目标管理护理干预模式对老年慢性心力衰竭的应用效果

Effect of Objective Management Nursing Intervention Model on Elderly Chronic Heart Failure

目的探讨目标管理护理干预模式对老年慢性心力衰竭的应用效果。方法将2018年12月-2019年12月区间于本院心内科接受诊治的老年慢性心力衰竭患者中选择114例研究,依据统计学中分组法,采取随机数字简表将其分为不同组别,即对照组与观察组,每组各57例。对照组接受传统护理管理,观察组联合目标管理护理模式,对比两组的心理状态变化、心功能及生活质量变化、护理差错率、护理投诉率及护理满意率。结果观察组护理后焦虑自评量表(selfrating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)评分明显低于对照组(P<0.05);观察组护理后6 min步行试验(six-minute walk test,6MWT)明显长于对照组,而明尼苏达心力衰竭生活质量问卷(Minnesota heart failure quality of life questionnaire,MLHFQ)评分明显低于对照组(P<0.05);观察组差错率为1.75%、投诉率为0%、满意度为98.25%,对照组差错率为14.04%、投诉率为12.28%、满意度为78.95%,对比显示,观察组护理效果更优,P<0.05。结论目标管理护理干预模式对老年慢性心力衰竭患者的应用效果显著,能有效改善患者心理状态,提升心功能及生活质量,并提高护理管理质量,降低护理差错率及护理投诉率,具有积极的临床意义。

Objective To investigate the effect of target-managed nursing intervention model on elderly patients with chronic heart failure.Methods From December 2018 to December 2019,114 cases of elderly patients with chronic heart failure were selected from the department of cardiology of our hospital.According to the grouping method in statistics,they were randomly divided into different groups,namely the control group and the observation group,with 57 cases in each group.The control group was received traditional nursing management,and the observation group was combined with target management nursing mode.The changes of psychological state,cardiac function and quality of life,nursing error rate,nursing complaint rate and nursing satisfaction rate of the two groups were compared.Results The SAS and SDS scores of the observation group were significantly lower than those of the control group(P<0.05).The 6 min post-nursing walking test(6MWT)in the observation group was significantly longer than that in the control group,while the Minnesota heart failure quality of life questionnaire(MLHFQ)score was significantly lower than that in the control group(P<0.05).In the observation group,the error rate was 1.75%,the complaint rate was 0%,the satisfaction rate was 98.25%,and in the control group,the error rate was 14.04%,the complaint rate was 12.28%,the satisfaction rate was 78.95%.The comparison showed that the nursing effect of the observation group was better,P<0.05.Conclusion Objective management nursing intervention model has a significant effect on the elderly patients with chronic heart failure,can effectively improve the psychological state of patients,improve the heart function and quality of life,improve the quality of nursing management,reduce the nursing error rate and nursing complaint rate,has a positive clinical significance.