急诊风险管理联合叙事护理在重症心力衰竭患者中应用效果

Effectiveness of Emergency Risk Management Combined with Narrative Care in Patients with Severe Heart Failure

目的探究急诊风险管理联合叙事护理在重症心力衰竭患者中的应用效果。方法选择2020年7月至2022年7月在安阳市人民医院治疗的重症心力衰竭患者94例,应用随机数字表法将其分为对照组(常规护理)及观察组(风险管理联合叙事护理)各47例,比较两组不良情绪、心功能、血压水平、自我管理能力、护理满意度。结果护理后两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均降低,且观察组SAS、SDS评分低于对照组,差异有统计学意义(P<0.05)。护理后两组左室收缩末内径(LVESD)、左室舒张末内径(LVEDD)、左心射血分数(LVEF)水平均改善,观察组LVESD、LVEDD水平低于对照组,LVEF水平高于于对照组,差异有统计学意义(P<0.05)。护理后两组舒张压、收缩压均降低,且观察组舒张压、收缩压低于对照组,差异有统计学意义(P<0.05)。护理后两组自我管理能力各维度评分均升高,且观察组自我管理能力各维度评分均高于对照组,差异有统计学意义(P<0.05)。护理后观察组护理满意度各维度评分均高于对照组,差异有统计学意义(P<0.05)。结论对重症心力衰竭患者进行风险管理联合叙事护理,可改善不良情绪、心功能,降低血压水平,提高自我管理能力、护理满意度。

Objective To investigate the effect of emergency risk management combined with narrative care in patients with severe heart failure.Methods A total of 94 patients with severe heart failure treated in our hospital between July 2020 and July 2022 were selected and divided into 47 cases each in the control group(conventional care)and the observation group(risk management combined with narrative care)by applying the random number table method,and the two groups were compared in terms of poor mood,cardiac function,blood pressure level,self-management ability,and nursing satisfaction.Results After nursing,the scores of the Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)in both groups decreased,SAS and SDS scores in the control group were higher than those in the observation group after care,and the difference was statistically significant(P<0.05).After nursing,the levels of left ventricular end systolic diameter(LVESD),left ventricular end diastolic diameter(LVEDD),and left ventricular ejection fraction(LVEF)improved in both groups,The LVESD and LVEDD levels were lower in the observation group than in the control group after care,while the LVEF levels were higher than those in the control group,with a statistically significant difference(P<0.05).After nursing,both groups'diastolic and systolic blood pressure decreased,and the observation group's diastolic and systolic blood pressure were lower than the control group,with a statistically significant difference(P<0.05).After nursing,the scores of self-management abilities in both groups increased in all dimensions,and the scores of each dimension of self-management ability in the observation group were higher than those in the control group after care,and the difference was statistically significant(P<0.05).The scores of each dimension of nursing satisfaction in the observation group were higher than those in the control group after nursing care(P<0.05).Conclusion Risk management combined with narrative care for patients with severe heart failure can improve poor mood,cardiac function,reduce blood pressure levels,and improve self-management ability and nursing satisfaction.