九宫格思维实施整体护理干预对慢性心力衰竭患者的自我护理行为及生活质量的影响研究

Effect of Holistic Nursing Intervention with Nine-grid Thinking on Self-care Behavior and Life Quality of Patients with Chronic Heart Failure

目的探讨以九宫格思维实施整体护理干预对慢性心力衰竭患者自我护理行为及生活质量的影响,旨在加强患者自我护理行为,提高患者生活质量。方法选取2018年02月至2019年01月入住泰州市人民医院心内科的120例慢性心力衰竭患者作为研究对象,随机分为对照组和试验组,各组60例,对照组予以常规慢性心衰护理干预,试验组在常规干预的基础上,以九宫格思维实施整体护理干预措施。对两组患者自我护理行为以及生活质量情况进行比较研究。结果患者自我护理行为得分情况为:干预前试验组得分为22.52±7.39,对照组得分为23.02±7.46,两组相比较,差异不存在统计学意义(P=0.715);干预后患者出院时及出院3个月试验组得分显著下降,对照组则无明显变化,两组相比较,差异存在统计学意义(P<0.001)。患者的生活质量得分情况为:试验组患者干预后症状、身体活动以及情感三个维度的得分比干预前均低,对照组变化则不明显,干预后两组比较差异有统计学意义(P<0.001)。结论以九宫格思维实施整体护理干预是安全且高效的干预措施,可以提高患者的自我护理能力,改善生活质量,体现护士价值,未来具有广阔发展前景。

Objective To explore the effect of holistic nursing intervention on self-care behavior and quality of life in patients with chronic heart failure by using nine-grid thinking,in order to strengthen self-care behavior and improve the quality of life of patients.Methods From February 2018 to January 2019,120 patients with chronic heart failure who were hospitalized in the Department of Cardiovascular Medicine of Taizhou People’s Hospital were selected as the research subjects.The randomized controlled clinical trial method was used to divide 120 patients into two groups according to the random number table.There were 60 cases in each group.In the control group,the patients were given routine chronic heart failure nursing intervention,and in the experimental group,the overall nursing intervention was carried out with nine-grid thinking on the basis of routine intervention.The self-nursing behavior and quality of life of the two groups were compared.Results The score of patients’self-care ability was:22.52±7.39 in the pre-intervention test group and 23.02±7.46 in the control group.The difference between the two groups was not statistically significant(P=0.715).After the intervention,the scores of the patients in the trial group decreased significantly at the time of discharge and 3 months after discharge,but there was no significant change in the control group(P<0.001).The quality of life scores of the patients were as follows:the symptom dimension score,the physical activity dimension and emotional dimension score was lower than before the intervention,and there was no significant change in the control group.The difference between the two groups was statistically significant(P<0.001).Conclusion It is a safe and efficient intervention to implement holistic nursing intervention with nine-grid thinking.It can improve the patient’s self-care ability,improve the quality of life,and reflect the value of nurses,and have a broad development prospect in the future.