延续性护理在心脏再同步化治疗患者中的疗效及对睡眠质量的影响  

Study on the Effect of Continuous Nursing in Patients with Cardiac Resynchronization Therapy and Its Influence on Sleep Quality

作　　者：姜传威 刘慧[1] 何林[1] 孙瑞 白璐 JIANG Chuanwei;LIU Hui;HE Lin;SUN Rui;BAI Lu(The First Affiliated Hospital of University of Science and Technology of China,Hefei 230001,China)

机构地区：[1]中国科学技术大学附属第一医院,合肥230001

出　　处：《世界睡眠医学杂志》2021年第12期2157-2159,共3页World Journal of Sleep Medicine

摘　　要：目的:观察延续性护理在心脏再同步化治疗(CRT)患者中的疗效及对睡眠质量的影响。方法:选取2017年1月至2019年12月在中国科学技术大学附属第一医院就诊的CRT患者80例作为研究对象,随机分为对照组和观察组,每组40例。对照组给予常规护理,观察组给予延续性护理,2组患者均随访半年,观察2组患者护理前后6 min步行试验(6MWD)、明尼苏达州心功能不全生命质量量表(MLHFQ)及随访后NYHA心功能分级。结果:护理干预前,2组患者6MWD水平比较,差异无统计学意义(P>0.05),护理干预后,观察组患者6MWD水平明显优于对照组,差异有统计学意义(P<0.05);护理前,2组患者MLHFQ评分比较,差异无统计学意义(P>0.05),护理干预后,观察组患者MLHFQ水平明显优于对照组,差异有统计学意义(P<0.05);护理后,观察组患者美国纽约心脏病学会(NYHA)心功能分级Ⅰ级~Ⅳ级的患者明显优于对照组,差异有统计学意义(P<0.05);护理前,2组患者睡眠质量评分比较,差异无统计学意义(P>0.05),护理后,2组患者睡眠质量评分均降低,且观察组睡眠质量评分优于对照组,差异有统计学意义(P<0.05)。结论:延续性护理可有效改善CRT患者生命质量、睡眠质量以及NYHA心功能水平,降低CRT患者再次住院的概率,其临床推广应用价值较高。Objective:To observe the effect of continuous nursing in patients with cardiac resynchronization therapy and its effect on sleep quality.Methods:Select 80 CRT patients who were treated in our hospital from January 2017 to December 2019 and randomly divided into two groups.The control group was given routine nursing,and the observation group was given continuous nursing.Both groups were followed up for half a year.The six-minute walk test(6MWD),MLHFQ before and after nursing and the heart function classification of NYHA after follow-up were observed in the two groups.Results:Before nursing intervention,the difference in 6MWD levels between the two groups of patients was not statistically significant(P>0.05).After nursing intervention,the 6MWD levels of the observation group were significantly better than those of the control group,and the difference was statistically significant(P<0.05)The MLHFQ scores of the two groups before nursing were compared,and the difference was not statistically significant(P>0.05).After nursing intervention,the MLHFQ level of the observation group was significantly better than that of the control group,and the difference was statistically significant(P<0.05).After nursing,the observation group of patients with NYHA heart function gradingⅠtoⅣwas significantly better than the control group,and the difference was statistically significant(P<0.05).The comparison of sleep quality scores between the two groups before nursing was not statistically significant(P>0.05).After nursing,the sleep quality of the two groups was significantly improved,and the sleep quality of the observation group was better than that of the control group,the difference was statistically significant(P<0.05).Conclusion:Continuing nursing can effectively improve the survival,sleep quality and NYHA heart function of CRT patients,and reduce the chance of re-hospitalization of CRT patients.The clinical application value of this study is high.

关 键 词：延续性护理 心脏再同步化治疗 睡眠质量 

分 类 号：R473.5[医药卫生—护理学]