摘要
目的探究IMB模式对慢性心力衰竭(CHF)合并心律失常患者护理效果的影响。方法选择2020年12月至2022年12月期间在南阳医专第一附属医院治疗的CHF合并心律失常患者86例,应用随机数表法将其分为对照组(常规护理)及观察组(IMB模式护理)各43例,比较两组心功能[6min步行试验(6MWT)、左心室射血分数(LVEF)]、不良情绪评分[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、自我护理能力[自我护理能力量表(ESCA)]、生命质量评分[明尼苏达州心力衰竭生活质量问卷(LiHFe)]。结果护理后,两组LVEF、6MWT高于干预前,且观察组LVEF、6MWT高于对照组,差异具有统计学意义(P<0.05)。护理后,两组SAS、SDS低于干预前,且观察组SAS、SDS低于观察组,差异具有统计学意义(P<0.05)。护理后,两组ESCA评分均升高,且观察组ESCA评分高于对照组,差异具有统计学意义(P<0.05)。护理后,两组LiHFe均降低,且观察组LiHFe低于对照组,差异具有统计学意义(P<0.05)。结论对CHF合并心律失常患者进行IMB模式护理,可改善患者心功能、不良情绪,提高自护能力,提升生命质量。
Objective To explore the effects of the IMB(Information,Motivation,and Behavioral Skills)model on nursing care effectiveness in patients with chronic heart failure(CHF)complicated by arrhythmia.Methods A total of 86 patients with CHF and arrhythmia treated at The First Affiliated Hospital of Nanyang Medical College from December 2020 to December 2022 were selected for this study.Patients were randomly assigned to a control group(43 cases,receiving conventional nursing)and an observation group(43 cases,receiving IMB model nursing).Comparisons were made between the two groups regarding cardiac function[6-minute walk test(6MWT),left ventricular ejection fraction(LVEF)],negative emotion scores[Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)],self-care ability[Self-Care Ability Scale(ESCA)],and quality of life scores[Minnesota Living with Heart Failure Questionnaire(LiHFe)].Results After nursing care,both groups showed increased LVEF and 6MWT scores compared to pre-intervention,with the observation group exhibiting significantly higher LVEF and 6MWT scores than the control group(P<0.05).Post-intervention,both groups had reduced SAS and SDS scores relative to baseline,and the observation group’s SAS and SDS scores were significantly lower than those of the control group(P<0.05).The ESCA scores for both groups increased after nursing,with the observation group obtaining higher scores than the control group,yielding statistically significant differences(P<0.05).Both groups showed reduced LiHFe scores post-intervention,with the observation group displaying lower scores than the control group(P<0.05).Conclusion Implementing IMB model nursing for patients with CHF and arrhythmia can effectively improve cardiac function,reduce negative emotions,enhance self-care ability,and improve quality of life.
作者
杨轲
YANG Ke(Department of Cardiovascular MedicineⅠ,The First Affiliated Hospital of Nanyang Medical College,Nanyang Henan 473007,China)
出处
《临床研究》
2025年第2期181-184,共4页
Clinical Research
作者简介
杨轲,女。研究方向:心血管内科护理相关。
