分级护理干预对慢性心力衰竭患者遵医行为及运动耐力的影响

Effect of Graded Nursing Intervention on Compliance Behavior and Exercise Endurance of Patients with Chronic Heart Failure

目的 分析慢性心力衰竭患者的护理需求,评价分级护理干预对患者遵医行为、运动耐力等方面的积极影响,以促进慢性心力衰竭患者康复。方法 选择我院2019年4月至2020年1月诊治的120例慢性心力衰竭疾病患者,以随机数字表法分为对照组、干预组进行护理,已通过本院伦理委员会审核批准。对照组60例患者采取常规护理,干预组60例患者配合分级护理干预,比较两组慢性心力衰竭患者的遵医行为、运动耐力、心功能、生活质量的影响。结果 组间干预后左心室射血分数(LVEF)、左室舒张末径(LVDEd)、左室收缩末径(LVSEd)、左房内径(LAd)心功能水平、6 min步行试验(6MWT)以及生活质量明尼苏达心力衰竭生活质量问卷调查表(MLHFQ)比较,干预组均明显优于对照组,P <0.05。组间用药治疗依从性情况比较,干预组总依从率(95.00%)明显高于对照组的75.00%,P <0.05。结论 慢性心力衰竭患者治疗期间配合分级护理干预可以提高患者用药遵医行为、运动耐力,从而有效改善患者的心功能、生活质量,护理效果显著。

Objective To analyze the nursing needs of patients with chronic heart failure and evaluate the positive impact of graded nursing interventions on patients’ compliance behavior and exercise endurance to promote the recovery of patients with chronic heart failure. Methods One hundred and twenty patients with chronic heart failure who were diagnosed and treated in our hospital from April 2019 to January 2020 were selected for the control group and intervention group care by random number table, and the ethics committee reviewed and approved. Sixty patients with chronic heart failure in the control group took conventional care, and 60 patients in the intervention group with chronic heart failure cooperated with graded nursing intervention. The effects of compliance behavior, exercise endurance, heart function and quality of life of the two groups of patients with chronic heart failure were compared. Results After intervention between groups, left ventricular ejection fraction(LVEF), left ventricular end diastolic diameter(LVDEd), left ventricular end systolic diameter(LVSEd), left atrial inner diameter(LAd), cardiac function level,and 6-min walk test( 6MWT) and the Minnesota Living with Heart Failure Questionnaire(MLHFQ), the intervention group were significantly better than the control group, P<0.05. Comparing the medication compliance between the groups, the total compliance rate of the intervention group was significantly higher than that of the control group(95.00% vs. 75.00%), P<0.05. Conclusion Cooperating with graded nursing intervention during the treatment of patients with chronic heart failure can improve the patient’s medication compliance behavior and exercise endurance, thereby effectively improving the patient’s cardiac function and quality of life, and the nursing effect is significant.