整体护理对慢性心力衰竭患者负性情绪及生活质量的影响  

Effect of holistic nursing care on the negative emotion and life quality of patients with chronic heart failure

作　　者：孙军霞[1] 许兵[1] 

机构地区：[1]江苏省无锡市第二人民医院护理部,214002

出　　处：《中华现代护理杂志》2013年第13期1515-1518,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨整体护理对慢性心力衰竭（CHF）患者负性情绪及生活质量的影响。方法将118例CHF患者按数字随机表法分为观察组和对照组，两组各59例，对照组予以常规护理，观察组在此基础上实施心理护理、基础护理、药物护理等整体护理干预措施。比较两组患者焦虑或抑郁负性情绪及生活质量、6min步行距离、代谢当量及生活质量评分等临床指标以及复发入院率。结果共发放问卷118份，收回有效问卷118份，有效回收率100％。入院时两组患者SAS、SDS得分比较，差异无统计学意义（P〉0．05）。出院时观察组SAS，SDS得分分别为（37．25±5．57），（41．58±7．49）分，明显低于对照组的（43．37±5．62），（45．32±7．58）分，两组比较差异有统计学意义（t值分别为2．53，3．08；P〈0．05）；对照组及观察组6rain步行距离分别为（104．15±45．36），（253．07±75．68）m，代谢当量分别为（3．98±1．19），（5．68±0．78），生活质量评分分别为（28．26±10．65），（18．73±11．57）分，两组比较，差异均有统计学意义（t值分别为2．45，3．16，3．04；P〈0．05）。与对照组相比，观察组再次住院率明显下降（92．31％／50．87％），两组比较，差异有统计学意义（X2=5，48，P〈0．05）。结论整体护理干预能有效提高慢性心力衰竭患者的生活质量，改善负性情绪。Objective To investigate the effect of holistic nursing care on the negative emotion and life quality of patients with chronic heart failure （CHF）. Methods Totals of 118 patients with CHF were randomlydivided into intervention group（ n = 59） and control group（ n = 59）. The control group received routine nursing care, while the intervention group were given holistic nursing intervention such as mental care, basic nursing, medicine nursing. Then, anxiety and depression of patients, quality of life, 6 min walking distance, metabolic equivalents, and quality of life score and clinical indicators, as well as relapse and hospitalization rate were observed and compared. Results No significant difference was found in the SAS and SDS of patients when admitted to hospital （ P 〉 0.05 ）. The SAS and SDS scores of control group were significantly higher than that in intervention group when discharge from hospital [ （43.37 ± 5.62 ） vs （37.25 ± 5.57 ）, （45.32 ± 7.58 ） vs （41.58 ±7.49 ） ], the difference was statistical significance （ t = 2. 53,3. 08, P 〈 0. 05 ）. And the 6 min walking distance [ （253.07 ±75.68） mvs （ 104. 15 ± 45.36 ） m], clinical indicators[ （5.68 ± 0.78） vs （3.98 ±1.19 ） ], life quality score[ （28.26 ± 10.65） vs （18.73 ± 11.57） ] in intervention group were significantly higher than that in control group （ t = 2. 45,3. 16,3. 04, respectively; P 〈 0. 05 ）. Recurrent hospitalization rate in intervention group was significantly lower than that in control group （50. 87% vs 92.31% ）, the difference was statistical significance （ X2 = 5.48, P 〈 0. 05 ）. Conclusions The holistic nursing intervention can effectively imorove oatients＇ satisfaction and oromote reeoverv for the oatients.

关 键 词：整体护理 慢性心力衰竭 负性情绪 生活质量 

分 类 号：R473[医药卫生—护理学]