心力衰竭合并心律失常患者临床应用一体化综合护理的实践分析

Clinical application of integrated comprehensive nursing for patients with heart failure complicated by arrhythmia:a practical analysis

目的探讨一体化综合护理系统在严重心力衰竭合并心律失常患者中的应用价值。方法选取2021年1月至2022年6月于解放军总医院第七医学中心收治的严重心力衰竭合并心律失常患者88例作为研究对象,随机分为观察组和常规组,每组各44例,常规组给予短期常规护理,观察组在疾病早期予以一体化综合护理系统。对两组的心理情绪状态评估、生活质量、满意度分别行统计分析。结果干预治疗6个月后,观察组患者的焦虑抑郁情绪自评量表系统(SAS)、抑郁焦虑情绪自评量表系统(SDS)等评分和预后改善率指标均显示远比常规组提高在明显正常水平以下(P<0.05);干预治疗1月后,观察组患者的工作生活环境质量综合评分指数均高于常规组,差异较前期显著减小(P<0.05);而观察组患者总体的满意度指数显著高于常规组(P<0.05)。结论一体化综合护理可有效改善心力衰竭合并心律失常患者的生活及心理状态,提高生活质量和护理满意度,值得临床借鉴。

Objective To discuss the application value of integrated comprehensive nursing for patients with severe heart failure(HF)complicated by arrhythmia.Methods The patients(n=88)were chosen from the Seventh Medical Center in Chinese PLA General Hospital from Jan.2021 to June 2022,and divided randomly into observation group and routine group(each n=44).The routine group was given short-term routine nursing,and observation group was given integrated comprehensive nursing at the early period of the disease.The psychological and emotional states,quality of life(QOL)and degree of satisfaction were given count,comparison,test and analysis in 2 groups.Results After nursing for 6 months,the scores of self-rating anxiety scale(SAS)and self-rating depressive scale(SDS)and indexes of prognosis improvement were significantly higher in observation group than those in routine group(P<0.05).After nursing for 1 month,the score indexes of working and living environment quality were all higher in observation group than those in routine group(P<0.05).The total index of degree of satisfaction was significantly higher in observation group than that in routine group(P<0.05).Conclusion The integrated comprehensive nursing can effectively improve the living and mental status and promote QOL and degree of satisfaction to nursing service,which is worthy of clinical reference.