连续护理在慢性心力衰竭患者中的应用研究  

Application of continuous nursing in patients with chronic heart failure

作　　者：徐威[1] 张春霞[1] 路敏[1] 

机构地区：[1]北京军区总医院心血管病研究所,北京100700

出　　处：《中国循证心血管医学杂志》2015年第4期515-517,共3页Chinese Journal of Evidence-Based Cardiovascular Medicine

摘　　要：目的 观察连续护理对慢性心力衰竭（CHF）患者的影响,为连续护理在CHF中的应用提供依据。方法 选取自2012年12月~2014年12月于北京军区总医院心血管病研究所就诊的年龄〈75岁且初次诊断为CHF的患者80例,随机分为常规护理组和连续护理组,记录及比较两组患者年龄、性别、NYHA分级、住院天数等一般资料及出院后患者依从性（服药、饮食、体重控制、体育锻炼）、生活质量（明尼苏达心功能不全生活质量表、焦虑自评量表）、临床指标（再住院、急性心力衰竭发作、心源性死亡）。结果 两组患者一般资料无统计学差异（P均〉0.05）。出院后3个月、6个月连续护理组患者依从性优于常规护理组（P〈0.05）,6个月时连续护理组生活质量优于常规护理组（P〈0.05）,焦虑程度低于常规护理组（P〈0.05）。随访期间,连续护理组再住院率低于常规护理组（P〈0.05）,急性心力衰竭发作、心源性死亡的发生率两组之间无统计学差异（P均〉0.05）。结论 连续护理可以改善CHF患者出院后依从性、生活质量及再住院率,值得推广应用。Objective To observe the influence of continuous nursing on patients with chronic heart failure （CHF）, and provide evidence for the application of CHF continuous nursing. Methods CHF patients （n=80, age〈75） were chosen from Dec. 2012 to Dec. 2014, and divided into routine nursing group and continuous nursing group. The general data of age, sex, NYHA grading and in-hospital days, and post-discharge compliance （drug taking, diet, weight control and excises）, quality of life （Minnesota Living with Heart Failure Questionnaire and self-rating anxiety scale） and clinical indexes （re-hospitalization, onset of acute heart failure and cardiac death） were recorded and compared in 2 groups. Results There was no statistical difference in general data between 2 groups （P〉0.05）. After discharge for 3 m and 6 m, compliance was better in continuous nursing group than that in routine nursing group （P〈0.05）. The quality of life was higher （P〈0.05）, and anxiety degree was lower （P〈0.05） in continuous nursing group than those in routine nursing group after 6 m. During follow-up period, the rate of re-hospitalization was lower in continuous nursing group than that in routine nursing group （P〈0.05）. There was no statistical difference in onset of acute heart failure and incidence of cardiac death between 2 groups （all P〉0.05）. Conclusion Continuous nursing can improve compliance and quality of life, reduce rate of re-hospitalization in CHF patients after discharge.

关 键 词：心力衰竭 连续护理 依从性 再住院率 

分 类 号：R541.61[医药卫生—心血管疾病]