摘要
目的 探析综合护理干预对慢性心力衰竭患者生活质量的影响。方法 将2019年1月至2019年12月本院接收的500例慢性心力衰竭患者收入本试验中,以双模拟法为基准分为对照组(250例,常规护理)和观察组(250例,综合护理),常规护理措施主要有为患者讲解慢性心力衰竭相关知识,提醒患者注意事项,营造出安静、舒适的护理环境,确保患者作息正常等。综合护理措施主要包括给予患者心理疏导,护理人员需积极与患者交流,改善其不良情绪,提升治疗自信心,落实运动护理,根据患者心功能分级,为患者制订出针对性运动干预方案,给予患者饮食干预,严格控制患者体质量,鼓励患者多食用高蛋白质和高维生素食物,实施睡眠干预措施,告知患者养成良好作息习惯等,提供健康指导,加强其对于疾病的认知,帮助其养成良好的生活习惯。比较两组生活质量评分、心功能和负面情绪评分的差异。结果 观察组抑郁评分、焦虑评分、左室舒张末径、左室射血分数及6 min步行距离均比对照组优,差异明显(P <0.05);在疾病症状、体力限制、心理情绪及社会关系评分方面,观察组均较对照组低,差异显著(P <0.05)。结论 予以慢性心力衰竭患者综合护理干预方法,不仅可使患者心功能及负面情绪改善,同时也可促进其生活质量的提高。
Objective To explore the influence of comprehensive nursing intervention on the quality of life of patients with chronic heart failure.Methods Between January 2019 and December 2019 in our hospital to receive the 500 cases of patients with chronic heart failure in this experiment,based on double simulation method is divided into the control group(250 cases,conventional nursing) and observation group(250 cases,the comprehensive nursing) and conventional nursing measures for patients on chronic heart failure related knowledge,attention to remind patients.Create a quiet and comfortable nursing environment to ensure that patients work and rest normally.Comprehensive nursing measures mainly include giving patients psychological counseling,nurses need to actively communicate with patients,improve its bad feelings,enhance self-confidence,treatment to carry out the exercise care,according to the patients with cardiac function classification,for patients to develop a targeted intervention plan,giving patients diet intervention,strictly control the weight patients,encourage patients to eat food of high protein and high vitamin.Sleep intervention measures were implemented to inform patients to develop good habits of work and rest,provide health guidance,strengthen their awareness of the disease,and help them develop good living habits.The scores of quality of life,cardiac function and negative emotions of the two groups were compared.Results Depression score,anxiety score,left ventricular end-diastolic diameter,left ventricular ejection fraction and 6 min walking distance in the observation group were significantly better than those in the control group(P<0.05).Compared with the control group,the observation group had significantly lower disease symptoms,physical limitations,psychological and emotional scores and social relationship scores(P<0.05).Conclusion Comprehensive nursing intervention for patients with chronic heart failure can not only improve their heart function and negative emotions,but also improve their quality of life.
作者
岳悦
YUE Yue(Department of Cardiology,The Second Affiliated Hospital of Shenyang Medical College,Shenyang 110035,China)
出处
《中国医药指南》
2022年第16期159-161,共3页
Guide of China Medicine
关键词
生活质量
综合护理干预
心功能
慢性心力衰竭
Quality of life
Comprehensive nursing intervention
Cardiac function
Chronic heart failure
