舒适护理结合预警式分级管理在慢性心力衰竭患者中的应用效果

Application effect of comfort nursing combined with early warning graded management in patients with chronic heart failure

目的考察舒适护理结合预警式分级管理在慢性心力衰竭患者中的应用效果。方法将2021年3月至2023年2月入组的104例慢性心力衰竭患者(中国医学科学院阜外医院深圳医院收治)按随机数字表法分为观察组和对照组,各52例。对照组给予常规护理,观察组给予舒适护理结合预警式分级管理。比较2组的护理质量、心功能、生活质量、运动耐力及主要不良心血管事件(MACE)发生率。结果将2组的护理质量进行比较,结果发现,观察组的各项评分均更高(P均<0.05)。出院时和出院1个月后,观察组的左室射血分数均大于同期对照组,左室舒张末期内径均小于同期对照组,6分钟步行试验距离均长于同期对照组,明尼芬达心力衰竭生活质量问卷评分均低于同期对照组(P均<0.05),且2组均优于入院时(P均<0.05);出院1个月后,观察组的上述指标均优于出院时(P均<0.05)。观察组的MACE总发生率低于对照组(P<0.05)。结论舒适护理结合预警式分级管理可改善慢性心力衰竭患者的心功能,提高其生活质量和运动耐力,降低MACE发生风险,并提升护理质量。

Objective To examine the application effect of comfort nursing combined with early warning graded management in patients with chronic heart failure.Methods A total of 104 chronic heart failure patients(admitted to Fuwai Hospital Chinese Academy of Medical Sciences,Shenzhen)enrolled from March 2021 to February 2023 were divided into an observation group and a control group by the use of a random number table.Both groups contained 52 cases.The control group carried out routine nursing,while the observation group carried out comfort nursing combined with early warning graded management.The quality of nursing,cardiac function,quality of life,exercise endurance,and incidence of major adverse cardiovascular events(MACEs)were compared between the two groups.Results The quality of nursing was compared between the two groups,and the results revealed that the observation group had higher scores in all aspects than the control group(all P<0.05).At discharge and 1 month after discharge,the left ventricular ejection fraction of the observation group was greater than that of the control group.The left ventricular end-diastolic diameter was smaller than that of the control group.The 6-min walk distance was longer than that of the control group.The score of the Minnesota Living with Heart Failure Questionnaire was lower than that of the control group(all P<0.05).Both groups performed better compared with admission(all P<0.05).In the observation group,the above indicators at 1 month after discharge were better than those at discharge(all P<0.05).The total incidence of MACEs in the observation group was lower than that in the control group(P<0.05).Conclusion Comfort nursing combined with early warning graded management can improve the cardiac function of chronic heart failure patients,enhance their quality of life and exercise endurance,reduce the risk of MACEs,and improve the quality of nursing.