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机构地区:[1]山东大学附属省立医院心内科,济南250021
出 处:《解放军护理杂志》2010年第21期1623-1625,共3页Nursing Journal of Chinese People's Liberation Army
摘 要:目的探讨预见性护理干预对慢性心力衰竭患者心功能的影响。方法 将286例心功能为Ⅱ、Ⅲ级的患者按随机数字表法分为实验组和对照组,两组各143例。实验组患者给予预见性护理,即进行预见性评估、与患者及家属共同制定预见性护理计划、实施预见性护理方案等。对照组患者给予常规护理。观察两组患者血浆B型钠尿肽(B-type natriuretic pep-tide,BNP)水平、射血分数(ejection fraction,EF)、心输出量(cardiac output,CO)、心率、血压的变化。结果经过治疗和护理,两组患者的BNP均明显降低(均P<0.01),且实验组与对照组比较差异有统计学意义(P<0.01)。两组患者干预后心率及血压均明显下降,与干预前比较差异有统计学意义(P<0.05);干预后实验组患者的心率及血压与对照组比较差异有统计学意义(P<0.05)。实验组患者干预后CO、EF与对照组相比,差异有统计学意义(P<0.01)。结论预见性护理干预使血中BNP浓度降低,改善了患者的心功能。Objective To investigate the effect of predictive nursing intervention on the cardiac function of patients with chronic heart failure.Methods A total of 286 patients with NYHA II or III chronic heart failure were randomly divided into an experimental group (n=143) and a control group(n=143).The patients in the experimental group received predictive nursing including predictive assessment,predictive nursing plan developed by a combination of nurses,patients and their families,implementation of the predictive nursing plan and effectiveness assessment.The patients in the control group received the conventional nursing.Comparative observation was conducted on the changes of B-type natriuretic peptide(BNP),ejection fraction(EF),cardiac output (CO),heart rate and blood pressure.Results BNP level of the two groups were both reduced significantly after the intervention (P〈0.01),and the difference of BNP levels between the intervention group and the control group was significant(P〈0.01).Compared with those before treatment,the heart rate and blood pressure of the experimental group after the intervention were significantly decreased(P〈0.05)and significant differences were observed in heart rate and blood pressure between the experimental group and the control group(P〈0.05).After the intervention,the difference in CO and EF between the experimental group and the control group was statistically significant (P〈0.01).Conclusion Predictive nursing intervention can reduce the blood BNP concentration and improve the patient's cardiac function.
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