用药护理在沙库巴曲缬沙坦钠片治疗高龄慢性心衰患者过程中的应用价值

Effect of Medication Nursing on Elderly Patients with Chronic Heart Failure Treated with Sacubitril Valsartan Sodium Tablets

目的:探讨用药护理在沙库巴曲缬沙坦钠治疗高龄慢性心衰(CHF)患者过程中的应用价值。方法:通过随机数字表法将2020年10月—2021年11月本院收治的96例高龄CHF患者分为对照组和观察组,每组48例。两组均给予沙库巴曲缬沙坦钠片治疗,对照组和观察组分别在治疗期间给予常规护理和综合性的用药护理干预。比较两组护理前后的心功能(LVEF、6MWD、SV、CO)和心理状态(SAS、SDS评分)、生活质量(QOL评分)和护理满意度。结果:护理后,两组LVEF、6MWD、SV、CO高于护理前,且观察组高于对照组(P<0.05);两组SAS、SDS评分低于护理前,且观察组低于对照组(P<0.05);观察组护理满意度、QOL评分高于对照组(P<0.05)。结论:用药护理能有效改善沙库巴曲缬沙坦钠片治疗的高龄CHF患者的心功能水平,缓解其焦虑、抑郁等负面情绪,且有利于提高生活质量和护理满意度。

Objective:To explore the clinical application value of medication nursing of sacubitril valsartan sodium tablets in elderly patients with chronic heart failure(CHF).Methods:A total of 96 elderly CHF patients admitted to our hospital from October 2020 to November 2021 were divided into control group and observation group by random number table method,with 48 cases in each group.Both groups were treated with sacubitril valsartan sodium tablets.The control group and the observation group were given routine nursing and comprehensive medication nursing intervention during the treatment.The cardiac function(LVEF,6MWD,SV,CO)and psychological state(SAS,SDS score),quality of life(QOL score)and nursing satisfaction were compared between the two groups before and after nursing.Results:After nursing,LVEF,6MWD,SV and CO in the two groups were higher than those before nursing,and those in the observation group were higher than those in the control group(P<0.05);the SAS and SDS scores of the two groups were lower than those before nursing,and the observation group was lower than the control group(P<0.05);the nursing satisfaction and QOL score of the observation group were higher than those of the control group(P<0.05).Conclusion:Medication nursing can effectively improve the cardiac function level of elderly CHF patients treated with sacubitril valsartan sodium tablets,relieve their negative emotions such as anxiety and depression,and improve the quality of life and nursing satisfaction.