延续性护理干预模式在心脏再同步化治疗患者中的临床应用  

Clinical application study of continuity nursing intervention model in patients with cardiac resynchronization therapy

作　　者：史颖岚 李虹[1] 王咏梅[1] 徐静[1] 

机构地区：[1]杭州市第一人民医院心内科,浙江杭州310003

出　　处：《中国现代医生》2014年第30期82-84,共3页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2013KYA160)

摘　　要：目的探讨延续性护理干预模式在心脏再同步化治疗患者中的临床应用意义。方法选择2012年1月-2013年6月期间,在我院行心脏再同步化治疗的86例心力衰竭患者作为本次临床研究对象,将其随机分成干预组和对照组,每组43例。两组患者均给予常规基础护理,而干预组则在此基础上加用出院后延续性护理干预模式,分别对两组患者的治疗临床指标改善情况以及生活质量和心理健康状况改善效果进行比较和分析。结果与对照组相比,干预组患者6 min步行距离（426.43±54.25）m、NYHA心功能（2.15±0.32）级、QRS时限（117.53±20.24）ms、LVEF（58.38±6.17）%、LVEDD（63.15±7.38）mm等临床指标均显著改善,差异有统计学意义（P〈0.05）;干预组患者的MLHFQ评分值（34.63±10.27）分、SAS评分值（32.84±5.62）分、SDS评分值（35.39±6.59）分均明显降低,差异有统计学意义（P〈0.05）。结论延续性护理干预模式能够有效改善心脏再同步化治疗患者的心功能和心理状况,并全面提升患者的生活质量。Objective To probe into the clinical application value of continuity nursing intervention model in patients with cardiac resynchronization therapy. Methods From January 2012 to June 2013, 86 heart failure patients with cardiac resynchronization therapy were selected in our hospital. The patients were divided into intervention group and control group randomly. There were 43 cases in each group. The patients in two groups were treated with routine primary nursing. The patients in intervention group were treated with continuity nursing intervention model. The improvement of clinical indicators, the quality of life and mental health effects of the patients in two groups were compared and analyzed. Results Compared with control group, the patients in intervention group walking distance in 6 min was（426.43±54.25） m, NYHA heart function was（2.15±0.32） level, QRS time was（117.53±20.24） ms, LVEF was（58.38±6.17）%,LVEDD was（63.15±7.38） mm, there were improved significantly differences（P〈0.05）. Compared with control group, the patients in intervention group the MLHFQ scores was（34.63±10.27） points, SAS scores was（32.84±5.62） points, SDS scores was（35.39±6.59） scores, there were decreased significantly（P〈0.05）. Conclusion Continuity nursing intervention model could improve heart function, mental status and the quality of life of patients with cardiac resynchronization therapy effectively.

关 键 词：心脏再同步化治疗 延续性护理 心功能 心力衰竭 

分 类 号：R473.6[医药卫生—护理学]