综合管理对LVEF保留慢性心衰伴血流动力学异常患者心功能及MAP、CO的影响  

Effects of Comprehensive Management on Cardiac Function,MAP and CO in Patients with Chronic Heart Failure and Preserved LVEF with Hemodynamic Abnormalities

作　　者：张亚萍 卢寒 杨杰 ZHANG Ya-ping;LU Han;YANG Jie(Department of Cardiovascular Medicine,First Affiliated Hospital of Nanyang Medical College,Nanyang,Henan,473000,China;Department of Clinical Laboratory,First Affiliated Hospital of Nanyang Medical College,Nanyang,Henan,473000,China)

机构地区：[1]南阳医学高等专科学校第一附属医院心血管内科,河南南阳473000 [2]南阳医学高等专科学校第一附属医院医学检验科,河南南阳473000

出　　处：《中国血液流变学杂志》2024年第2期333-338,共6页Chinese Journal of Hemorheology

摘　　要：目的探讨综合管理对左心射血分数(LVEF)保留慢性心衰伴血流动力学异常患者的心功能、平均动脉压(MAP)、心输出量(CO)影响。方法选取2021年1月—2022年2月在南阳医学高等专科学校第一附属医院就诊的LVEF保留慢性心衰血流动力学异常患者116例,按照随机数字表法分为研究组(n=58)和常规组(n=58)。常规组采用常规管理,研究组在常规组基础上联合综合护理,比较两组自我管理能力、心功能[左室舒张末径(LVDED)、心率(HR)、LVEF、6 min步行距离]、情绪状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、MAP、CO、应对方式、自护能力、再住院次数、生活质量[明尼苏达心衰生活质量量表(MLHFQ)]、满意度。结果干预后研究组心力衰竭患者自我管理量表评分较常规组高,SAS、SDS、MLHFQ评分较常规组低(P<0.05);干预后与常规组比较,研究组LVDED、HR较低,LVEF、6 min步行距离较高(P<0.05);干预后,与常规组比较,研究组MAP、CO均较常规组高(P<0.05);干预后研究组积极应对、ESCA评分较常规组高,消极应对评分较常规组低(P<0.05);干预后、干预后3个月研究组再住院次数均低于常规组(P<0.05);干预后研究组总满意度96.55%高于常规组81.03%(P<0.05)。结论综合管理可提升LVEF保留慢性心衰血流动力学异常患者自我管理能力及自护能力,改善患者情绪状态及心功能,调节患者应对方式,还可有效改善预后,提高患者生活质量及满意度。Objective To investigate the effects of comprehensive management on cardiac function,mean arterial pressure(MAP)and cardiac output(CO)in patients with chronic heart failure and preserved left ventricular ejection fraction(LVEF)with hemodynamic abnormalities.Methods 116 patients with chronic heart failure and preserved LVEF with hemodynamic abnormalities who were admitted to First Affiliated Hospital of Nanyang Medical College from January 2021 to February 2022 were selected and divided into study group(n=58)and routine group(n=58)according to random number table method.The routine group adopted routine management,and the study group combined comprehensive nursing on the basis of the routine group.Selfmanagement ability,heart function[left ventricular end-diastolic diameter(LVDED),heart rate(HR),LVEF,6 min walking distance],emotional state[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],MAP,CO,coping style,self-care ability,number of readmissions,quality of life[Minnesota Living with Heart Failure Questionnaire(MLHFQ)],and satisfaction were compared between the two groups.Results After intervention,the self-management scale score of heart failure patients in the study group was higher than that in the routine group,and the scores of SAS,SDS and MLHFQ were lower than those in the routine group(P<0.05).After intervention,compared with the routine group,LVDED and HR were lower,LVEF and 6 min walking distance were higher(P<0.05).After intervention,compared with the routine group,the MAP and CO in the study group were higher than those in the routine group(P<0.05).After intervention,the positive coping and ESCA scores of the study group were higher than those of the routine group,and the negative coping scores were lower than those of the routine group(P<0.05).The number of re-hospitalization in the study group after intervention and 3 months after intervention was lower than that in the routine group(P<0.05).The total satisfaction of the study group after intervention was 96.55%higher than that of th

关 键 词：综合管理 LVEF保留慢性心衰 自我管理能力 心功能 

分 类 号：R473.5[医药卫生—护理学]