综合护理干预对合并焦虑抑郁的舒张性心力衰竭患者的影响  

Influence of comprehensive nursing intervention on the patients with diastolic heart failure merge anxiety and depression

作　　者：张东华[1] 张思洁[1] 董建素[1] 郭丽敏[1] 

机构地区：[1]河北医科大学第四医院心内科,河北石家庄050011

出　　处：《医学研究与教育》2013年第1期74-77,90,共5页Medical Research and Education

基　　金：河北省医学科学研究重点课题计划立项课题(20110498)

摘　　要：目的探讨综合护理干预对合并焦虑抑郁的舒张性心力衰竭(DHF)患者的临床效果。方法选择2010年1月至2011年6月收治的合并焦虑抑郁的DHF患者100例,随机分为对照组50例和实验组50例,对照组予以常规治疗和护理,实验组在此基础上予以个体化心理护理、饮食与生活方式调整、加强用药指导等综合护理干预。对两组患者焦虑抑郁评分、6 min步行试验、脑利钠肽原(BNP)、舒张期二尖瓣血流(E/A)及住院情况等进行比较。结果干预前两组患者各项指标比较,差异无统计学意义(P>0.05)。干预后,实验组各项指标均优于对照组,差异均有统计学意义(P<0.05)。结论综合护理干预能够有效改善DHF患者的焦虑抑郁程度及心功能,促进疾病康复,降低医疗费用,缩短住院时间。值得临床推广应用。Objective To investigate clinical effects of comprehensive intervention on the the patients with diastolic heart failure（DHF） merge anxiety and depression. Methods 100 patients with DHF merge anxiety and depression were selected from Jan. 2010 to Jun. 2011. 100 patients were randomly divided into the control groups（50 cases） and the experimental groups（50 cases）. In control groups, the patients were taken conventional therapy and nursing; In experimental groups, the patients were taken conventional therapy and nursing, in addition, taken Individual psychological nursing diet and life style change, instruction of reasonable medication etc.. Then the score of SAS and SDS, the 6-min walk test （6MW）, brain natriuretic peptide （BNP）, diastolic mitral flow E/A ratio and hospitalization situation in two groups were compared. Results Before intervention indexes had no significant statistic difference in two groups （P〉0.05）. 3 months later, indexes in the experimental groups were better than indexes in the control groups （P〈0.05）. Conclusion Comprehensive nursing intervention may reduce the anxiety and depression and improve cardiac function, promote disease rehabilitation, lower medical expense, shorter hospital stays in the patients with diastolic heart failure, and was well worth clinical popularizing and application.

关 键 词：舒张性心力衰竭 焦虑 抑郁 心功能 综合护理干预 

分 类 号：R473.5[医药卫生—护理学]