冠心病慢性心力衰竭患者室性心律失常的护理效果分析  

Analysis on the Nursing Effect of Ventricular Arrhythmia in Patients with Coronary Heart Disease and Chronic Heart Failure

作　　者：姜洋 JIANG Yang(Liaoyang Central Hospital,Liaoyang 111000,China)

机构地区：[1]辽阳市中心医院,辽宁辽阳111000

出　　处：《中国医药指南》2022年第15期53-56,共4页Guide of China Medicine

摘　　要：目的分析冠心病慢性心力衰竭(CHD-CHF)同时并发室性心律失常(VA)的护理措施以及所取得的效用。方法就诊时间介于2017年6月至2019年6月,纳入病型为CHD-CHF,同时并发VA,共计患者104例。随机分组后,对照组(计入52例)所选用的是常规护理,观察组(计入52例)所选用的是优质护理,评价两组护理效果、心功能改善效果及恢复速度等诸多指标。结果两组护理优良率比较存有差异,P<0.05。护理后,观察组的每搏输出量(SV)、左心室缩短分数(FS)、左心室射血分数(LVEF)、心排血量(CO)比对照组更高,P<0.05。观察组卧床、住院及症状缓解时间显著短于对照组,P<0.05。较比于护理之前的生活质量评分,组间并未统计出差异(P>0.05)。比较护理后的上述评分,观察组评分更高,P<0.05。护理前自护能力分、舒适度分以及心理评分,组间未统计出差异(P>0.05)。护理后以上评分再次比较,观察组的自护能力分更高,舒适度分更高,而心理评分更低,P<0.05。结论针对CHD-CHF并发VA患者实行全方位的优质护理能够尽量的改善心功能,使患者的相关症状得到减轻,住院周期有所缩短,而且能够尽量纠正患者负面心理,优化其舒适度,明显提高其对于疾病的自护能力,可以积极用于以上疾病患者的护理工作中。Objective To analyze the nursing measures of chronic heart failure(CHD-CHF)complicated with ventricular arrhythmia(VA)and the effect achieved.Methods The visiting time ranged from June 2017 to June 2019,and the included disease type was CHD-CHF,concurrent with VA,a total of 104 patients.After randomization,the control group(52 cases included)selected routine nursing,and the observation group(52cases included)selected high-quality nursing,and evaluated the nursing effect,cardiac function improvement effect and recovery speed of the two groups and many other indicators.Results There was a difference in the effective rate of treatment between the two groups,which was shown as P<0.05.After nursing,the stroke volume(SV),left ventricular fractional shortening(FS),left ventricular ejection fraction(LVEF),and cardiac output(CO)of the observation group were higher than those of the control group,shown as(P<0.05).The time of bed rest,hospitalization and symptom remission in the observation group was significantly shorter than that in the control group,P<0.05.Compared with the quality of life score before nursing,there was no statistical difference between the groups(P>0.05).Compared with the above scores after nursing,the scores of the observation group were higher,P<0.05.Before nursing,there was no statistical difference between the groups in terms of self-care ability score,comfort score and psychological score(P>0.05).After nursing,the above scores were compared again,and the observation group had higher selfcare ability score,higher comfort score,and lower psychological score,P<0.05.Conclusion Implementing a full range of high-quality nursing care for patients with CHD-CHF complicated by VA can improve cardiac function as much as possible,reduce the patient’s related symptoms,shorten the hospitalization period,and try to correct the patient’s negative psychology,optimize their comfort,and significantly improve their health.The selfcare ability for diseases can be actively used in the nursing work of patients with t

关 键 词：冠心病 慢性心力衰竭 室性心律失常 优质护理 心功能 

分 类 号：R473.5[医药卫生—护理学]