住院姑息照护在终末期心力衰竭患者中的应用效果  

Effects of inpatient palliative care in patients with end-stage heart failure

作　　者：孙晓燕[1] 卫曼曼[1] 常莎 赵倩倩 杨晓倩 兰云霞[1] Sun Xiaoyan;Wei Manman;Chang Sha;Zhao Qianqian;Yang Xiaoqian;Lan Yunxia(Cardiovascular Department,Henan Provincial Chest Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省胸科医院心血管内科,郑州450003

出　　处：《中华现代护理杂志》2022年第7期954-957,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨住院姑息照护在终末期心力衰竭患者中的应用效果。方法采用便利抽样法,选取2019年7月—2021年1月河南省胸科医院心血管内科收治的97例终末期心力衰竭患者为研究对象,按照随机数字表法将其分为对照组(n=48)和观察组(n=49)。对照组实施常规护理,观察组在此基础上实施住院姑息照护。采用抑郁-焦虑-压力量表中文精简版(DASS-21)、一般自我效能感量表(GSES)和明尼苏达心力衰竭生活质量量表(MLHFQ)比较两组患者的不良心理状态、自我效能及生活质量。结果干预前,两组患者DASS-21、MLHFQ、GSES评分比较,差异均无统计学意义(P>0.05)。干预后,观察组患者DASS-21、MLHFQ评分低于对照组,GSES评分高于对照组,差异均有统计学意义(P<0.05)。结论住院姑息照护可有效缓解终末期心力衰竭患者的不良心理状态,提高患者的自我效能感和生活质量。Objective To explore the effect of inpatient palliative care in patients with end-stage heart failure.Methods From July 2019 to January 2021,convenience sampling was used to select 97 patients with end-stage heart failure admitted to the Cardiovascular Department of Henan Provincial Chest Hospital as the research subject.The patients were divided into the control group(n=48)and the observation group(n=49)with the random number table.The control group conducted routine nursing,and the observation group carried out inpatient palliative care on this basis.The 21-Item Depression Anxiety Stress Scale(DASS-21),General Self-efficacy Scale(GSES)and Minnesota Living with Heart Failure Questionnaire(MLHFQ)were used to compare the adverse psychological state,self-efficacy and quality of life of the two groups of patients.Results Before intervention,there were no significant differences in DASS-21,MLHFQ and GSES scores between the two groups(P>0.05).After intervention,the DASS-21 and MLHFQ scores of the observation group were lower than those of the control group,and the GSES score was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusions Inpatient palliative care can effectively relieve the adverse psychological state of patients with end-stage heart failure and improve their self-efficacy and quality of life.

关 键 词：心力衰竭 终末期 住院姑息照护 不良心理状态 自我效能 生活质量 

分 类 号：R473.5[医药卫生—护理学]