护理干预对老年心力衰竭患者治疗依从性及预后的影响

Effect of nursing intervention on treatment compliance and prognosis of elderly patients with heart failure

目的观察老年心力衰竭患者采取护理干预对预后以及治疗依从性的影响。方法本院2016年10月～2017年10月期间收治的68例老年心力衰竭患者,随机分为实验组(n=34例)与对照组(n=34例),实验组采取护理干预,对照组采取常规护理,分析对比经不同护理之后两组老年心力衰竭患者的躯体功能、社会功能、物质生活、生活质量、心理功能、6min步行距离与左心室射血分数、临床护理有效率、治疗依从性。结果实验组老年心力衰竭患者躯体功能(77. 87±3. 11)分、社会功能(76. 58±4. 36)分、物质生活(63. 54±3. 17)分、生活质量(77. 14±4. 09)分、心理功能(80. 21±3. 68)分、6min步行距离(432. 31±13. 21)米、左心室射血分数(61. 23±5. 21)%、临床护理有效率97. 05%、护理依从性94. 11%,与对照组比较,P <0. 05,差异有显著性。结论将护理干预应用在老年心力衰竭患者中疗效显著,对于改善患者治疗依从性以及预后具有显著作用。

Objective To study the effect of nursing intervention on prognosis and treatment adherence in elderly patients with heart failure. Methods Six-eight elderly heart failure patients admitted and treated in our hospital from October 2016 to October 2017 were selected as the research objects. Taking the form of random number table as the grouping mode. The patients were divided into the reference group( n = 34) and the experimental group( n = 34) on average. Taking the routine nursing intervention patients as control group,while the nursing intervention patients as study group,analyzed by different nursing after two groups of senile heart failure patients’ physical function,social function and material life,the quality of life and psychological function,6-min-walking distance and left ventricular ejection fraction,efficient clinical nursing and treatment adherence. Results Experimental group in elderly patients with heart failure in physical function is( 77. 87 ± 3. 11) points,social function( 76. 58 ± 4. 36) points,material life( 63. 54 ± 3. 17)points,the quality of life( 77. 14 ± 4. 09) points,the psychological function( 80. 21 ± 3. 68) points,6-min-walking distance( 432. 31 ± 13. 21) meter,left ventricular ejection fraction( 61. 23 ± 5. 21) %,clinical nursing effectiveness 97.05%,nursing adherence 94. 11%,compared to control group,which the difference has a statistical significance( P < 0.05). Conclusion The application of nursing intervention in elderly patients with heart failure has a significant effect,which has a significant effect on improving patients’ treatment compliance and prognosis.