摘要
目的探讨慢性心衰(CHF)患者应用认知行为干预的效果。方法将116例CHF患者随机分为试验组和对照组,各58例。两组均给予纠正心衰治疗,在药物种类、剂量及护理措施不变的前提下,试验组在对照组基础上进行认知行为干预。两组于干预前及干预4个月后采用生活质量综合评定问卷(GQOLI-74)评定其生活质量及测量心率、脉搏及血压。结果试验组干预后在生活质量总分、心理健康维度、身体健康维度、社会功能维度评分明显高于干预前(P<0.05),试验组在干预后生活质量总分、身体健康维度、社会功能维度评分明显高于对照组,有显著性差异(P<0.05)。两组心率、脉搏及血压比较有显著性差异(P<0.05)。结论实施认知行为干预能明显改善CHF患者的生活质量,提高治疗效果。
Objective To study the effect of cognitive behavior intervention on chronic heart failure(CHF) patients. Methods 116 cases of patients with chronic heart failure were divided into study group(58 cases) and regular treatment group(58 cases) at random. The study group received cognitive behavior intervention on the basement of clinical treatment and nursing. The quality of life of patients were evaluated with GQOLI-74 at baseline and 4 months after intervention. Results The study group scored higher on total score of GQOLI, physical health, mental health dimensions than the regular treatment group after cognitive behavior intervention and there is differences between two groups in HR, P, BP. Conclusion Cognitive behavior intervention can raise the quality of life, the effect of treatment and the prognosis of chronic heart failure patients.
出处
《临床护理杂志》
2009年第1期4-6,共3页
Journal of Clinical Nursing
关键词
心力衰竭
充血性
认知行为干预
生活质量
heart failure, congestive
cognition behavior intervention
quality of life