强化护理干预对老年慢性心力衰竭患者住院疗效的影响  

Impactful Analysis of Intensive Nursing Interventions on Outcomes During Hospitalization in Patients with Chronic Heart Failure

作　　者：董春华 张侠[2] DONG Chun-hua;ZHANG Xia(Xianning First People's Hospital,Xianning Hubei 437000,China)

机构地区：[1]咸宁市第一人民医院,湖北咸宁437000 [2]湖北科技学院

出　　处：《湖北科技学院学报（医学版）》2024年第3期242-245,共4页Journal of Hubei University of Science and Technology(Medical Sciences)

摘　　要：目的探讨强化护理干预措施对老年慢性心力衰竭患者的影响。方法选取我院心内科收治的96例老年慢性心力衰竭患者为研究对象,随机分为对照组和观察组,每组各48例。住院期间对照组进行常规护理,观察组在对照组的基础上由研究者采用基础、营养、心理、康复运动及健康宣教等强化护理干预措施。比较干预前后两组的护理满意度、生活质量及心功能差异。结果两组患者干预前在生活质量、血浆B型钠尿肽(BNP)和左心室射血分数(LVEF)的比较无统计学差异(P>0.05);干预后,两组患者心衰生活质量评分及血浆BNP水平均降低,且观察组低于对照组;LVEF均升高,且观察组高于对照组;观察组的护理总满意度高于对照组,差异均具有统计学意义(P均<0.05)。结论强化护理干预措施对于老年慢性心力衰竭患者有促进心功能恢复、减轻心脏损害程度、提高患者生活质量的效果,具有良好的临床意义。Objective To the impact of intensive nursing interventions on elderly patients with chronic heart failure.Methods 96 cases of elderly patients with chronic heart failure admitted to the Department of Cardiology of our hospital were selected as study subjects,and were randomly divided into the control group and the observation group,with 48 cases in each group.During the hospitalization period,the control group carried out routine nursing care,and the observation group,on the basis of the control group,the researcher used basic,nutritional,psychological,rehabilitation exercise and health education and other intensive nursing interventions.The differences in nursing satisfaction,quality of life and cardiac function between the two groups before and after the intervention were compared.Results There was no statistically significant difference in plasma B-type natriuretic peptide(BNP)and left ventricular ejection fraction(LVEF)between the two groups of patients before the intervention(P>0.05);after the intervention,the quality of life scores of the two groups of patients with heart failure and the level of plasma BNP were reduced,and the observation group was lower than the control group;the LVEF was elevated and the observation group was higher than the control group;and the total satisfaction with nursing care of the observation group was higher than that of the control group.The differences were all statistically significant(P<0.05).Conclusion Intensive nursing interventions for elderly patients with chronic heart failure have the effect of promoting the recovery of cardiac function,reducing the degree of cardiac damage,and improving the quality of life of patients,which has good clinical significance.

关 键 词：慢性心力衰竭 强化护理干预 心功能 生活质量 

分 类 号：R541.6[医药卫生—心血管疾病]