基于互联网的延续性护理在老年慢性心力衰竭患者中的应用效果  

Application effects of Internet-based continuous nursing in elderly patients with chronic heart failure

作　　者：王超男 李世杰 张园园[1] WANG Chaonan;LI Shijie;ZHANG Yuanyuan(Heart Intensive Care Unit of Zhengdong District of The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州大学第一附属医院郑东院区心脏重症监护室,河南郑州450000

出　　处：《中国民康医学》2022年第1期157-159,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于互联网的延续性护理在老年慢性心力衰竭(CHF)患者中的应用效果。方法:选取106例CHF患者为研究对象,按随机数字表法分为对照组和观察组各53例。对照组采取常规护理,观察组在对照组基础上采用基于互联网的延续性护理,比较两组遵医行为依从率、护理前后心功能指标[左室舒张末期内径(LVEDD)、左室射血分数(LVEF)及左室短轴缩短率(FS)]水平和生命质量[明尼苏达心力衰竭生命质量问卷(MLHFQ)]评分。结果:观察组遵医行为依从率为98.11%,高于对照组的84.91%,差异有统计学意义(P<0.05);观察组LVEDD小于对照组,观察组LVEF和FS均高于对照组,差异有统计学意义(P<0.05);观察组MLHFQ评分低于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用基于互联网的延续性护理可提高老年CHF患者遵医行为依从率,改善心功能指标水平,以及降低生命质量评分,其效果优于单纯常规护理。Objective:To observe application effects of Internet-based continuous nursing in elderly patients with chronic heart failure(CHF).Methods:106 CHF patients were selected as the research objects,and were divided into control group and observation group according to the random number table method,53 cases in each.The control group took routine nursing,while the observation group was given the Internet-based continuous nursing on the basis of that of the control group.The compliance rate,the heart function index levels before and after the nursing[left ventricular end diastolic diameter(LVEDD),left ventricular ejection fraction(LVEF)and left ventricular short axis shortening rate(FS)]and the quality of life[Minnesota living with heart failure questionnaire(MLHFQ)]score were compared between the two groups.Results:The compliance rate of the observation group was 98.11%,which was higher than the control group of 84.91%,and the difference was statistically significant(P<0.05).The LVEDD of the observation group was shorter than that of the control group;the LVEF and FS of the observation group were higher than those of the control group;and the differences were statistically significant(P<0.05).Further,the MLHFQ score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,Internet-based continuous nursing can increase the compliance rate of the elderly patients with CHF,improve the levels of heart function indicators,and reduce the quality of life score.Moreover,it is superior to single routine nursing.

关 键 词：慢性心力衰竭 互联网 延续性护理 遵医行为 依从率 心功能 生命质量 

分 类 号：R541.4[医药卫生—心血管疾病]