摘要
目的探讨AIDET人文关怀沟通对慢性心力衰竭患者不良情绪及心功能的影响。方法选择2018年9月—2019年9月本院收治的160例慢性心力衰竭患者作为研究对象,遵循责任分组原则分成研究组与对照组两组,每组各80例。两组患者均给予药物治疗,对照组患者实施以人文关怀理念护理,研究组在对照组的基础上为患者提供AIDET人文关怀沟通,对两组患者护理前后焦虑自评量表(SAS)与抑郁自评量表(SDS)评分变化进行观察,同时在护理前后观察左心室射血分数(LVEF)、N末端B型利尿钠肽原(NT-ProBNP)及6分钟步行试验(6MWT)心功能指标改变情况。结果在护理前,两组患者SAS、SDS评分上并无显著差异(P>0.05),而经相关护理两组心理状态评分均明显较护理前降低,但相比之下研究组的评分降低幅度要比对照组更显著(P<0.05);护理后两组患者在LVEF、6WMT水平上显著高于护理前,NT-ProBNP水平上显著低于护理前,但是研究组各项指标提高/降低幅度较对照组显著(P<0.05)。随访3个月,观察组30天再入院率为9.0%,对照组为24.00%,两组对比差异有统计学意义(P<0.05)。结论对慢性心力衰竭患者,临床中行对症治疗疾病的时候,实施AIDET沟通,可显著缓解患者的负性情绪,改善患者心功能,值得推广。
Objective To explore the influence of AIDET humanistic care communication on the bad mood and cardiac function of patients with chronic heart failure.Methods 160 cases of patients with chronic heart failure those admitted to our hospital from September 2018 to September 2019 were selected as study subjects,and they were divided into the research group and the control group according to the responsibility grouping principle,80 cases in each group.Patients in both groups were given medication,and patients in control group was given nursingofhumanistic concern concept,and patients in the observation group were given AIDET humanistic care communication on the bases of control group.The change of self-rating anxiety scale(SAS)and self-rating depression scale(SDS),left ventricular ejection fraction(LVEF),N terminal B diuresis sodium peptide raw(NT-ProBNP)and 6 minutes walk test(6 MWT)cardiac function indexes were observed.Results Before nursing,there was no significant difference in SAS and SDS scores between the two groups(P>0.05),while the mental state scores of the two groups after related nursing were significantly lower than those before nursing,and the decrease of scoresin the study group was significantly lower than that of the control group(P<0.05).After nursing,the LVEF and 6 WMT levels of the patients in the two groups were significantly higher than those before nursing,and the NT-ProBNP level was significantly lower than that before nursing,and the indicators in the research group were significantly higher/lower than those in the control group(P<0.05).Follow-up was conducted for 3 months.The 30-days readmission rate was 9.0%in the observation group and 24.00%in the control group,the difference between the two groups was statistically significant(P<0.05).Conclusions For patients with chronic heart failure,the implementation of AIDET communication could significantly alleviate patients’negative emotions and improve their cardiac function when clinically treating diseases.Therefore,it is worthy of promotion.
作者
陈丽斐
伦爱美
李婉凤
黄楚梅
何慧娟
CHEN Li-fei(Department of cardiology,Zhaoqing first people's hospital,Zhaoqing,Guangdong,526000,China)
出处
《齐齐哈尔医学院学报》
2021年第2期177-180,共4页
Journal of Qiqihar Medical University