持续心理护理与生活护理对高血压合并心力衰竭的影响

Effect of Continuous Psychological Nursing and Life Nursing on Hypertension Complicated With Heart Failure

目的分析持续性心理护理与生活护理对高血压合并心力衰竭患者的影响,为今后临床护理提供有效的参考依据。方法选取医院自2017年7月1日—2019年7月1日收治的高血压合并心力衰竭患者92例,应用数字随机法进行随机分组,对照组患者共计46例,应用持续性心理护理,观察组患者共计46例,在持续性心理护理基础上,应用生活护理,比较两组护理方法对患者的影响。结果两组患者护理后LVEDD、CO、CI水平与护理前比较,差异有统计学意义(P<0.05)。观察组患者护理后LVEF水平与护理前比较,差异有统计学意义(P<0.05)。观察组患者护理后LVEF、LVEDD、CO、CI、SV水平与对照组比较,差异有统计学意义(P<0.05)。两组患者护理后舒张压、收缩压水平均低于护理前,差异有统计学意义(P<0.05)。观察组患者护理后舒张压、收缩压水平均低于对照组,差异有统计学意义(P<0.05)。观察组护理后的MMSE评分高于护理前,差异有统计学意义(P<0.05)。观察组患者护理后的MMSE评分高于对照组,差异有统计学意义(P<0.05)。结论持续性心理护理与生活护理可从生理和心理两方面对高血压合并心力衰竭患者进行干预,可改善患者各项指标,是一种优秀的护理方法。

Objective To analyze the influence of continuous psychological nursing and life nursing on patients with hypertension and heart failure,so as to provide effective reference for clinical nursing in the future.Methods 92 patients with hypertension and heart failure admitted to our hospital from July 1,2017 to July 1,2019 were randomly divided into control group(46 cases)and observation group(46 cases).Results There were significant differences in LVEDD,CO and CI between the two groups after nursing(P<0.05).The LVEF level of observation group after nursing was significantly different from that before nursing(P<0.05).The LVEF,LVEDD,Co,CI and SV levels in the observation group were significantly higher than those in the control group(P<0.05).The difference between the two groups was statistically significant(P<0.05).After nursing,the diastolic pressure and systolic pressure water in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).The MMSE score of the observation group after nursing was higher than that before nursing(P<0.05).The MMSE score of the observation group was higher than that of the control group(P<0.05).Conclusion The continuous psychological nursing and life nursing can intervene the patients with hypertension and heart failure from both physiological and psychological aspects,and can improve the indexes of patients,which is an excellent nursing method.