老年综合评估和护理干预对慢性心力衰竭患者预后的影响

Effect of comprehensive evaluation of elderly and nursing intervention on prognosis of patients with chronic heart failure

目的:探讨对慢性心力衰竭(CHF)患者实施综合评估和护理干预的效果。方法:将186例CHF患者随机分为对照组(90例)和管理组(96例),对照组给予常规护理,而管理组给予综合评估和护理干预管理,比较2组患者干预后的生活行为方式、生活质量及预后指标等。结果:干预6个月后,管理组的心力衰竭知识、低盐饮食、体育锻炼及体重控制等明显高于对照组(P<0.05);管理组生活质量量表评分(躯体功能、情绪功能、认知功能、角色功能、社会功能)明显高于对照组(P<0.05)。随访12个月内,管理组的急诊就诊率、再次住院率及病死率均明显低于对照组(P<0.05)。结论:CHF患者实施综合评估和干预管理后,可促进患者改变生活行为方式,提高生活质量。

[Objective]To investigate the effect of comprehensive evaluation and nursing intervention on patients with chronic heart failure(CHF). [Method]186 CHF patients were randomly divided into control group(90 cases) and management group(96 cases). The control group was given routine care while the management group was given a comprehensive assessment and nursing intervention management. The indexes of life behavior style,life quality and prognosis were compared between the two groups after intervention. [Result]After 6 months intervention,the rates of heart failure knowledge,low salt diet,physical exercise and weight control in the management group were much higher than that of the control group(P < 0. 05),and the life quality scores such as physical function,emotional function,cognition function,role function and social function in the management group were much higher than the control group(P < 0.01). The indexes of emergency visiting rate,readmission rate and case fatality rate in the management group were much lower than the control group(P < 0. 01) in one year. [Conclusion]Comprehensive assessment of CHF patients and intervention management can promote patients to change the way of life behavior,improve the quality of life.