辨证施膳指导对心力衰竭患者临床疗效的临床观察

Clinical observation on treating heart failure by meal guidance

目的:通过对我科住院的心衰患者进行辨证施膳指导,观察其临床疗效,生活质量改善情况,为今后进一步提升护理服务质量提供参考。方法:选择2012年11月-2013年10月我院收治的80例心衰患者,随机分为治疗组和对照组,对照组实施常规护理,治疗组在常规护理基础上另外实施辨证施膳指导,观察两组患者临床疗效及对患者进行焦虑自评量表(SAS)、抑郁自评量表(SDS)评分。结果:治疗组40例患者中显效28例(70%),有效8例(20%),无效4例10%),总有效率90%。对照组显效26例(65%),有效6例(15%),无效8例(20%),总有效率80%。两组护理干预前后焦虑和抑郁评分比较,结果显示两组患者干预前其SAS和SDS评分无统计学差异(P>0.05),干预后治疗组焦虑、抑郁评分明显低于对照组(P<0.05)。结论:心衰正在威胁着社会发展和人类生存,随着科学技术的进步、医疗设备和技术手段的提高,心衰研究正在向纵深发展。心衰症状复杂,治疗多样,因此寻找更专业、更灵活、更全面的护理体系,将为患者带来福音。辨证施膳指导能够在常规护理基础上进一步改善心衰患者下肢水肿,改善其生活质量,值得在临床中进行推广。

Objective： To observe clinical effects of meal guidance on treating heart failure, as a reference to improve quality of care in the future. Methods： 80 patients were selected to divide into two groups. The control group was given routine care, the treatment group was given meal guidance more. Clinical effects in two groups were recorded before and after treatment, SAS, SDS scores were evaluated either. Results： The total efficacy in the control was 90%, in another was 80%. SAS, SDS scores were lower in the control （P〈0.05） after intervention, with no statically difference （P〉0.05）. Conclusion： With the development of medical equipment and technical means, the research of heart failure was furthermore. The care system, with more professional, more flexible, more comprehensive, can take good news to patients. Meal guidance can improve heart failure situations with lower limb edema and life quality, was worthy of application.