双心护理模式对心力衰竭患者自护能力焦虑抑郁情绪及生活质量的影响

The effect of dual-heart nursing model on self-care ability,anxiety and depression mood and quality of life in patients with heart failure

目的 探讨双心护理模式对心力衰竭患者自护能力、焦虑抑郁情绪及生活质量的影响.方法 将114例慢性心力衰竭患者按随机数字表法分为研究组与对照组,各57例.两组均给予常规护理,研究组在此基础上给予双心护理模式,比较两组患者入院后、出院时、出院6个月末6 min步行试验距离、汉密顿焦虑量表、汉密顿抑郁量表评分.采用欧洲心力衰竭自我护理行为评价量表及明尼苏达心力衰竭生活质量量表评定两组的自我护理行为和生活质量,比较两组护理满意度.结果 出院时及出院6个月末两组6 min步行试验距离均显著长于入院时(P<0.01),研究组出院6个月末6 min步行试验距离显著长于对照组(P<0.01).研究组的住院时间、临床症状消失时间显著短于对照组(P<0.01),6个月内再住院率显著低于对照组(P<0.01).出院时及出院6个月末两组汉密顿焦虑量表、汉密顿抑郁量表评分均较入院时显著降低(P<0.05或0.01),研究组显著低于对照组(P<0.01).出院时及出院6个月末两组欧洲心力衰竭自我护理行为评价量表评分均较入院时显著降低(P<0.01),研究组显著低于对照组(P<0.01).出院时及出院6个月末研究组、出院6个月末对照组明尼苏达心力衰竭生活质量量表评分均显著低于入院时(P<0.01),研究组显著低于对照组(P<0.01).研究组护理服务满意率显著高于对照组(P<0.01).结论 双心护理模式可以缓解慢性心力衰竭患者的焦虑抑郁情绪,提高生活质量、护理满意度和生活自理能力,值得推广应用.

Objective To explore the effect of dua-heart care model on self-care ability,anxiety and de-pression and quality of life in patients with heart failure.Methods 114 patients with heart failure were randomly divided into study group and control group with 57 cases in each,both groups were given routine care,and the study group was given a dual-heart care model on this basis.Compare the 6-min walk test distance,HAMA and HAMD scores of the two groups after admission,at discharge,and at the end of 6 months after discharge.EHFSCB-9 and MLHFQ were used to assess the self-care behavior and quality of life of the two groups,and the nursing satisfaction of the two groups were compared.Results The 6-min walk test distance at the time of discharge and at the end of 6 months after discharge was significantly lon-ger than that at admission(P<0.01),and the 6-min walk test distance at the end of 6 months of dis-charge in the study group was significantly longer than that of the control group(P<0.01).The length of hospitalization and disappearance of clinical symptoms in the study group were significantly shorter than those in the control group(P<0.01),and the rehospitalization rate within 6 months was significantly lower than that in the control group(P<0.01).The HAMA and HAMD scores of the two groups at dis-charge and at the end of 6 months were significantly lower than those at admission(P<0.05 or 0.01),and the study group was significantly lower than the control group(P<0.01).The EHFSCB-9 scores of the two groups at discharge and at the end of6 months were significantly lower than those at admission(P<0.01),and the study group was significantly lower than the control group(P<0.01).The.MLHFQ scores of the study group at the time of discharge and at the end of 6 months after discharge and the control group at the end of 6 months after discharge were significantly lower than those at admission(P<0.01),the study group was significantly lower than the control group(P<0.01).The nursing serv-ice satisfaction rate of the study group was significantly higher than that of the control group(P<0.01).Conclusions The dual-heart nursing model can relieve the anxiety and depression of patients with chronic heart failure.improve the quality of life,nursing satisfaction and self-care ability,and is worthy of popu-larization and application.