延续性护理在慢性心力衰竭患者护理中的应用效果

Application Effect of Continuous Nursing in Nursing Care of Patients With Chronic Heart Failure

目的探讨延伸性护理干预对慢性心力衰竭患者负性情绪、自我管理和生活质量的影响。方法本研究90例慢性心力衰竭患者均为本院2018年5月—2019年12月接收,分组采用随机数字表法,各45例,对照组与观察组分别实施常规护理与延伸性护理,对负面情绪评分、生活质量评分、自我管理评分和护理满意度进行对比。结果护理前,观察组与对照组抑郁、焦虑评分对比,差异无统计学意义(P>0.05);护理后,两组差异有统计学意义(P<0.05);症状管理、药物管理、心理和社会适应、饮食管理、自我管理总分方面,观察组均比对照组高,差异有统计学意义(P<0.05);各项生活质量评分方面,观察组更高,与对照组差异有统计学意义(P<0.05);护理满意度方面,观察组(95.56%)比对照组(80.00%)高,差异有统计学意义(P<0.05)。结论延续性护理在慢性心力衰竭患者护理中应用效果明显,不仅可以改善患者负面情绪,同时可促进生活质量及自我管理能力的提高,此外,其对于和谐护患关系的建立有利。

Objective To explore the effect of extended nursing intervention on negative emotions,self-management and quality of life in patients with chronic heart failure.Methods 90 patients with chronic heart failure in our hospital from May 2018 to December 2019 were randomly divided into the control group(45 cases,routine nursing)and the observation group(45 cases,continuous nursing)based on the random number table method.The negative emotion score,quality of life score,self-management score and nursing satisfaction were compared.Result In terms of depression and anxiety score,there was little difference between the two groups before nursing(P>0.05);the observation group was lower than the control group after nursing,the difference was significant(P<0.05);the total scores of symptom management,drug management,psychological and social adaptation,diet management and self-management in the observation group were higher than those in the control group,and the differences were significant(P<0.05);the social function,physiological function,emotional function and health function of the observation group were significantly higher than those of the control group(P<0.05).In terms of physical function,physical pain,mental health,vitality and overall health scores,the observation group was higher than the control group,with significant differences(P<0.05);in terms of nursing satisfaction,the observation group(95.56%)was higher than the control group(80.00%),the difference was significant(P<0.05).Conclusion The application effect of continuous nursing in the nursing of patients with chronic heart failure is obvious,which can not only improve the negative emotions of patients,but also promote the improvement of quality of life and self-management ability.In addition,it can improve the tense nurse patient relationship and further improve the nursing satisfaction,which is worthy of clinical adoption and promotion.