基于赋权理论的临床护理路径对慢性心力衰竭患者治疗依从性的影响

Influence of clinical nursing pathway based on empowerment theory on treatment compliance in patients with chronic heart failure

【目的】探讨基于赋权理论的临床护理路径对慢性心力衰竭患者治疗依从性的影响及其临床应用价值。【方法】选择我院2015年12月至2017年12月期间收治的慢性心力衰竭患者80例为研究对象。采用随机数字表分组法将其分为对照组和观察组,各40例。所有患者给予强心、利尿、扩张血管以及针对病因、病情等对症治疗。对照组采取常规护理干预,观察组给予基于赋权理论的临床护理路径干预。比较两组患者住院治疗时间、治疗费用、治疗依从性、护理干预前后心理状况以及患者对护理的满意度情况。【结果】观察组患者住院治疗时间及治疗费用均明显少于对照组患者(P<0.05);观察组患者治疗依从率92.50%(37/40)明显高于对照组患者75.00%(30/40)(P<0.05);两组患者护理干预前HAMA及HAMD评分比较差异无统计学意义(P>0.05),观察组患者护理干预后HAMA及HAMD评分均明显低于对照组患者(P<0.05);观察组患者对健康教育、护患沟通、服务态度、行为护理及专业技能等的满意度评分均显著高于对照组患者(P<0.05)。【结论】基于赋权理论的临床护理路径可显著降低慢性心力衰竭患者临床焦虑、抑郁等不良心理情绪,提高患者治疗依从性,缩短住院治疗时间,降低住院治疗费用,患者对该护理干预模式的满意度高,值得推广应用。

【Objective】To explore the influence of clinical nursing pathway based on empowerment theory on treatment compliance in patients with chronic heart failure and its clinical application value.【Methods】A total of 80 patients with chronic heart failure admitted in our hospital were selected as the research subjects from December 2015 to December 2017.The patients were divided into control group and observation group by random number table grouping method,40 cases in each group.All patients were given cardiotonic,diuresis,vasodilation therapy and symptomatic treatment for the cause and condition of the disease.The patients in the control group received routine nursing intervention,and those in the observation group were given clinical nursing pathway intervention based on empowerment theory.The hospitalization time,treatment cost,treatment compliance,psychological status before and after nursing intervention and satisfaction degree of patients in both groups were compared.【Results】The hospitalization time and treatment cost in the observation group were significantly less than those in the control group(P<0.05),and the treatment compliance rate(92.50%,37/40)in the observation group was significantly higher than that of the control group(75.00%,30/40)(P<0.05).There was no significant difference in HAMA and HAMD scores between the two groups before nursing intervention(P>0.05),and the scores of HAMA and HAMD in the observation group were significantly lower than those in the control group after nursing intervention(P<0.05).The satisfaction scores of health education,nurse-patient communication,service attitude,behavior nursing and professional skills in the observation group were significantly higher than those in the control group(P<0.05).【Conclusion】The clinical nursing path based on the empowerment theory can significantly reduce the adverse psychological emotions in the patients with chronic heart failure such as clinical anxiety and depression,improve the compliance of the patients,shorten the time of hospitalization,and reduce the cost of hospitalization.The patients are highly satisfied with the nursing intervention model,which is worthy of popularization and application.