心理护理干预模式对慢性心力衰竭患者精神、生理健康及心功能的积极作用研究

Positive role research of the psychological nursing intervention model in mental,physical health and cardiac function of patients with chronic heart failure

目的探讨心理护理干预应用于慢性心力衰竭患者的临床效果。方法选取慢性心力衰竭患者140例,随机将其分为具有可比性的两组。对照组患者(n=66例)给予常规护理,观察组患者(n=74例)在对照组基础上给予心理护理干预。于干预前后对两组患者生活质量、焦虑程度、抑郁程度以及左室射血分数(LEVF)和血浆脑利肽钠(BNP)浓度进行比较。结果经过3个月的护理干预,两组患者除对照组精神健康因子外各因子得分均较入院前明显提高,差异有统计学意义(P<0.05),其中观察组患者生理职能、健康状况、精力、情感职能以及精神健康等方面明显优于对照组,差异有统计学意义(P<0.05);观察组患者焦虑程度以及抑郁程度与同组干预前及干预后对照组比较均有明显改善,差异有统计学意义(P<0.05);两组患者LEVF以及BNP较干预前均有所改善,但观察组改善更为明显,差异有统计学意义(P<0.05)。对照组干预前后汉密顿焦虑量表(HAMA)以及汉密顿抑郁量表(HRSD)评分差异无统计学意义(P>0.05)。结论对慢性心理衰竭患者进行细致而全面的心理护理可以有效改善患者的生存质量和心功能,在临床工作中应该得到广泛的推广和应用。

Objective To observe the clinical effects of the clinical application of psychological nursing intervention model in patients with chronic heart failure. Methods 140 patients with chronic heart failure were selected and divided into two groups which were comparable. Patients in the control group （n = 66 cases） were given the conventional nursing care and patients in the observation group （n = 74 cases） were given psychological nursing intervention on the basis of conventional nursing care. The life quality, anxiety degree, depression degree, left ventricular ejection fraction and concentration of plasma BNP were compared before and after the intervention on the patients of the two groups. Results After the nursing interven- tion of three months, the score of each factor in the two groups increased significantly compared with pre-admission except for the mental health factor in the control group with statistical significance （P 〈 0.05）. The physiological function, health status, energy, emotional function and mental health in the observation group were better evidently than the control group with statistical significance （P 〈 0.05）. The anxiety degree and depression degree of patients in the observation group improved more significantly compared with control group before and after intervention with statistical significance （P 〈 0.05）. LEVF and BNP of patients in the two groups all improved compared with those before intervention with statistical signifi- cance （P 〈 0.05）, but the observation group improved more significantly with statistical significance （P 〈 0.05）. Discrepancy score of HAMA and HRSD in the control group was not significant, which had no statistical significance （P 〉 0.05）. Con- clusion Detailed and comprehensive psychological nursing on patents with chronic failure can improve the life quality and heart function of patients, which should be widely popularized and applied in the clinical work.