预见性护理干预对CCU冠心病重症心力衰竭患者术后心脏机能及临床转归的影响

Effect of Predictive Nursing Intervention on Postoperative Cardiac Function and Clinical Outcome of Patients with Severe Heart Failure in CCU with Coronary Heart Disease

目的:探究对冠心病重症监护室(CCU)冠心病重症心力衰竭患者术后使用预见性护理干预对其心脏机能及临床转归的影响。方法:选取2018年3月—2021年3月新乡市中心医院CCU收治的96例重症心力衰竭患者作为研究对象,按照入院时间顺序分为参考组和实验组,每组各48例。参考组患者采用常规护理,实验组患者采用预见性护理干预,比较两组患者临床转归情况及心脏机能。结果:实验组患者总转归率高于参考组,且并发症发生率低于参考组,差异有统计学意义(χ^(2)=4.376、4.909,P<0.05)。干预前,两组患者左心室射血分数(LVEF)、B型利尿钠肽(BNP)、N末端B型利尿钠肽原(NT-proBNP)水平、6分钟步行试验(6MWT)及生活质量量表(SF-36)评分比较,差异无统计学意义(t=0.069、0.059、0.157、0.318、0.677,P>0.05)。干预后,两组患者LVEF、6MWT及SF-36评分均升高,且实验组高于参考组;两组患者BNP、NT-proBNP水平均下降,且实验组低于参考组,差异有统计学意义(t=3.297、13.083、5.211、2.350、3.367,P<0.05)。结论:对CCU冠心病重症心力衰竭患者术后使用预见性护理干预可显著改善患者心脏机能,提高临床转归率,改善患者生活质量,安全性高。

Objective: To explore the effect of predictive nursing intervention on cardiac function and clinical outcome in patients with coronary heart disease and severe heart failure in the coronary heart disease intensive care unit(CCU). Methods: A total of 96 patients with severe heart failure who were admitted to the hospital’s CCU from March 2018 to March 2021 were selected as the research objects, and divided into a reference group and an experimental group according to the order of admission time, with 48 cases in each group. The patients in the reference group received routine nursing, and the patients in the experimental group received predictive nursing intervention. The clinical outcomes and cardiac function of the two groups were compared. Results: The overall outcome rate of patients in the experimental group was higher than that in the reference group, and the incidence of complications was lower than that in the reference group, and the difference was statistically significant( χ^(2)=4.376, 4.909, P<0.05). Before intervention, there was no statistically significant difference the levels of left ventricular ejection fraction(LVEF), B-type natriuretic peptide(BNP), N-terminal pro-B-type natriuretic peptide(NT-proBNP), 6-minute walk test(6MWT) and quality of life(SF-36) of the two groups of patients(t=0.069, 0.059, 0.157, 0.318, 0.677, P>0.05). After the intervention, the LVEF, 6MWT and SF-36 scores of the two groups were increased, and the experimental group was higher than the reference group. The levels of BNP and NT-proBNP in both groups decreased, and the experimental group was lower than the reference group, and the difference was statistically significant(t=3.297, 13.083, 5.211, 2.350, 3.367, P<0.05). Conclusion: The use of predictive nursing intervention for CCU patients with coronary heart disease and severe heart failure after surgery can significantly improve the cardiac function, improve the clinical outcome rate, and improve the quality of life of patients with high safety.