups.Results After the intervention,the scores of MUIS,SAS,SDS and MLHFQ in the two groups were significantly lower than those before the intervention(P<0.05 or 0.01),and the scores in the observation group were significantly lower than those in the control group(P<0.01).After intervention,the 6MWT distance of the two groups increased significantly compared with that before intervention,and the 6MWT distance of the observation group was longer than that of the control group(P<0.05).The nursing satisfaction of the observation group(97.87%)was higher than that of the control group(80.43%)(P<0.05).Conclusion Targeted nursing based on the theory of objective management can reduce the indeterminate sense of disease in elderly CHF patients,improve their mental state,extend the 6MWT distance of the patients,and improve their quality of life and the satisfaction of nursing work.
作者
周丽娜
邵彩霞
王素芳
Zhou Lina;Shao Caixia;Wang Sufang(The 7th People's Hospital of Zhengzhou,Zhengzhou 450000,Henan,China)
出处
《临床心身疾病杂志》
CAS
2019年第2期178-180,F0003,共4页
Journal of Clinical Psychosomatic Diseases
关键词
慢性心力衰竭
心血管疾病
老年
目标管理理论
针对性护理干预
负性情绪
心理状态
生活质量
护理工作满意度
Chronic heart failure
cardiovascular disease
old age
target management theory
targeted nursing intervention
negative emotion
mental state
quality of life
nursing job satisfaction
