多维度康复护理应用于老年急性左心衰竭合并呼吸困难患者的效果分析

Effect analysis of multidimensional rehabilitation nursing in elderly patients with acute left heart failure and dyspnea

目的探讨对老年急性左心衰竭合并呼吸困难患者实施多维度康复护理的效果。方法将110例老年急性左心衰竭合并呼吸困难患者按照随机数字表法分为观察组和对照组,各55例;对照组患者实施常规护理,观察组患者在对照组基础上实施多维度康复护理,比较两组患者呼吸机使用情况、住心脏重症监护室(CCU)时间、心肺功能相关指标[左心室射血分数(LVEF)、第1秒用力呼气容积(FEV1)、血清B型利钠肽前体(NT-ProBNP)水平]、生活质量[明尼苏达心力衰竭生活质量量表(MLHFQ)评分]、并发症发生率、护理满意度及出院半年内全因再入院率。结果干预后,观察组患者使用呼吸机时间和住CCU时间均短于对照组(P<0.05或0.01);两组患者LVEF、FEV1水平均较干预前升高,且观察组高于对照组(P<0.01);观察组患者血清NT-ProBNP水平较干预前降低,且观察组低于对照组(P<0.01);两组患者MLHFQ总分及各领域评分均较干预前降低,且观察组低于对照组(P<0.05或0.01);观察组患者并发症发生率及出院半年内全因再入院率均低于对照组,护理满意度高于对照组(P<0.05)。结论对老年急性左心衰竭合并呼吸困难患者实施多维度康复护理可改善其心肺功能,提高生活质量和护理满意度,减少并发症及再入院情况的发生。

Objective To explore the effect of multi-dimensional rehabilitation nursing(MDRN)in elderly patients with acute left heart failure(ALHF)and dyspnea.Methods A total of 110 elderly patients with the ALHF complicated by dyspnea were divided into observation and control group according to random number table method,with 55 cases in each group;controls received routine nursing and observation group did the MDRN on the basis of controls,such indexes were compared between two groups as the usage of respirator,CCU length of stay,cardiopulmonary function related indicators(left ventricular ejection fraction[LVEF],forced expiratory volume in the first second[FEV1],and serum N-terminal pro-B-type natriuretic peptide[NT-ProBNP]level),quality of life(Minnesota Living with Heart Failure Questionnaire[MLHFQ]score),incidences of complications,satisfaction with nursing,and all-cause readmission rate within half a year.Results After intervention,time on the ventilator and CUU length of stay were shorter in observation than control group(P<0.05 or 0.01);LVEF and FEV1 levels in both groups elevated compared with preintervention and were higher in observation than control group(P<0.01);serum NT-ProBNP level lowered compared with preintervention in observation and was lower than control group(P<0.01);the total and each domain scores of the MLHFQ in both groups lowered compared with preintervention and were lower in observation than control group(P<0.05 or 0.01);incidence of complications and within half-a-year all-cause readmission rate were lower and satisfaction with nursing was higher observation than control group(P<0.05).Conclusion The MDRN used in elderly patients with the ALHF and dyspnea can improve their cardiopulmonary function,quality of life and nursing satisfaction and reduce the occurrence of complications and readmission.