路径式护理在H型高血压合并射血分数保留的心力衰竭治疗中的应用  

Application of pathway nursing in the treatment of H-type hypertension complicated with heart failure with preserved ejection fraction

作　　者：冯丽丽 李敏[1] 宋婷婷[1] FENG Lili;LI Min;SONG Tingting(Department of Cardiovascular Medicine,Qinhuangdao First Hospital,Qinhuangdao Hebei 066000,China)

机构地区：[1]秦皇岛市第一医院心血管内科,河北秦皇岛066000

出　　处：《临床与病理杂志》2021年第3期657-662,共6页Journal of Clinical and Pathological Research

摘　　要：目的:探讨路径式护理在H型高血压合并射血分数保留的心力衰竭(hear t failure with preserved ejection fraction,HFPEF)治疗中的应用效果。方法:选取秦皇岛市第一医院心血管内科于2015年1月至2016年8月收治的100例H型高血压合并HFPEF患者为对照组,采用常规护理。选取2016年9月至2019年1月收治的100例H型高血压合并HFPEF患者为观察组,采用路径式护理。比较两组的健康知识掌握情况、血压、左房容积/体表面积(left atrial volume index,LAVI)等指标。结果:观察组的健康知识知晓率、去除高危因素重要性知晓率高于对照组,差异有统计学意义(P<0.05)。观察组干预后的收缩压、舒张压低于对照组,LAVI小于对照组,差异有统计学意义(P<0.05)。观察组干预后的同型半胱氨酸(homocysteine,Hcy)低于对照组,氨基末端脑肽钠前体(N-terminal pro-brain natriuretic peptide,NT-proBNP)低于对照组,差异有统计学意义(P<0.05)。结论:路径式护理能提高H型高血压合并HFPEF患者对自身疾病的认识,提高血压控制水平,改善左房泵血功能。Objective:To explore the effect of pathway nursing in the treatment of H-type hypertension with heart failure with preserved ejection fraction(HFPEF).Methods:All 100 patients with H-type hypertension and HFPEF admitted to the Department of Cardiology of the First Hospital of Qinhuangdao City from January 2015 to August 2016 were selected as a control group,and routine nursing was adopted.All 100 patients with H-type hypertension complicated with HFPEF from September 2016 to January 2019 were selected as an observation group,and pathway nursing was adopted.Health knowledge,blood pressure,left atrial volume/body surface area(LAVI)and other indicators were compared between the 2 groups.Results:The awareness rate of health knowledge and the importance of removing high-risk factors in the observation group were higher than those in the control group,with statistical significance(P<0.05).The systolic and diastolic blood pressures of the observation group were lower than those of the control group,and the LAVI was lower than that of the control group(P<0.05).After intervention,Hcy in the observation group was lower than that in the control group and N-terminal probrain natriuretic peptide(NT-proBNP)was lower than that in the control group(P<0.05).Conclusion:Pathway nursing can improve the understanding of H-type hypertension patients with HFPEF on their own diseases,the level of blood pressure control,and the left atrial pumping function.

关 键 词：路径式护理 H型高血压 射血分数保留 效果 

分 类 号：R473.5[医药卫生—护理学]