综合护理干预对急性左心衰患者的影响

Effect of comprehensive nursing intervention on patients with acute left heart failure

目的探究基于自我调节理论的综合性护理干预对急性左心衰患者无创呼吸机治疗依从性的影响。方法选取来我院就诊的急性左心衰患者83例,随机分成对照组41例和观察组42例。对照组采用常规护理模式,观察组采用基于自我调节理论的综合性护理。比较两组患者干预前后使用无创呼吸机依从性,比较干预后两组患者对无创呼吸机耐受情况、出院3个月后生活质量及干预过程中并发症发生率。结果两组患者干预后,观察组依从性指数(85.18±4.13)高于对照组(80.45±3.68)(t=5.512,P=0.000);经干预后,观察组无创呼吸机耐受率(92.68%)与对照组(83.33%)无差异(χ^(2)=1.711,P=0.190);两组患者出院3个月后,观察组在生活质量评分中社会功能(83.23±13.45,75.35±12.7,t=2.736,P=0.007)、情绪职能(74.31±13.64,65.34±8.45,t=3.611,P=0.001)、精神健康(76.38±10.24,68.23±11.53,t=3.402,P=0.001)方面分数高于对照组;干预期间,观察组并发症发生率(26.83%)低于对照组(59.52%)(χ^(2)=9.029,P=0.002)。结论基于自我调节理论的综合性护理干预能提高急性左心衰患者无创呼吸机治疗依从性,适当改善患者对无创呼吸机的耐受性,减轻并发症发生率,改善患者出院后生活质量。

Objective To explore the effect of comprehensive nursing intervention based on self-regulation theory on non-invasive ventilator treatment compliance of patients with acute left heart failure.Methods A total of 83 patients with acute left heart failure were randomly divided into a control group(41 cases)and an observation group(42 cases).The control group was given the conventional nursing mode,and the observation group was given the comprehensive nursing based on self-regulation theory.The compliance of using noninvasive ventilator was compared between the two groups before and after the intervention.The tolerance of patients to noninvasive ventilator,the quality of life 3 months after discharge,and the incidence of complications during the intervention were compared between the two groups.Results After the intervention,the compliance index of the observation group(85.18±4.13)was higher than that of the control group(80.45±3.68)(t=5.512,P=0.000);after the intervention,the non-invasive ventilator tolerance rate of the observation group(92.68%)was not different from that of the control group(83.33%)(χ^(2)=1.711,P=0.190).Three months after discharge,the observation group compared with the control group,in the scores of social function(83.23±13.45 vs 75.35±12.7,t=2.736,P=0.007),emotional function(74.31±13.64 vs 65.34±8.45,t=3.611,P=0.001)and mental health(76.38±10.24 vs 68.23±11.53,t=3.402,P=0.001),the former was higher than the latter.The incidence of complications in the observation group(26.83%)was lower than that in the control group(59.52%)(χ^(2)=9.029,P=0.002).Conclusion The comprehensive nursing intervention based on self-regulation theory can improve the treatment compliance of acute left heart failure patients with noninvasive ventilator,appropriately improve the tolerance of patients to noninvasive ventilator,reduce the incidence of complications,and improve the quality of life of the patients after discharge.