全面护理对慢性心力衰竭患者治疗依从性及生活质量的应用分析

Application Analysis of Comprehensive Nursing on Chronic Heart Failure Patients’Treatment Compliance and Quality of Life

目的分析观察全面护理对慢性心力衰竭患者治疗依从性及生活质量的应用效果。方法抽取2018年8月—2019年8月在该院接受治疗的慢性心力衰竭患者78例为研究对象,按照随机数表法将其平均分为两组,即对照组与实验组,两组患者均为39例。对照组行常规护理,实验组在对照组基础上行全面护理,对比两组患者治疗依从性及生活质量。结果实验组患者的治疗依从性评分为(97.5±3.6)分、躯体功能(98.8±0.6)分、心理功能(97.6±2.1)分、社会功能(96.2±3.8)分、物质生活(97.2±3.1)分明显高于对照组,差异有统计学意义(t=29.450、24.370、25.660、26.380、26.790,P<0.05)。护理前两组患者6 min步行距离、左室舒张末径、左室射血指数差异无统计学意义(P>0.05),护理后,实验组患者6 min步行距离(541.36±32.24)m、左室舒张末径(49.22±3.25)mm、左室射血指数(54.31±6.18)%均高于对照组(481.55±25.67)m、(54.38±4.31)mm、(42.36±4.21)%,差异有统计学意义(t=9.250、5.180、4.360,P<0.05)。结论对慢性心力衰竭患者行全面护理效果优于常规护理,能够提升患者的治疗依从性和生活质量,改善患者的心功能。

Objective To analyze and observe the effect of comprehensive nursing on treatment compliance and quality of life in patients with chronic heart failure.Methods A total of 78 patients with chronic heart failure who were treated in the hospital from August 2018 to August 2019 were selected as the research object,and they were divided into two groups according to the random number table method,that is,the control group and the experimental group.There were 39 cases in each group.The control group received routine care,and the experimental group received comprehensive care on the basis of the control group,comparing the treatment compliance and quality of life of the two groups of patients.Results The treatment compliance scores of the patients in the experimental group were(97.5±3.6)points,physical function(98.8±0.6)points,psychological function(97.6±2.1)points,social function(96.2±3.8)points,and material life(97.2±3.1)points were significantly higher than the control group,the difference was statistically significant(t=29.450,24.370,25.660,26.380,26.790,P<0.05).There was no statistically significant difference in the 6-minute walking distance,left ventricular end-diastolic diameter,and left ventricular ejection index between the two groups before nursing(P>0.05).After nursing,the experimental group patients had a 6-minute walking distance(541.36±32.24)m,left ventricular end-diastolic diameter(49.22±3.25)mm,left ventricular ejection index(54.31±6.18)%were better than the control group(481.55±25.67)m,(54.38±4.31)mm,(42.36±4.21)%,the difference was statistically significant(t=9.250,5.180,4.360,P<0.05).Conclusion The effect of comprehensive care for patients with chronic heart failure is better than conventional care,which can improve the patient's treatment compliance and quality of life,and improve the heart function of patients.