分级护理对心力衰竭患者心功能的影响分析
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摘要
目的探讨分级护理对心力衰竭患者心功能的影响。方法选择收治的160例心力衰竭患者,均为2011年2月至2015年12月接收并医治,采用任意随机原则分为治疗组和对照组,每组80例。将常规性的药物治疗方案应用在2组患者的治疗过程中,治疗时对照组只接受一般性护理,治疗组除接受常规护理外,还采用分级护理方式进行干预治疗,干预周期均为3个月。结果治疗组与对照组护理后服药依从性评分分别为(27. 56±2. 13)分和(23. 11±3. 09)分,明显高于护理前的(16. 09±2. 56)分和(16. 20±3. 15)分,差异有统计学意义(P <0. 05)。2组护理后左心室收缩末内径和舒张末内径明显低于护理前(P <0. 05),护理后治疗组心室收缩末内径和舒张末内径明显低于对照组(P <0. 05)。治疗组护理后身体、情绪、社会、家庭评分明显高于对照组,差异均有统计学意义(P <0. 05)。结论分级护理在心力衰竭患者的应用能提高长期服药依从性,促进心功能改善,有利于生活质量的提高,有很好的应用价值。
Objective To investigate the effects of grading nursing on cardiac function of patients with heart failure.Methods A total of 160 patients with heart failure who were admitted and treated in our hjospital from February 2011 to December 2015 were randomly divided into the treatment group( n = 80) and the control group( n = 80). The patients in both groups were received conventional drug treatment,and the patients in control group were received routine care during treatment,however,the patients in treatment group,on the basis of control group,were given grading nursing intervention,with a intervention course of three months for both groups. Results The medication compliance scores in treatment group and control group after treatment were( 27. 56 ± 2. 13) points and( 23. 11 ± 3. 09) points,respectively,which were significantly higher than those before treatment [( 16. 09 ± 2. 56) points and( 16. 20 ± 3. 15) points,respectively],there were significant differences in group comparison and between two groups( P < 0. 05). The left ventricular end-systolic and end-diastolic diameter inner diameter after treatment in both groups were significantly lower than those before treatment( P < 0. 05),moreover,which in treatment group were significantly lower than those in control group( P < 0. 05). The physical,emotional,social,family scores in treatment group after treatment were significantly higher than those in control group( P < 0. 05).Conclusion The grading nursing in application for the patients with heart failure can improve long-term medication compliance,promote the improvement of cardiac function so as to improve the life quality of patients,therefor,it is great application value in clinical practice.
Objective To investigate the effects of grading nursing on cardiac function of patients with heart failure.Methods A total of 160 patients with heart failure who were admitted and treated in our hjospital from February 2011 to December 2015 were randomly divided into the treatment group( n = 80) and the control group( n = 80). The patients in both groups were received conventional drug treatment,and the patients in control group were received routine care during treatment,however,the patients in treatment group,on the basis of control group,were given grading nursing intervention,with a intervention course of three months for both groups. Results The medication compliance scores in treatment group and control group after treatment were( 27. 56 ± 2. 13) points and( 23. 11 ± 3. 09) points,respectively,which were significantly higher than those before treatment [( 16. 09 ± 2. 56) points and( 16. 20 ± 3. 15) points,respectively],there were significant differences in group comparison and between two groups( P < 0. 05). The left ventricular end-systolic and end-diastolic diameter inner diameter after treatment in both groups were significantly lower than those before treatment( P < 0. 05),moreover,which in treatment group were significantly lower than those in control group( P < 0. 05). The physical,emotional,social,family scores in treatment group after treatment were significantly higher than those in control group( P < 0. 05).Conclusion The grading nursing in application for the patients with heart failure can improve long-term medication compliance,promote the improvement of cardiac function so as to improve the life quality of patients,therefor,it is great application value in clinical practice.
引文
1杨献军,黄飞翔,时永超,等.健身操训练对慢性心力衰竭患者运动耐量的影响.中华护理杂志,2015,50:193-197.
2 Anderson G,Alt-White AC,Schaa KL,et al. Genomics for nursing education and practice:measuring competency. Worldviews Evid Based Nurs,2015,12:165-175.
3刘翔宇,谌永毅,周钰娟,等.住院患者护理服务满意度评价指标体系的构建.中华护理杂志,2015,50:18-21.
4 滕海英,彭雪娟,赵翠松,等.应用日常生活活动能力量表细化分级护理的实践.中华护理杂志,2015,50:145-147.
5 Stllberger C,Gerger D,Jirak P,et al. Evolution of electrocardiographic abnormalities in association with neuromuscular disorders and survival in left ventricular hypertrabeculation/noncompaction. Ann Noninvasive Electrocardiol,2014,19:567-573.
6 宣凡馨,郭金玉,李峥.心力衰竭患者住院前症状群的研究.中华护理杂志,2015,50:292-295.
7 杨红叶.分级护理实施的现状与展望.广西医学,2008,30:222-224.
8 余惠霞,来桂英,陈冬梅.老年患者肺部感染合并心力衰竭的早期护理措施研究.中华医院感染学杂志,2015,9:2041-2043.
9 管玉贞,栾照敏,高韧.一体化护理模式对小儿肺炎合并心功能不全的临床效果.中国实用医刊,2015,42:121-122.
10 Kim H,Kim S,Van Helleputte N,et al. A configurable and low-power mixed signal So C for portable ECG monitoring applications. IEEE Trans Biomed Circuits Syst,2014,8:257-267.
11 陈娟,赵书娥.慢性心力衰竭患者自我护理行为的研究进展.中华护理杂志,2015,50:360-364.
12 宫建美,刘晓丹,吴世菊,等.国内外分级护理制度比较分析.护士进修杂志,2009,24:48-50.
13 Berta E,Erdei A,Cseke B,et al. Evaluation of the metabolic changes during hemodialysis by signal averaged ECG. Pharmazie,2012,67:380-383.
14 邵波,王炳银,陈润祥,等.曲美他嗪对冠心病慢性心力衰竭患者心功能及心率震荡的影响.中国康复理论与实践,2014,4:382-384.
15 梁海英,宋新德,胡兵,等.无症状性心力衰竭患者临床诊断和药物干预的研究.中国实用医药,2011,6:179-180.
16 Tai HC,Pan MY,Lee BO. Applying technological pedagogical and content knowledge(TPACK)model to develop an online rnglish writing course for nursing students. Nurse Educ Today,2015,35:782-788.
17 黄元梅.护士对手术患者分级护理医嘱执行性的调查分析.中外医学研究,2015,14:108-109.
18 苑晶波,刘利霞.分级护理制度实施中的问题与建议.中国社区医师(医学专业),2010,12:159-160.
2 Anderson G,Alt-White AC,Schaa KL,et al. Genomics for nursing education and practice:measuring competency. Worldviews Evid Based Nurs,2015,12:165-175.
3刘翔宇,谌永毅,周钰娟,等.住院患者护理服务满意度评价指标体系的构建.中华护理杂志,2015,50:18-21.
4 滕海英,彭雪娟,赵翠松,等.应用日常生活活动能力量表细化分级护理的实践.中华护理杂志,2015,50:145-147.
5 Stllberger C,Gerger D,Jirak P,et al. Evolution of electrocardiographic abnormalities in association with neuromuscular disorders and survival in left ventricular hypertrabeculation/noncompaction. Ann Noninvasive Electrocardiol,2014,19:567-573.
6 宣凡馨,郭金玉,李峥.心力衰竭患者住院前症状群的研究.中华护理杂志,2015,50:292-295.
7 杨红叶.分级护理实施的现状与展望.广西医学,2008,30:222-224.
8 余惠霞,来桂英,陈冬梅.老年患者肺部感染合并心力衰竭的早期护理措施研究.中华医院感染学杂志,2015,9:2041-2043.
9 管玉贞,栾照敏,高韧.一体化护理模式对小儿肺炎合并心功能不全的临床效果.中国实用医刊,2015,42:121-122.
10 Kim H,Kim S,Van Helleputte N,et al. A configurable and low-power mixed signal So C for portable ECG monitoring applications. IEEE Trans Biomed Circuits Syst,2014,8:257-267.
11 陈娟,赵书娥.慢性心力衰竭患者自我护理行为的研究进展.中华护理杂志,2015,50:360-364.
12 宫建美,刘晓丹,吴世菊,等.国内外分级护理制度比较分析.护士进修杂志,2009,24:48-50.
13 Berta E,Erdei A,Cseke B,et al. Evaluation of the metabolic changes during hemodialysis by signal averaged ECG. Pharmazie,2012,67:380-383.
14 邵波,王炳银,陈润祥,等.曲美他嗪对冠心病慢性心力衰竭患者心功能及心率震荡的影响.中国康复理论与实践,2014,4:382-384.
15 梁海英,宋新德,胡兵,等.无症状性心力衰竭患者临床诊断和药物干预的研究.中国实用医药,2011,6:179-180.
16 Tai HC,Pan MY,Lee BO. Applying technological pedagogical and content knowledge(TPACK)model to develop an online rnglish writing course for nursing students. Nurse Educ Today,2015,35:782-788.
17 黄元梅.护士对手术患者分级护理医嘱执行性的调查分析.中外医学研究,2015,14:108-109.
18 苑晶波,刘利霞.分级护理制度实施中的问题与建议.中国社区医师(医学专业),2010,12:159-160.