慢性心力衰竭伴失眠患者认知行为疗法的护理干预

Nursing Intervention of Cognitive Behavioral Therapy for Patients With Chronic Heart Failure and Insomnia

目的探讨对慢性心力衰竭伴失眠患者应用认知行为疗法的护理干预效果。方法选取了本院2019年3月—2020年3月期间收治的80例慢性心力衰竭伴失眠患者作为研究对象。按照数字表法随机分为观察组、对照组,每组各40例;两组均予常规抗心力衰竭药物治疗;对照组予常规护理干预,观察组予认知行为护理干预,疗程10 d,观察两组患者心力衰竭和失眠的改善状况。本项目通过对患者的认知行为干预,拟达到提高患者睡眠质量,从而达到改善睡眠、使心力衰竭症状得到缓解。结果经过10 d的阶段性护理,观察组患者的心功能指标明显优于对照组患者(P<0.05);观察组患者的睡眠质量对比对照组具有明显的优势(P<0.05)。结论对慢性心力衰竭伴失眠患者,应用认知行为干预护理模式,可以有效改善患者的睡眠质量,改善患者的心功能指标,护理方法具有较高的安全性。

Objective To explore the nursing intervention effect of cognitive behavior therapy on patients with chronic heart failure and insomnia.Methods 80 patients with chronic heart failure and insomnia in our hospital from March 2019 to March 2020 were selected as the research objects.According to the number table method,they were randomly divided into the observation group and the control group,40 cases in each group,the two groups were given conventional anti heart failure drug treatment,the control group was given conventional nursing intervention,the observation group was given cognitive behavior nursing intervention,the course of treatment was 10 days,the improvement of heart failure and insomnia in the two groups were observed.This project aims to improve the sleep quality of patients through cognitive behavior intervention,so as to improve sleep and relieve the symptoms of heart failure.Results After 10 days of phased nursing,the cardiac function index of the observation group was significantly better than that of the control group(P<0.05);the sleep quality of the observation group was significantly better than that of the control group(P<0.05).Conclusion For patients with chronic heart failure and insomnia,the application of cognitive behavior intervention nursing mode can effectively improve the sleep quality of patients,improve the cardiac function index of patients,and the nursing method has high safety.