阶段性护理干预对慢性心力衰竭患者自我管理能力及生活质量的影响  

Effect of staged care intervention on self-management ability and quality of life in patients with chronic heart failure

作　　者：白海燕[1] 郝敬荣 沈莹[1] 赵晓惠[1] 刘文娟[1] BAI Hai-yan;HAO Jing-rong;SHEN Ying;ZHAO Xiao-hui;LIU Wen-juan

机构地区：[1]江苏省徐州市中心医院心内三科,徐州市221009

出　　处：《护理实践与研究》2018年第17期19-22,共4页Nursing Practice and Research

基　　金：江苏省科技项目(BE2015624)

摘　　要：目的探讨阶段性护理干预对慢性心力衰竭患者自我管理能力及生活质量的影响。方法回顾性分析2016年1月至2017年12月我院心内科接诊的93例患者资料,将其随机分为对照组45例和研究组48例,对照组实施常规护理模式,研究组在常规护理基础上采取阶段性护理干预措施。观察两组患者干预前后心功能、自我管理能力、自我护理能力及生活质量变化。结果两组患者干预后各项心功能指标均显著优于干预前(P <0. 05),干预后两组患者各项心功能指标经比较差异有统计学意义(P <0. 05);两组患者干预后各项自我管理能力评分均高于干预前(P <0. 05),干预后两组患者各项自我管理能力评分经比较差异有统计学意义(P <0. 05);两组患者干预后各项自我护理能力评分显著优于干预前(P <0. 05),干预后两组患者各项自我护理能力评分经比较差异有统计学意义(P <0. 05);两组患者干预后各项生活质量评分均显著高于干预前(P <0. 05),干预后两组患者各项生活质量评分经比较差异有统计学意义(P <0. 05)。结论慢性心力衰竭患者实施阶段性护理干预措施,能有效改善患者心肌功能,改善自我管理及自我护理能力,促进患者生活质量的提升,效果显著,临床可进一步拓展运用。Objective To investigate the effect of staged care intervention on self-management ability and quality of life in patients with chronic heart failure.Methods To compared the changes of heart function, self-management ability, self-care ability and quality of life before and after intervention, A retrospective analysis of data of 93 cases of patients who underwent cardiology in our hospital from January 2016 to December 2017 was conducted, and of which the data were randomly divided into a control group of 45 cases and a study group of 48 cases. The control group adopted a routine care model, while the study group adopted the staged care intervention on this basis.Results The cardiac function indexes of the two groups were apparently better than those before the intervention（ P 〈0.05）, and difference of which between the two groups after intervention was statistically significant（ P 〈0.05）. The self-management ability scores of the two groups after intervention were higher than before the intervention（ P 〈0.05）, and difference of which between the two groups after intervention was statistically significant（ P 〈0.05）. The self-care ability scores of the two groups after intervention were higher than before the intervention（ P 〈0.05）,and difference of which between the two groups after intervention was statistically significant（ P 〈0.05）. The quality of life scores of the two groups after intervention were evidently higher than before the intervention（ P 〈0.05）,and difference of which between the two groups after intervention was statistically significant（ P 〈0.05）.Conclusion Staged nursing interventions for patients with chronic heart failure could effectively improve myocardial function, self-management and self-care ability, and promote the improvement of patients＇ quality of life. The effect was significant and the clinical application could be further expanded.

关 键 词：阶段性护理 慢性心力衰竭 自我管理能力 自我护理能力 生活质量 

分 类 号：R473.5[医药卫生—护理学]