不同体位管理对成人急性心力衰竭患者的影响  

The Impact of Different Posture Management on Adult Patients with Acute Heart Failure

作　　者：陈迎 吴丽丽[1] CHEN Ying;WU Lili(The Second People's Hospital of Qinzhou,Qinzhou 535000,China;不详)

机构地区：[1]钦州市第二人民医院,广西钦州535000

出　　处：《中外医学研究》2025年第7期146-150,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题项目(Z-N20221907)。

摘　　要：目的:探讨急性心力衰竭(acute heart failure,AHF)患者护理中实施不同体位管理方案的价值。方法:选择2022年7月—2024年5月在钦州市第二人民医院心内科就诊的70例成人AHF患者,依据随机数字法分成两组,对照组35例选择被迫体位,观察组35例选择自感舒适体位。比较两组舒适度[简化的舒适状况量表(general comfort questionnaire,GCQ)]、氧合指数[动脉血氧分压(partial pressure of oxygen in arterial blood,PaO_(2))、动脉血二氧化碳分压(partial pressure of carbon dioxide in arterial blood,PaCO_(2))]、呼吸困难程度(Borg呼吸困难评分)、临床指标[(heart rate,HR)、呼吸频率(respiration rate,RR)、中心静脉压(central venous pressure,CVP)、脑利尿钠肽(brain natriuretic peptide,BNP)]。结果:两组干预前舒适度评分、氧合指数、呼吸困难程度、临床指标比较,差异无统计学意义(P>0.05);干预后,观察组舒适度评分、PaO_(2)比对照组高,呼吸困难评分、PaCO_(2)、HR、RR、CVP、BNP低于对照组,差异有统计学意义(P<0.05)。结论:AHF患者护理中辅助其选择自感舒适体位可提高其舒适度,改善呼吸困难程度及氧合指数,稳定心率及呼吸。Objective:To explore the value of implementing different posture management plans in the nursing of patients with acute heart failure(AHF).Method:Seventy adult patients with AHF treated in the Department of Cardiology of the Second People's Hospital of Qinzhou from July 2022 to May 2024 were selected and divided into two groups according to random number method.35 patients in the control group chose forced position and 35 patients in the observation group chose self-comfortable position.The comfort[general comfort questionnaire(GCQ)]and the oxygenation index[partial pressure of oxygen in arterial blood(PaO_(2)),partial pressure of carbon dioxide in arterial blood(PaCO_(2))],dyspnea degree(Borg dyspnea score),clinical indicators[heart rate(HR),respiration rate(RR),central venous pressure(CVP),brain natriuretic peptide(BNP)]were compared between the two groups.Result:There were no significant differences in comfort scores,oxygenation index,dyspnea degree and clinical indexes between the two groups before intervention(P>0.05).After intervention,the comfort score and PaO_(2) of the observation group were higher than those of the control group,and the dyspnea score,PaCO_(2),HR,RR,CVP and BNP were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:In the nursing of patients with AHF,assisting them to choose comfortable position can improve their comfort,improve dyspnea and oxygenation index,and stabilize heart rate and respiration.

关 键 词：体位管理 急性心力衰竭 氧合指数 呼吸困难 舒适度 

分 类 号：R473.5[医药卫生—护理学]