心理护理干预对老年慢性心力衰竭患者情绪及心功能影响的研究

Study on the Influence of Psychological Nursing Intervention on the Emotion and Heart Function of Elderly Patients with Chronic Heart Failure

目的探究心理护理干预对老年慢性心力衰竭患者情绪及心功能的影响。方法2017年5月—2019年5月该院治疗约6085例心衰患者,从中选取960例老年慢性心力衰竭患者作为该次研究对象,随机将其分为对照组与观察组,其中对照组480例,观察组480例,照组患者采用常规护理方法,观察组患者在对照组基础上增加心理护理,对比护理前后两组患者的抑郁自评表(SDS)评分、焦虑自评表(SAS)评分及6 min步行实验(6MWT)结果,对两组患者的情绪及心功能情况进行分析。结果观察组总满意度为96.67%,对照组总满意度为93.54%,观察组满意度明显高于对照组,差异有统计学意义(χ^(2)=5.034,P<0.05);观察组与对照组在护理前SDS评分、SAS评分情况差异无统计学意义(t=0.810、1.510,P>0.05),经过心理护理后,SDS评分、SAS评分情况明显优于对照组,差异有统计学意义(t=26.920、24.010,P<0.05);两组在护理前6MWT结果差异无统计学意义(t=1.160、0.120,P>0.05),护理后,观察组6MWT结果明显优于对照组,差异有统计学意义(t=42.480、43.030,P<0.05)。结论针对老年慢性心力衰竭患者在护理过程中采取心理护理综合干预的临床效果显著,有效改善患者的情绪,促进患者心功能的恢复,增强患者对治疗方案的依从性,积极配合治疗,提高患者满意程度,提高患者的生命质量。

Objective To explore the effect of psychological nursing intervention on the mood and heart function of elderly patients with chronic heart failure.Methods From May 2017 to May 2019,the hospital treated about 6085 patients with heart failure.Among them,960 elderly patients with chronic heart failure were selected as the subjects of the study,and they were randomly divided into a control group and an observation group,with 480 cases in the control group and 480 cases in the observation group.Conventional nursing methods were used for the patients in the control group.The patients in the observation group added psychological care on the basis of the control group.The depression self-rating scale(SDS)scores and anxiety self-rating scale(SAS)of the two groups before and after nursing were compared.The score and the results of the 6 min walk test(6MWT)were used to analyze the mood and cardiac function of the two groups of patients.Results The total satisfaction degree of the observation group was 96.67%,and the total satisfaction degree of the control group was 93.54%.The satisfaction degree of the observation group was significantly higher than that of the control group,and the difference was statistically significant(χ^(2)=5.034,P<0.05);there was no statistically significant difference in SDS and SAS scores between the observation group and the control group before nursing(t=0.810,1.510,P>0.05).After psychological care,the SDS and SAS scores were significantly better than those of the control group,and the difference was statistically significant(t=26.920,24.010,P<0.05);the results of 6MWT of the two groups before nursing were not statistically significant(t=1.160,0.120,P>0.05),after the nursing,the observation group 6MWT result was significantly better than the control group,and the difference was statistically significant(t=42.480,43.030,P<0.05).Conclusion The clinical effect of comprehensive psychological nursing intervention for elderly patients with chironic heart failure in the nursing process is significant,effectively improving the patient’s mood,promoting the recovery of the patient’s heart function,enhancing the patient’s compliance with the treatment plan,actively cooperating with the treatment,and improving patient satisfaction,improving the quality of life of patients.