综合护理干预对老年心力衰竭患者治疗依从性及预后的影响  

Influence of comprehensive nursing intervention on the compliance and prognosis in the treatment of aged patients with congestive heart failure

作　　者：梁晨景[1] 黎观妹[1] 柯月兰[1] 

机构地区：[1]广东医学院附属医院,广东湛江524001

出　　处：《齐鲁护理杂志》2008年第4期8-9,共2页Journal of Qilu Nursing

摘　　要：目的:探讨综合护理干预对老年心力衰竭患者治疗依从性及预后的影响。方法:将148例老年心力衰竭患者随机分为实验组和对照组各74例,实验组给予综合护理干预措施,包括健康教育、饮食指导、康复活动指导等;对照组给予常规护理。随访半年后对两组患者的治疗依从性及预后进行评价。结果:实验组依从率78.37%,对照组依从率47.29%,两组比较有极显著性差异(P<0.01)。实验组6min步行433±24m,左心室射血分数为62±6%;对照组6min步行372±27m,左心室射血分数为48±5%,两组比较均有显著性差异(P<0.05)。结论:综合护理干预能明显提高老年心力衰竭患者治疗依从性,改善预后,提高患者生活质量。Objective ： To explore the influence of comprehensive nursing intervention on the compliance and prognosis in the treatment of aged patients with congestive heart failure. Methods： One hundred and forty eight aged patients＇with congestive heart failure were randomly divided into experiment group （ n = 74 ） and control group （ n = 74 ）. Comprehensive nursing intervention was conducted including health education, diet and rehabilitation instruction in experiment group; and in control group routine nursing care was given. The compliance with treatment and prognosis in both two groups were evaluated after following up for half a year. Results： The rate of compliance with treatment was 78.37% in experiment group and 47.29 in control group （ P 〈 0. 01 ） ; in experiment group, left ventricular ejection fraction was 62 ± 6% by walking records of 433 ±24m in 6 minutes and 48 ±5% by 372 ±27m in 6 minutes in control group （P 〈0. 05 ）. Conclusion： Comprehensive nursing intervention can obviously increase patient＇s compliance with treatment and improve prognosis so as to increase patient＇s quality of life.

关 键 词：综合护理干预 心力衰竭 治疗依从性 预后 

分 类 号：R473.5[医药卫生—护理学]