自我康复行为延续性干预对心力衰竭患者心脏功能及生命质量的影响

The impact of continuous intervention on cardiac function and quality of life in hospitalized patients with heart failure in a heart failure clinic

目的:探讨延续性护理对心力衰竭患者医院-家庭自我护理过程中,自我护理能力、健康行为、心脏功能和生命质量等方面的影响。方法:选取在本院治疗的153例慢性心力衰竭患者,在经过入院诊治的治疗后,分为观察组和对照组,观察组在心力衰竭门诊医护人员的协助下进行了6个月的延续性护理,对照组在常规护理下进行了6个月的随访。6个月后进行全面随访,对两组患者进行自我护理量表ESEA评分、健康生活方式HPLP评分,复查心脏彩超、心功能NYHA分级及明尼苏达心力衰竭生命质量问卷调查,比较两组患者在自我护理能力、健康行为、心功能和生存质量方面的变化。结果:随访6个月,根据评分系统比较两组患者的自我护理能力和健康行为,ESEA评分与HPLP评分结果显示观察组得分均高于对照组,差异有统计学意义(P <0.05);两组患者的心脏功能恢复情况和生命质量,观察组Ⅰ、 Ⅱ类患者生命质量评分较对照组显著升高(P<0.05);观察组心脏功能评分较高,差异有统计学意义(P<0.05)。结论:延续性干预护理对心力衰竭患者在医院-家庭的自我康复中,心脏功能的改善和生命质量的提高有积极的促进作用。

Objective:To investigate the impact of continuous care on self-care ability,health behavior,cardiac function,and quality of life in hospital home self-care processes for patients with heart failure.Methods:A total of 153 patients with chronic heart failure who were treated in our hospital were divided into an experimental group and a control group after admission and treatment.The experimental group received 6 months of continuous care with the assistance of medical staff at the heart failure clinic,while the control group received 6 months of follow-up under routine care.After 6 months,a comprehensive follow-up was conducted to compare the changes in self-care ability,health behavior,heart function,and quality of life between the two groups of patients,including the ESEA score of the self-care scale,the HPLP score of healthy lifestyle,and the review of cardiac ultrasound,NYHA rating of heart function,and the minnesota heart failure quality of life questionnaire.Results:After a follow-up of 6 months,the self-care ability and health behavior of the two groups of patients were compared according to the scoring system.The results of ESEA score and HPLP score showed that the scores of the experimental group were higher than those of the control group,with a significant difference(P<0.05);Comparing the recovery of cardiac function and quality of life between the two groups of patients,the quality of life scores of Class I and II patients in the experimental group were significantly higher than those in the control group(P<0.05);The experimental group had a higher cardiac function score,with a significant difference compared to the control group(P<0.05).Conclusions:Continuous intervention nursing has a positive promoting effect on the improvement of heart function and quality of life in hospital home self rehabilitation for heart failure patients.