综合护理干预对慢性心力衰竭患者生活质量、负性情绪及心功能的影响

Influence of comprehensive nursing intervention on quality of life,negative emotion and cardiac function of patients with chronic cardiac failure

目的探讨综合护理干预对慢性心力衰竭(CHF)患者生活质量、负性情绪及心功能影响。方法 112例CHF患者随机分为观察组和对照组,各56例。对照组实施常规护理,观察组在对照组基础上采用综合护理干预。运用明尼苏达心力衰竭生活质量调查表(Li HFe)评估患者生活质量改善情况,焦虑自评量表(SAS)和抑郁自评量表(SDS)评价患者心理状态,以6 min步行距离(6 MWD)评估患者心功能。结果干预后,2组Li HFe量表总评分,SAS和SDS评分较干预前显著降低(P<0.05或P<0.01),且观察组干预后评分显著低于对照组(P<0.05或P<0.01)。干预后,2组6MWD均较干预前显著增加(P<0.01),且干预组6MWD增加幅度高于对照组(P<0.01)。结论综合护理干预能够有效缓解CHF患者的负性情绪,提高生活质量,促进心功能康复。

Objective To investigate the influence of comprehensive nursing intervention on quality of life,negative emotion and cardiac function of patients with chronic cardiac failure（ CHF）.Methods A total of 112 CHF patients were randomly divided into the observation group and the control group,with 56 cases in each group. Both groups were given conventional nursing care and the observation group added comprehensive nursing intervention. The Minnesota living with heart failure（ Li HFe） questionnaire was used to assess the quality of life of patients,and the self-rating anxiety scale（ SAS） and self-rating depression scale（ SDS） were used for mental status evaluation. The cardiac failure was tested by 6-min walk distance（ 6MWD）. Results The total score of Li HFe,SAS and SDS were decreased in both two group after intervention（ P 〈 0. 05 or P 〈 0. 01）,and were significantly lower in the observation group than those in the control group after intervention（ P 〈0. 01）. The 6MWD was increased in both groups after intervention（ P 〈 0. 05 or P 〈 0. 01）,and was longer in the observation group than that in the control group（ P 〈 0. 01）. Conclusion Comprehensive nursing intervention can effectively relieve the negative emotion of CHF patients,and improve the rehabilitation of cardiac failure.