延续护理联合辨证护理用于慢性心力衰竭出院患者的护理研究  

Nursing Study on Combination of Continuing Nursing and Syndrome Differentiation Nursing for Patients with Chronic Heart Failure Discharged from Hospital

作　　者：李莉芬[1] 李莉[2] 张艳 LI Lifen;LI Li;ZHANG Yan

机构地区：[1]丽水市中心医院心内肿瘤科,浙江丽水323000 [2]丽水市中心医院药剂科,浙江丽水323000

出　　处：《新中医》2020年第21期136-138,共3页New Chinese Medicine

摘　　要：目的:研究对慢性心力衰竭出院患者实施延续护理联合辨证护理干预的效果。方法:采用分层抽样法从2017年8月—2018年8月出院的慢性心力衰竭患者中抽选90例,并采用随机双盲法将其中45例纳入单一组,剩余45例纳入联合组,单一组实施延续护理干预,联合组实施延续护理联合辨证护理干预,统计并比较2种护理干预方式下患者心功能、生活质量的改善情况以及护理满意度。结果:干预前,2组心功能各指标比较,差异无统计学意义(P>0.05)。干预后,2组心功能指标较前改善(P<0.05),干预后联合组心功能各指标均优于单一组(P<0.05)。干预前,2组生活质量各维度评分比较,差异无统计学意义(P>0.05);干预后,2组生活质量较前改善(P<0.05),联合组生活质量各维度评分均高于单一组(P<0.05)。联合组护理满意度为95.56%(43/45),高于单一组的82.22%(37/45)(χ~2=9.010,P=0.003)。结论:对慢性心力衰竭出院患者实施延续护理联合辨证护理干预,可以显著改善患者的心功能,利于生活质量及护理满意度的提高。Objective:To study the effect of the combination of continuing nursing and syndrome differentiation nursing on patients with chronic heart failure discharged from hospital. Methods:Ninety patients with chronic heart failure discharged from hospital from August 2017 to August 2018 were selected by stratified sampling method,and 45 of them were included into the single group and the remaining 45 into the combination group by randomized double-blind method. The single group was intervened with continuing nursing, and the combination group was intervened with the combination of continuing nursing and syndrome differentiation nursing. The improvement of heart function,quality of life and nursing satisfaction of patients under the two nursing interventions were statistically and compared. Results:Before intervention,there was no significant difference in the comparison of heart function between the two groups(P>0.05). After intervention,the indexes of heart function in both groups were improved when compared with those before intervention(P<0.05),and the ones in the combination group were better than those in the single group(P<0.05). Before intervention, there was no significant difference in the comparison of scores of quality of life between the two groups(P>0.05). After intervention,the quality of life was improved when compared with that before intervention(P<0.05), and the scores of quality of life in the combination group were better than those in the single group(P<0.05). The nursing satisfaction was 95.56%(43/45) in the combination group, higher than that of 82.22%(37/45) in the single group(χ~2=9.010, P=0.003). Conclusion: The combination of continuing nursing and syndrome differentiation nursing for patients with chronic heart failure discharged from hospital,can significantly improve the heart function of patients, which is conducive to the improvement of quality of life and nursing satisfaction.

关 键 词：慢性心力衰竭 出院患者 延续护理 辨证护理 心功能 生活质量 

分 类 号：R248.1[医药卫生—中医临床基础] R541.6[医药卫生—中医学]