摘要
目的:评价慢性心力衰竭患者吸气肌训练的证据在临床应用的效果,以期改善患者呼吸功能、提高患者生活质量。方法:运用循证方法筛选证据,形成25项审查指标。采用便利抽样法选取临床护士和慢性心力衰竭患者,于2023年9月—12月对31名护士及62名慢性心力衰竭患者进行基线审查,识别实施障碍因素后制定针对性干预策略;于2024年1月—3月对76名患者实施吸气肌训练循证实践,比较证据应用前后审查指标执行率、患者训练效果和生活质量,以及护士吸气肌训练知识考核合格率。结果:18项审查指标执行率提高(P<0.05)。患者的呼吸肌功能、运动耐力以及呼吸困难指数得到改善(P<0.05),生活质量得分由(56.85±14.04)分降至(47.87±9.16)分(P<0.05);护士吸气肌训练知识考核合格率由45.16%提高至87.10%(P<0.05)。结论:慢性心力衰竭患者吸气肌训练的循证实践可有效提升训练的临床执行规范性,改善患者呼吸肌功能、运动耐力及生活质量。
Objective:To investigate the clinical efficacy of evidence on Inspiratory Muscle Training in patients with Chronic Heart Failure,in order to improve patients'respiratory function and enhance their quality of life.Methods:Using evidence-based methods to screen evidence,formulated 25 review indicators.Convenience sampling method was used to select clinical nurses and Chronic Heart Failure patients,from September to December 2023,a baseline review involving 31 nurses and 62 patients was conducted to analyze obstacles and formulate strategies.From January to March 2024,practice changes were implemented,and compliance rates,patient training effects and life quality,nurses'knowledge pass rate were compared.Results:Eighteen indicators showed significant improvement in compliance(P<0.05).Furthermore,patients'respiratory muscle function,exercise endurance and dyspnea index improved(P<0.05),and the quality of life score decreased from 56.85±14.04 to 47.87±9.16(P<0.05).The nurses'knowledge pass rate increased from 45.16%to 87.10%(P<0.05).Conclusion:Evidence-based Inspiratory Muscle Training enhances clinical compliance and improves respiratory muscle function,exercise endurance,and quality of life in patients with Chronic Heart Failure.
作者
赵梦璐
孙亚茹
卢晓虹
张艳
王纪哲
魏丽丽
ZHAO Menglu;SUN Yaru;LU Xiaohong;ZHANG Yan;WANG Jizhe;WEI Lili(Cardiology Department,The Affiliated Hospital of Qingdao University,Qingdao,Shandong province,266003,China)
出处
《中国护理管理》
北大核心
2025年第6期812-818,共7页
Chinese Nursing Management
基金
2024年度青岛市社会科学规划研究项目(QDSKL2401066)。
关键词
慢性心力衰竭
吸气肌训练
循证实践
审查指标
Chronic Heart Failure
Inspiratory Muscle Training
evidence-based practice
review indicator
作者简介
第一作者:赵梦璐,硕士,主管护师;通信作者:魏丽丽,博士,主任护师,副院长,E-mail:13573828157@163.com。
