个性化护理干预对慢性心力衰竭患者心脏康复的影响  

Influence of individualized nursing intervention on rehabilitation of patients with chronic heart failure

作　　者：江小燕[1] 何琏瑛[1] 黄瑜[1] 

机构地区：[1]四川省医学科学院·四川省人民医院心内科,成都610072

出　　处：《中华现代护理杂志》2012年第35期4244-4246,共3页Chinese Journal of Modern Nursing

摘　　要：目的观察个性化护理干预对慢性心力衰竭患者心脏功能的影响。方法选取92例慢性心力衰竭患者按人院先后顺序分为两组：常规护理组（简称常规组）46例，给予心内科常规护理；个性化护理组（简称干预组）46例，给予心理、饮食、运动、服药以及健康教育等综和护理干预。干预时间为6个月，于干预前后分别监测两组患者的平均住院日、心率、卧位变化以及心功能的改善情况。结果心率〈1000；／min者干预组明显多于常规组（39比30例），差异有统计学意义（X^2=4．696，P〈0．05）；干预组夜间需坐位休息3例，半卧位休息8例，可平卧休息35例，对照组分别为6，17，23例，差异有统计学意义（X2=6．723，P〈0．05）；干预组心功能[美国纽约心脏病学会（NYHA）分级标准]Ⅱ，Ⅲ，Ⅳ级者分别为36，8，2例，常规组分别为25，15，6例，差异有统计学意义（X^2=6．114，P〈0．05）。干预组平均住院时间较常规组缩短，差异有统计学意义[（13．12±7．30）比（19．624-12．46）d；t=-3．010，P〈0．05j。结论个性化护理干预可以有效地改善心力衰竭症状，促进心脏功能的康复，缩短平均住院时问，提高患者的生活质量。Objective To observe the influence rehabilitation of patients with chronic heart failure. Methods of individualized nursing intervention （INI） on Totals of 92 patients were randomly divided into two groups, conventional group were given routine nursing, while intervention group were given psychological, diet, exercise, medication and health education and comprehensive nursing intervention,with the insistence of 6 months. And the heart rate, average hospitalization days, were monitored before and after the intervention. Results improvement in posture with rest and heart function Patient number of heart rate less than 100 beat per minute in intervention group was significantly more than that in conventional group （ 39 vs 30, X2 = 4. 696, P 〈 0.05）. Patient numbers of the intervention group that needing seat, half decubitus, lie low rest at the night respectively were 3, 8,35 cases, and those of conventional group were 6, 17,23 cases, and the difference was statistically significant （ X2 = 6. 723 ,P 〈0.05 ）. And the difference in the patient numbers with New York Heart Association（NYHA） Ⅱ , Ⅲ, Ⅳ level of cardiac function between intervention group and control group （8 vs 25, 2 vs 15, 36 vs 6 ）was statistically significant （X2 = 6. 114, P 〈 0.05 ）. The average hospitalization days were shorten in intervention group than those in control group [ （ 13.12 ± 7.30） vs （ 19.62 ±12.46 ） d, t = - 3.010, P 〈 0.05 ]. Conclusions Individualized nursing intervention can be effectively improve the symptoms of heart failure, heart function, quality of life, and shorten the average hospitalization days for the patients.

关 键 词：心力衰竭 慢性 个性化护理 心脏康复 

分 类 号：R473.5[医药卫生—护理学]