摘要
目的探讨对出院慢性心力衰竭患者实施延续性护理干预的价值。方法2018年1月—2019年12月94例慢性心力衰竭患者随机分观察组及对照组,各47例,对照组进行常规护理,根据医嘱执行各项护操作,对饮食、服药、运动予以常规指导,对出院患者提供基本的出院指导,出院以后不进行主动干预;观察组实施延伸护理,构建延续性护理小组、建立健康档案、实施具体延伸护理服务、完善延伸护理服内容,观察指标包括慢性心力衰竭相关知识评分、遵医行为、生活质量评分、再住院次数;6 min步行距离;护理满意度评分。结果随访6个月~1年,平均(7.98±1.62)个月;观察组慢性心力衰竭相关知识评分(94.37±3.02)分、遵医行为(43.23±2.43)分、6 min步行距离(391.45±22.56)m、生活质量评分(36.09±1.62)分、护理满意度评分(98.25±0.02)分高于对照组的(81.34±7.45)分、(34.20±6.45)分、(342.54±33.09)m、(25.09±4.13)分、(82.76±3.45)分,差异有统计学意义(t=5.254、4.024、3.974、5.096、4.124,P<0.05)。住院次数(0.87±0.43)次少于对照组的(1.34±0.75)次,差异有统计学意义(t=6.156,P<0.05)。结论在慢性心力衰竭患者护理工作中,给予延续性护理干预,可以有效改善提升患者生活质量,应该引起重视。
Objective To explore the value of continuous nursing intervention for discharged patients with chronic heart failure.Methods From January 2018 to December 2019,94 patients with chronic heart failure were randomly divided into the observation group and the control group with 47 cases each.The control group received routine care,performed various nursing operations according to the doctor's orders,and provided guidance for routine diet,medication,and exercise,providing basic discharge guidance for discharged patients,and no active intervention after discharge;the observation group implements extended care,build a continuous care team,establish a health file,implement specific extended care services,and improve the content of extended care services.Observation indicators include chronic heart failure related knowledge score,compliance behavior,quality of life score,number of rehospitalizations;6min walking distance;nursing satisfaction score.Results Follow-up for 6 months to 1 year,average(7.98±1.62)months,observation group chronic heart failure related knowledge score(94.37±3.02)points,compliance behavior(43.23±2.43)points,6 min walking distance(391.45±22.56)m,quality of life(36.09±1.62)points and the nursing satisfaction score(98.25±0.02)points were higher than those of the control group(81.34±7.45)points,(34.20±6.45)points,(342.54±33.09)m,(25.09±4.13)points(82.76±3.45)points,the difference was statistically significant(t=5.254,4.024,3.974,5.096,4.124,P<0.05),the number of hospitalizations(0.87±0.43)times was less than that of the control group(1.34±0.75)times,the difference was statistically significant(t=6.156,P<0.05).Conclusion In the nursing work of patients with chronic heart failure,continuous nursing intervention can effectively improve the quality of life of patients,which should be paid attention to.
作者
张艳
ZHANG Yan(Department of Internal Medicine,Third People's Hospital of Tongzhou District,Nantong,Jiangsu Province,226311 China)
出处
《系统医学》
2021年第6期150-152,183,共4页
Systems Medicine
关键词
慢性心力衰竭
延续护理
干预
效果
Chronic heart failure
Continued care
Intervention
Effect
作者简介
张艳(1982-),女,本科,主管护师,研究方向为内科护理。
