基于感恩拓延——建构理论的延续护理在扩张型心肌病患者中的应用效果

Application effect of continued nursing based on gratitude broaden-build theory in patients with dilated cardiomyopathy

目的:探讨基于感恩拓延-建构理论的延续护理在扩张型心肌病(dilatedcardiomyopathy,DCM)患者中的应用效果。方法:选取2017年1月至2018年9月收治的DCM患者172例,随机分为两组各86例,对照组给予常规出院指导,观察组在此基础上实施基于感恩拓延-建构理论的延续护理,对比两组干预前后舒张末期左室内径(LVEDD)、左室射血分数(LVEF)、医院焦虑抑郁量表(HADS)、明尼苏达心力衰竭生活质量调查表(LiHFe)评分。结果:出院后6个月观察组LVEF指标高于对照组,HADS评分、LiHFe评分低于对照组,差异有统计学意义(P<0.05)。结论:基于感恩拓延-建构理论的延续护理能够改善DCM患者的生理指标,缓解患者不良情绪,提高生活质量。

Objective:To explore the effect of continued nursing based on gratitude broaden-build theory in patients with dilated cardiomyopathy(DCM).Methods:172 patients with dilated cardiomyopathy from January.2017 to September.2018 were selected and assigned into 2 groups randomly,86 cases in each group.The control group was given routine discharge instruction,the observation group was given continued nursing based on gratitude broaden-build theory.Left ventricular end diastolic diameter(LVEDD),left ventricular ejection fraction(LVEF),score of hospital anxiety and depression scale(HADS),score of the Minnesota living quality with heart failure questionnaire(LiHFe)before and after intervention were compared.Results:6 months after discharge,LVEF in observation group was higher than that in control group,HADS score,LiHFe score in observation group were lower than those in control group(P<0.05).Conclusion:Continued nursing based on gratitude broaden-build theory can improve the physiological indicator of DCM patients,relieve the negative emotions,and improve quality of life.