康复护理对慢性心力衰竭患者心理状态和生活质量的影响

The Impact of Rehabilitation Nursing on Mental Status and Quality of Life in Patients with Chronic Heart Failure

目的:探讨康复护理对慢性充血性心力衰竭(CHF)患者心理状态和生活质量的影响。方法:将100例患者随机分成康复组和对照组。2组均接受心衰常规药物治疗和护理,康复组在此基础上进行包括健康教育、心理疏导、饮食和体力运动训练等康复护理,进行为期3个月的临床追踪和观察。2组患者均在入院时和出院后3个月进行焦虑、抑郁评分和明尼苏达心力衰竭生活质量调查测试,观察2组心理状态、生活质量评分。结果:干预前,康复组与对照组焦虑、抑郁评分和生活质量各项评分比较差异无统计学意义;干预后,2组患者焦虑、抑郁评分及生活质量各项评分比较,康复组均显著优于对照组,差异有统计学意义(P<0.05)。结论:康复护理可改善CHF患者焦虑、抑郁情绪,提高患者对治疗的依从性,有效地改善患者的生活质量。

Objective：To assess the impact of rehabilitation nursing on patients＇ mental status and quality of life.Methods：100 patients were randomly assigned to rehabilitation nursing group and control group.All the patients received conventional drug therapy and nursing care.But patients in rehabilitation group received additional health education,Psychological counseling,diet training,and sports training.To measure the patients＇ mental status and quality of life,Self-Rating Anxiety Scale（SAS）,Self-Rating Depression Scale（SDS）,Minnesota Livingwith Heart Failure Questionnaire（LiHFe）were used when patients on admission and after they discharged three months.Results：There was no significant difference in scores of SAS,SDS and life quality between both groups before intervention.After intervention,however,the rehabilitation nursing group＇s scores of SAS,SDS and life quality score were higher when compared with the control group（P0.05）.Conclusion：Rehabilitation nursing care can decrease the chronic heart failure patients＇ anxiety and depression,increase their compliance to treatment,and meanwhile,improve their life quality.