老年重症新型冠状病毒肺炎合并心力衰竭患者实施辨证式护理的疗效观察

Curative effect of syndrome differentiation nursing in elderly patients with severe COVID-19 complicated by heart failure

目的通过临床探讨,为优化老年重症新型冠状病毒肺炎(新冠肺炎)合并心力衰竭(心衰)患者的护理提供建议。方法对2022年11月至2023年3月于解放军总医院第七医学中心所收治的老年重症新冠肺炎合并心衰患者共80例作为研究对象,根据护理方法不同分为对照组与实验组,每组各40例,其中对照组采取一般护理方法,实验组在对照组的基础上采取辨证式护理方法,比较两组护理前后数据。结果两组患者在护理前明尼苏达心力衰竭量表评分均无显著差异(P>0.05),护理后,实验组患者的明尼苏达心力衰竭量表评分显著低于对照组(P<0.05),提示实验组的心力衰竭症状得到更好地改善。两组在接受护理后的总有效率上存在显著差异(P<0.05),实验组总有效率更高,提示实验组的护理方法对于改善患者病情更为有效。在使用辨证式护理后,患者心理状态明显转好,在护理过程中,1例出现恶心呕吐。结论老年重症新冠肺炎合并心衰患者开展辩证式护理,总有效率显著上升,值得临床推广。

Objective To provide suggestions for optimizing nursing through clinical studies in elderly patients with severe COVID-19 complicated by heart failure(HF).Methods The elderly patients with severe COVID-19 complicated by HF(n=80)were chosen from the Seventh Medical Center of Chinese PLA General Hospital from Nov.2022 to Mar.2023.All patients were divided,according to different nursing methods,into control group and test group(each n=40).The control group was given general nursing and test group was additionally given syndrome differentiation nursing.The data was compared in 2 groups before and after nursing.Results The scores of Minnesota Living with Heart Failure Questionnaire(MLHFQ)had no significant difference between 2 groups before nursing(P>0.05),and MLHFQ scores were significantly lower in test group than those in control group(P<0.05).The total effective rate had significant difference between 2 groups(P<0.05)and it was higher in test group after nursing,which indicated that syndrome differentiation nursing was more effective in relieving patients’conditions.The psychological state was significantly improved in test groups after syndrome differentiation nursing,and there was one case of nausea and vomiting during the nursing.Conclusion After elderly patients with severe COVID-19 complicated by HF are given syndrome differentiation nursing,the total effective rate is improved,which is worthy of clinic application.