前瞻性护理在慢性心力衰竭患者中的应用  

Observation on the application of prospective nursing in patients with chronic heart failure

作　　者：陈小娜[1] 罗秀娟[1] 严俊儒[1] 李秋琼[1] 段月华 CHEN Xiaona;LUO Xiujuan;YAN Junru;LI Qiuqiong;DUAN Yuehua(Department of Cardiology,the Second People's Hospital of Foshan,Guangdong,Foshan 528000,China)

机构地区：[1]广东省佛山市第二人民医院心内科,广东佛山528000

出　　处：《中国医药科学》2021年第6期108-111,共4页China Medicine And Pharmacy

基　　金：广东省佛山市卫生健康局医学科研课题(20200061)。

摘　　要：目的探究前瞻性护理对慢性心力衰竭患者的应用情况。方法选取广东省佛山市第二人民医院2020年1—6月收治的慢性心力衰竭患者100例,随机分为对照组(n=50)与观察组(n=50),对照组予常规护理,观察组在对照组的基础上给予前瞻性护理。比较两组干预前及干预后的B型钠尿肽(BNP)、射血数值(EF)、6分钟行走试验(6MWT)、明尼苏达心力衰竭生活质量问卷、自护分数及护理满意度。结果干预后观察组的BNP低于对照组,差异有统计学意义(P<0.05);干预后观察组的EF升高,对照组的EF降低,差异具有统计学意义(P<0.05);干预后两组的6MWT均升高,且观察组高于对照组,差异有统计学意义(P<0.05);干预后两组的生活质量分数均降低,自护分数均升高,且观察组的生活质量分数低于对照组,自护分数高于对照组,差异均具有统计学意义(P均<0.05);观察组的护理满意度高于对照组,差异有统计学意义(P<0.05)。结论前瞻性护理干预可提高慢性心力衰竭患者的生活质量,并提高患者心脏功能、护理满意度及自我护理能力。Objective To investigate the application of prospective nursing in patients with chronic heart failure(CHF).Methods A total of 100 patients with CHF admitted to the Second People’s Hospital of Foshan from January 2020 to June 2020 were selected and randomly divided into the control group(n=50)and the observation group(n=50).The control group was treated with conventional nursing,while the observation group was treated with prospective nursing based on the control group.The BNP(B-type natriuretic peptide),EF(ejection fraction),6 MWT(6-minute walking test),Minnesota heart failure quality of life(QoL)questionnaire,self-care scores and nursing satisfaction before and after intervention were compared between the two groups.Results After intervention,BNP in the observation group was lower than that in the control group,with statistically significant difference between the two groups(P<0.05).The EF of the observation group increased after intervention,while that of the control group decreased,and the difference between the changes of the two groups was statistically significant(P<0.05).The 6 MWT of both groups increased after intervention,and the observation group was higher than that of the control group,with statistically significant difference between the two groups(P<0.05).The QoL scores of the two groups both decreased and the self-care scores both increased after intervention,and the QoL scores of the observation group were lower than those of the control group,while the self-care scores were higher than those of the control group,all with statistically significant differences(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,with statistically significant difference(P<0.05).Conclusion Prospective nursing intervention can improve the QoL,heart function,nursing satisfaction and self-care ability of patients with CHF.

关 键 词：前瞻性护理 慢性心力衰竭 生活质量 自我护理 

分 类 号：R541.61[医药卫生—心血管疾病]