系统护理干预在老年肺源性心脏病患者中的应用  

Application of systematic nursing intervention in elderly patients with cor pulmonale

作　　者：张雨薇[1] 肖琦 熊杰[1] ZHANG Yuwei;XIAO Qi;XIONG Jie(Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,430000,China)

机构地区：[1]华中科技大学同济医学院附属同济医院,湖北武汉430000

出　　处：《中西医结合护理（中英文）》2023年第8期49-52,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨系统护理干预在老年肺源性心脏病(简称“肺心病”)患者中的实施效果和价值。方法回顾性分析2021年1月至2022年1月华中科技大学同济医学院附属同济医院收治的102例确诊为肺心病的老年患者资料,按护理方法的不同分入2组。对照组52例患者实施常规护理,观察组50例患者进行系统护理干预。比较2组的心肺功能、血清炎症因子水平以及生活质量。结果出院时和出院2个月后,2组的右室射血分数和动脉血氧分压,以及健康调查简表36各项评分均较入院时升高;右室舒张末期内径均较入院时缩小;超敏C反应蛋白、白介素-6和肿瘤坏死因子水平,以及动脉血二氧化碳分压均较入院时降低;观察组的上述指标均优于同期对照组,均存在统计学差异(P均<0.05)。结论系统护理干预对老年肺心病患者心肺功能和血清炎症因子水平的改善,以及生活质量的提升均可起到积极作用。Objective To explore the effect and value of systematic nursing intervention in elderly patients with cor pulmonale.Methods The clinical data of 102 elderly patients clinically diagnosed with cor pulmonale at Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology from January 2021 to January 2022 were retrospectively analyzed.They were divided into two groups according to different nursing methods.The control group(52 cases)received routine nursing,and the observation group(50 cases)received systematic nursing intervention.The cardiopulmonary function,serum inflammatory factor levels,and quality of life of the two groups were compared.Results At discharge and 2 months after discharge,the right ventricular ejection fraction,arterial partial pressure of oxygen,and scores of Short Form-36 Health Survey in both groups were higher than those at admission.The right ventricular end-diastolic diameter in both groups were lower than those at admission.The levels of hypersensitive C-reactive protein,interleukin-6,and tumor necrosis factor-α,and arterial partial pressure of carbon dioxide in both groups were decreased compared with those at admission.The above parameters in the observation group were better than those in the control group.The differences were statistically significant(all P<0.05).Conclusion Systematic nursing intervention plays a positive role in the improvement of cardiopulmonary function and serum inflammatory factor levels,as well as the improvement of quality of life in elderly patients with cor pulmonale.

关 键 词：肺源性心脏病 老年 系统护理 心肺功能 生活质量 

分 类 号：R473.5[医药卫生—护理学]