基于体质量管理策略的护理干预对慢性心力衰竭患者行为能力及生活质量的影响  

Effect of nursing intervention based on body mass management strategy on behavior ability and quality of life in patients with chronic heart failure

作　　者：王寅[1] 李彤[1] 王晓静[1] 齐保振 

机构地区：[1]上海市第一人民医院急诊病房,上海200086 [2]复旦大学附属中山医院心内科,上海200032

出　　处：《护士进修杂志》2019年第7期577-580,共4页Journal of Nurses Training

基　　金：国家自然科学基金资助项目(编号:81500248)

摘　　要：目的探讨基于体质量管理策略的护理干预对慢性心力衰竭患者体质量管理行为能力及生活质量的影响。方法选择2015年7月-2016年12月我院收治的慢性心力衰竭患者132例为研究对象,采用随机数字表法分为观察组和对照组各66例。对照组患者给予包括饮食指导、运动干预、遵医用药、定期复查、并发症预防、定期随访等在内的常规出院指导,观察组患者联合应用基于体质量管理策略的护理干预。随访6个月,比较两组患者体质量管理行为能力、体质量监测依从性、生活质量等指标。结果观察组患者体质量监测、体质量管理相关知识、体质量管理信念、体质量管理行为评分均明显高于对照组(P<0.05);观察组患者体质量监测依从性为93.94%,明显高于对照组81.82%(P<0.05);身体领域、情绪领域、生活质量总分明显高于对照组(P<0.05)。结论基于体质量管理策略的护理干预有助于提高慢性心力衰竭患者体质量管理行为能力,增强其体质量监测依从性,改善生活质量。Objective To study the effect of nursing intervention based on body mass management strategy on weight management behavior ability and quality of life of patients with chronic heart failure. Methods 132 cases patients with chronic heart failure admitted from July 2015 to December 2016 were selected and divided into observation group and control group by random number table method, 66 cases in each group. The control group was given routine discharge guidance including dietary guidance, exercise intervention, medical compliance, regular review, prevention of complications and regular follow-up. The observation group was given nursing intervention based on weight management strategy. Following up for 6 months, the weight management behavior ability, weight monitoring compliance and quality of life were compared between the two groups. Results The scores of body weight monitoring, weight management related knowledge, weight management belief and weight management behavior in the observation group were significantly higher than that of the control group(P<0.05). The compliance rate of body weight monitoring was 93.94% higher than 81.82% in the control group(P<0.05). The total scores of body area, emotional field and quality of life were significantly higher than those in the control group(P<0.05). Conclusion Nursing intervention based on body mass management strategy is helpful to improve the behavior ability of weight management in patients with chronic heart failure, enhance the compliance of weight monitoring and improve the quality of life of patients.

关 键 词：慢性心力衰竭 体质量管理 体质量管理行为能力 生活质量 护理干预 

分 类 号：R743.5[医药卫生—神经病学与精神病学] R541.6[医药卫生—临床医学]