基于时机理论的延续性护理结合“双心”护理对老年慢性心力衰竭患者健康促进行为及心境状态的影响  

Influences of continuous nursing based on timing theory combined with"psycho-cardiacology"nursing on health promotion behavior and mood state of elderly patients with chronic heart failure

作　　者：温普燕 白婷婷 WEN Puyan;BAI Tingting(Xi'an No.9 Hospital,Xi'an 710054,China)

机构地区：[1]西安市第九医院,陕西西安710054

出　　处：《临床医学研究与实践》2024年第20期136-139,共4页Clinical Research and Practice

摘　　要：目的探讨基于时机理论的延续性护理结合“双心”护理在老年慢性心力衰竭患者中的应用效果。方法采用随机数字表法将我院收治的80例老年慢性心力衰竭患者分为对照组与观察组,各40例。对照组采取常规护理干预,观察组在对照组基础上实施基于时机理论的延续性护理结合“双心”护理干预。比较两组的干预效果。结果干预后,观察组的健康促进生活方式量表Ⅱ(HPLP-Ⅱ)、心力衰竭自我护理指数量表(SCHFI)及简式心境评估量表(BPOMS-SF)评分均高于对照组,明尼苏达心力衰竭生活质量量表(MLHFQ)评分低于对照组(P<0.05)。干预后,观察组的代谢当量(METs)、峰值摄氧量(VO_(2)peak)高于对照组,二氧化碳通气当量斜率(VE/VCO_(2) slope)低于对照组(P<0.05)。结论基于时机理论的延续性护理结合“双心”护理可改善老年慢性心衰患者的健康促进行为及心境状态,提高其生活质量与自护能力,调节心肺功能。Objective To explore the application effect of continuous nursing based on timing theory combined with"psycho-cardiacology"nursing in elderly patients with chronic heart failure.Methods A total of 80 elderly patients with chronic heart failure admitted in our hospital were divided into control group and observation group by random number table method,with 40 cases in each group.The control group was given routine nursing intervention,while the observation group carried out continuous nursing based on the timing theory combined with"psycho-cardiacology"nursing on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of Health Promoting Lifestyle Profile-Ⅱ(HPLP-Ⅱ),Self-Care of Heart Failure Index(SCHFI)and Brief Profile of Mood State Short Form(BPOMS-SF)in the observation group were higher than those in the control group,and the score of Minnesota Living with Heart Failure Questionnaire(MLHFQ)was lower than that of the control group(P<0.05).After intervention,the metabolic equivalents(METs)and peak oxygen uptake(VO2peak)in the observation group were higher than those in the control group,and the ventilatory equivalent for carbon dioxide slope(VE/VCO2 slope)was lower than that in the control group(P<0.05).Conclusion The continuous nursing based on the timing theory combined with"psycho-cardiacology"nursing can improve the health promotion behavior and mood state of patients,enhance the quality of life and self-care ability,and regulate the cardiopulmonary function.

关 键 词：时机理论 延续性护理 “双心”护理 慢性心力衰竭 健康促进行为 心境状态 

分 类 号：R473.5[医药卫生—护理学]