责任制护理模式在心力衰竭合并肿瘤患者护理中的应用

Application value of the responsible nursing mode in the nursing of patients with heart failure combined with tumor

目的探讨责任制护理模式在心力衰竭合并肿瘤患者护理中的应用价值。方法选择2016年8月至2019年3月接受诊治的心力衰竭合并肿瘤患者78例,按随机抽签原则分为对照组和观察组,每组39例。患者均给予手术治疗,对照组在围手术期给予常规护理,观察组给予责任制护理模式,比较2组患者的预后。结果所有患者均顺利完成手术,观察组的升主动脉阻断时间、手术时间等明显少于对照组(P<0.05)。2组术后3 d的血浆脑钠肽显著高于术前1 d(P<0.05),术后7 d显著降低(P<0.05),观察组术后3 d、7 d的血浆脑钠肽显著低于对照组(P<0.05)。2组术后7 d的LVEF显著高于术前1 d(P<0.05),LVEDD值显著低于术前1 d(P<0.05),2组比较差异有统计学意义(P<0.05)。术后3个月观察组的躯体角色、躯体功能及活力等生活质量评分显著高于对照组,差异有统计学意义(P<0.05)。结论责任制护理模式在心力衰竭合并肿瘤患者护理中的应用能抑制血浆脑钠肽的释放,改善患者的心功能,缩短手术时间,提高患者的生活质量。

Objective To investigate the application value of the responsible nursing mode in the nursing of patients with heart failure combined with tumor.Methods A total of 78 patients with heart failure combined with tumor who were treated from August 2016 to March 2019 were enrolled in the study,who were randomly divided into control group and observation group,with 39 cases in each group.The patients in both groups were given surgical treatment,and the patients in control group were treated by routine nursing at perioperative period,however,the patients in observation group,on the basis of control group,were treated by responsible nursing mode.The prognoses of patients were observed and compared between the two groups.Results All the patients underwent successful operation,and the operation time,ascending aorta block time and extracorporeal circulation time in observation group were significantly lower than those in control group(P<0.05).The levels of plasma brain natriuretic peptide at 3d after operation in both groups were significantly higher than those at 1d before operation(P<0.05),which were significantly decreased at 7d after operation in both groups(P<0.05).Moreover the levels of plasma brain natriuretic peptide at 3d,7d after operation in observation group were significantly lower than those in control group(P<0.05).In addition the levels of LVEF at 7d after operation in both groups were significantly higher than those at 1d before operation(P<0.05),but the LVEDD levels were significantly lower than those at 1d before operation(P<0.05),there were significant differences between the two groups(P<0.05).And the life quality scores of physical function,physical role,general health,physical pain,vitality,social function,emotional role and mental health at 3m after operation in observation group were significantly higher than those in control group(P<0.05).Conclusion The application of the responsible nursing model in the nursing of patients with heart failure combined with tumor can inhibit the release of plasma brain natriuretic peptide,improve the heart function of patients,shorten the operation time and improve the life quality of patients.