综合性护理干预对慢性心力衰竭患者的治疗遵医行为、心功能和生活质量的影响  

Influence of comprehensive nursing intervention on treatmentcompliance, heart function and life quality of patients with chronic heart failure(CHF)

作　　者：吴慧萍[1] 刘艳梅[1] 

机构地区：[1]浙江省浦江县人民医院内科,浙江浦江322000

出　　处：《中国现代医生》2013年第33期126-128,共3页China Modern Doctor

基　　金：浙江省医药卫生科技计划(2011KYB153)

摘　　要：目的探讨综合性护理干预对慢性心力衰竭(CHF)患者治疗遵医率、心功能和生活质量的影响。方法 80例CHF患者随机分为常规护理组和护理干预组,分别予以常规护理干预和综合性护理干预。观察两组患者治疗后遵医行为、心功能和生活质量的变化及干预期间再住院率和病死率。结果干预6个月后,护理干预组治疗遵医率明显高于常规护理组(χ2=4.50,P<0.05);同时两组步行试验(6min)和左心室射血分数均有明显升高(P<0.05或P<0.01),护理干预组上升值比常规护理组明显(P<0.05);两组生活质量各项评分均明显下降(P<0.05或P<0.01),且护理干预组下降值比常规护理组明显(P<0.05)。干预期间护理干预组再次住院率明显低于常规护理组(χ2=4.27,P<0.05)。结论综合性护理干预能提高CHF患者的治疗遵医率,改善其心衰症状和心功能,有利于稳定病情,从而提高患者生活质量,减少再住院率,有利于患者的康复和改善患者预后。Objective To discuss influence of comprehensive nursing intervention on treatment compliance, heart function and life quality of patients with chronic heart failure （CHF）. Methods A total of 80 cases of CHF patients were divided into routine nursing group and nursing intervention group. The patients in routine nursing group were giv- en routine nursing intervention, while the patients in nursing intervention group were given comprehensive nursing in- tervention additionally. The changes of treatment compliance, heart function, life quality of patients, rehospitalization rate and case fatality rate were observed after the medical treatment. Results After 6 months＇ intervention, the total compliance efficiency of patients in nursing invention group was much higher than that in routine nursing group （X2= 4.50, （P 〈 0.05）. Meanwhile, 6 minutes＇ gait test left and ventricular ejection fraction （LVEF） of patients in two groups were rose obviously than before （P 〈 0.05 or P 〈 0.01）, and the rising rate in nursing invention group was much higher than that in routine nursing group （P 〈 0.05）. Moreover, the scores of physical limitation, social limita- tion, emotion, and symptom were declined obviously than before （P 〈 0.05 or P 〈 0.01）, and the declining rate in nurs- ing invention group was obviously higher than that in routine nursing group （P 〈 0.05）. and the rehospitalization rate nursing invention group was significantly lower than that of routine nursing group （X2=4.27,P 〈 0.05）. Conclusion Comprehensive nursing intervention can improve obviously treatment compliance of patients and CHF patients＇ heart function, relieve the symptom of heart failure, and stabilize the patients＇ condition, which can improve the life quality, reduce the rehospitalization and recovery and prognosis of patients.

关 键 词：慢性心力衰竭 综合性护理干预 治疗依从性 心功能 生活质量 

分 类 号：R473.5[医药卫生—护理学]