探讨老年慢性心衰患者的不同诱因及早期护理干预

Analysis of Inducing Factors of Chronic Heart Failure in the Elderly Patients and Early Nursing Intervention

目的 探讨老年慢性心衰患者的诱因 ,以进行早期护理干预。方法 将 4 4 5例老年慢性心衰患者分为老年组与高龄老年组 ,进行诱因分析。结果 高龄心衰患者最常见的诱因依次是情绪激动且显著高于老年组 ,P <0 .0 1;气候变化 ,P <0 .0 1;未控制的高血压和排尿紊乱 ,P <0 .0 5 ;老年心衰患者最常见的诱因主要表现在心律失常方面且显著高于高龄组 ,而呼吸道感染在两组中的发生率均较高。结论 应针对两组的不同诱因和发病特点进行早期护理干预。

Objective To attempt to set up early nursing intervention guidelines of chronic heart failure (CHF) in the elderly patients. Methods 445 cases of CHF were divided into two groups: the aged (60-79 yrs) and the advanced age (80-95 yrs). Results Emotion, as a key change factor, could markedly lead to CHF in the advanced age, and the frequency in the advanced age was higher than those of the aged(P<0.01). Other changes including the weather, the higher blood pressure and difficulty of water drainage in the advanced age had a higher frequency than those of the aged. The most important factor leading to CHF in the aged was arrhythmias, while the similar effects of the respiratory infection in the two groups were found. Conclusions Inducing factors of chronic heart failure in the elderly patients were significant difference and nursing intervention should be done according to the characteristic of each group.