基于循证的精准护理在老年心力衰竭合并肌少症病人中的应用效果  

Effect of precision nursing in elderly patients with chronic heart failure complicated with sarcopenia

作　　者：王旭[1] 许玲[1] 练敏[1] 张建薇[1] 王路遥 王芹 WANG Xu;XU Ling;LIAN Min;ZHANG Jian-wei;WANG Lu-yao;WANG Qin(Department of Geriatrics, Affiliated Hospital of Nanjing University Medicine School, Nanjing 210008, China)

机构地区：[1]南京大学医学院附属鼓楼医院老年医学科,江苏省南京市210008

出　　处：《实用老年医学》2021年第12期1313-1317,共5页Practical Geriatrics

基　　金：江苏省卫生健康委科研基金资助项目(BJ18009)。

摘　　要：目的探讨基于循证的精准护理在老年心力衰竭合并肌少症病人中的应用效果。方法选取2018年12月至2020年7月我院收治的162例老年心力衰竭合并肌少症病人,随机分为对照组(82例)和研究组(80例)。对照组接受常规老年心力衰竭合并肌少症的护理干预,研究组在对照组基础上接受精准护理干预,干预时间均为2个月。对比2组干预前后心脏功能,包括LVEF、左心室舒张末期容积(LVEDV)、左心室收缩末期容积(LVESV)以及肌肉握力、明尼苏达心力衰竭生活质量(MLHFQ)指数和治疗依从性。结果干预后,2组LVEF均高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05);2组LVEDV、LVESV、MLHFQ各维度评分及MLHFQ总评分均较干预前降低,且研究组低于对照组,差异有统计学意义(P<0.05);研究组肌肉握力高于干预前和对照组,差异有统计学意义(P<0.05)。研究组治疗依从率高于对照组,差异有统计学意义(P<0.05)。结论基于循证的精准护理有助于改善老年心力衰竭合并肌少症病人心脏与肌肉功能,提高病人治疗依从性和生活质量。Objective To study the effect of precision nursing in elderly patients with chronic heart failure complicated with sarcopenia.Methods From December 2018 to July 2020,162 elderly patients with chronic heart failure and sarcopenia admitted to our hospital were selected and randomly divided into control group(82 cases)and research group(80 cases).The control group received conventional nursing intervention for elderly chronic heart failure patients with sarcopenia,and the research group received precision nursing intervention on the basis of the control group.The intervention time was two months.Cardiac functions including left ventricular ejection fraction(LVEF),left ventricular end diastolic volume(LVEDV),left ventricular end systolic volume(LVESV),and muscle grip strength,Minnesota living heart failure questionnaire(MLHFQ)and treatment compliance of the two groups before and after intervention were compared and analyzed.Results After the intervention,the level of LVEF of the two groups was significantly higher than that before intervention,especially in the research group(P<0.05).The levels of LVEDV,LVESV,the scores of different dimensions of MLHFQ and the total MLHFQ score of the two groups were significantly reduced,especially in the research group(P<0.05).The muscle grip of the research group was significantly higher than that of the control group and before intervention(P<0.05).In addition,the treatment compliance rate of the research group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions Precision nursing can improve the heart and muscle function of the elderly patients with chronic heart failure complicated with sarcopenia,as well as treatment compliance and quality of life.

关 键 词：精准护理 老年人 心力衰竭 肌少症 生活质量 

分 类 号：R473.59[医药卫生—护理学]