摘要
目的评价予以慢性心力衰竭患者延续护理干预对治疗依从性、自护能力、心功能等方面的积极影响。方法选择我院2020年1~10月收治的慢性心力衰竭患者,总计98例。按照入院先后顺序分组护理,对照组(n=49)采取常规护理,观察组(n=49)辅助延续护理干预。比较两组慢性心力衰竭患者3个月后随访效果,包括患者治疗依从性、生活质量以及左室舒张末容积(left ventricular end-diastolic volume,LVEDV)、左心室收缩末期容积(left ventricular end-systolic volume,LVESV)、左心室射血分数(left ventricular ejection fraction,LVEF)心功能水平。结果观察组饮食依从率(95.91%vs.81.63%)、服药依从率(100.00%vs.87.75%)、生活作息依从率(97.95%vs.83.67%)、运动依从率(95.91%vs.81.63%)均明显高于对照组,差异均有统计学意义,P均<0.05。护理干预后,观察组LVEDV[(120.02±20.03)mL vs.(140.05±22.20)mL]明显低于对照组,LVESV[(77.05±10.50)mL vs.(83.90±13.30)mL]明显低于对照组,LVEF[(42.50±4.50)%vs.(35.02±3.30)%]明显高于对照组,生活质量评分[(30.20±4.50)分vs.(44.50±5.50)分]明显低于对照组,差异均有统计学意义,P均<0.05。结论予以出院慢性心力衰竭患者延续护理干预效果显著,可以提升患者出院后的治疗依从性,有助于改善患者的心功能与生活质量。
Objective To evaluate the positive effects of continuous nursing intervention for patients with chronic heart failure on treatment compliance,self-care ability,and cardiac function.Methods A total of 98 patients with chronic heart failure admitted to our hospital from January 2020 to October 2020 were selected.Nursing were grouped according to the order of admission.The control group(n=49)took routine nursing care,and the observation group(n=49)assisted continuous nursing intervention.To compare the follow-up effects of the two groups of patients with chronic heart failure after 3 months,including patient treatment compliance,quality of life,left ventricular end-diastolic volume(LVEDV),left ventricular end-systolic volume(LVESV),left ventricular ejection fraction(LVEF)cardiac function level.The dietary compliance rate(95.91%vs.81.63%),medication compliance rate(100.00%vs.87.75%),life and rest compliance rate(97.95%vs.83.67%),and exercise compliance rate(95.91%vs.81.63%)in the combined group were significantly higher than In the control group,the difference was statistically significant,P<0.05.After nursing intervention,the LVEDV[(120.02±20.03)mL vs.(140.05±22.20)mL]of the observation group was significantly lower than that of the control group,and the LVESV[(77.05±10.50)mL vs.(83.90±13.30)mL]was significantly lower than that of the control group.The LVEF[(42.50±4.50)%vs.(35.02±3.30)%]was significantly higher than that of the control group,and the quality of life score[(30.20±4.50)points vs.(44.50±5.50)points]was significantly lower than that of the control group,with statistical differences,P<0.05.Conclusion The effect of continuous nursing intervention for discharged patients with chronic heart failure is significant,which can improve the treatment compliance of the patients after discharge,and help improve the cardiac function and quality of life of the patients.
作者
杨海荣
YANG Hairong(Department of Cardiology,Fukuang General Hospital,Liaoning Health Industry Group,Fushun 113000,China)
出处
《中国医药指南》
2023年第10期171-173,共3页
Guide of China Medicine
关键词
延续护理干预
慢性心力衰竭
生活质量
治疗依从性
心功能
Continuous nursing intervention
Chronic heart failure
Quality of life
Treatment compliance
Cardiac function
