中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2009年
9期
15-18
,共4页
慢性心力衰竭%护理干预%负性情绪%遵医行为%生活质量
慢性心力衰竭%護理榦預%負性情緒%遵醫行為%生活質量
만성심력쇠갈%호리간예%부성정서%준의행위%생활질량
Chronic heart failure%Nursing intervention%Negative moods%Compliance behaviors%Life quality
目的 探讨护理干预对慢性心力衰竭患者负性情绪、遵医行为和生活质量的影响. 方法 选择100例慢性心力衰竭患者作为研究对象,随机分为观察组和对照组各50例.对照组仅接受常规的基础护理、生活护理与治疗处置,观察组在此基础上进行包括健康教育、舒适环境、体力活动、遵医行为、饮食和心理指导.观察组在患者入院第3天实施干预,并分别在患者入院第3天和出院时对2组患者进行焦虑、抑郁、遵医行为和明尼苏达心力衰竭生活质量调查表的测试.采用χ2检验和t检验对数据进行分析. 结果 干预前,观察组与对照组的抑郁、焦虑评分,遵医行为各项构成比,以及生活质量各因子评分比较差异无统计学意义.干预后,2组抑郁、焦虑评分,按时服药、定期复查、合理膳食、戒烟限酒、体力活动等遵医行为,体力限制、情绪、症状、社会限制等生活质量评分比较,观察组均显著优于对照组. 结论 护理干预有利于改善患者焦虑、抑郁负性情绪,促进患者的遵医行为,提高生活质量.
目的 探討護理榦預對慢性心力衰竭患者負性情緒、遵醫行為和生活質量的影響. 方法 選擇100例慢性心力衰竭患者作為研究對象,隨機分為觀察組和對照組各50例.對照組僅接受常規的基礎護理、生活護理與治療處置,觀察組在此基礎上進行包括健康教育、舒適環境、體力活動、遵醫行為、飲食和心理指導.觀察組在患者入院第3天實施榦預,併分彆在患者入院第3天和齣院時對2組患者進行焦慮、抑鬱、遵醫行為和明尼囌達心力衰竭生活質量調查錶的測試.採用χ2檢驗和t檢驗對數據進行分析. 結果 榦預前,觀察組與對照組的抑鬱、焦慮評分,遵醫行為各項構成比,以及生活質量各因子評分比較差異無統計學意義.榦預後,2組抑鬱、焦慮評分,按時服藥、定期複查、閤理膳食、戒煙限酒、體力活動等遵醫行為,體力限製、情緒、癥狀、社會限製等生活質量評分比較,觀察組均顯著優于對照組. 結論 護理榦預有利于改善患者焦慮、抑鬱負性情緒,促進患者的遵醫行為,提高生活質量.
목적 탐토호리간예대만성심력쇠갈환자부성정서、준의행위화생활질량적영향. 방법 선택100례만성심력쇠갈환자작위연구대상,수궤분위관찰조화대조조각50례.대조조부접수상규적기출호리、생활호리여치료처치,관찰조재차기출상진행포괄건강교육、서괄배경、체력활동、준의행위、음식화심리지도.관찰조재환자입원제3천실시간예,병분별재환자입원제3천화출원시대2조환자진행초필、억욱、준의행위화명니소체심력쇠갈생활질량조사표적측시.채용χ2검험화t검험대수거진행분석. 결과 간예전,관찰조여대조조적억욱、초필평분,준의행위각항구성비,이급생활질량각인자평분비교차이무통계학의의.간예후,2조억욱、초필평분,안시복약、정기복사、합리선식、계연한주、체력활동등준의행위,체력한제、정서、증상、사회한제등생활질량평분비교,관찰조균현저우우대조조. 결론 호리간예유리우개선환자초필、억욱부성정서,촉진환자적준의행위,제고생활질량.
Objective To explore the impact of nursing intervention on negative moods, compliance behavior and life quality of patients with chronic heart failure (CHF). Methods We randomized 100 patients with CHF into the observation group and the control group. The control group only accepted basic nursing, life nursing and treatment; besides these, the observation group were given other interventions, including health education, comfortable environment, physical activity, compliance behavior, diet and mental guidance 3 days after the patients were admitted into hospital. The two groups were tested for anxiety, depression, compliance behavior as well as life quality with Minnesota Living with Heart failure questionnaire both 3 days after the patients were admitted into hospital and when they were discharged. χ2 test and t test were used to analyze the data. Results Before intervention, there were no statistical difference in their anxiety, depression, compliance behavior, and life quality between the observation group and the control group. After intervention, the observation group was superior than the control group in anxiety and depression score, compliance behaviors including on-time medicine administration, regular recheck, rational diet, smoke abatement and alcohal restriction, physical activity, life quality score including physical limitation, emotion, symptom and social constrain. Conclusions Nursing intervention could help improve anxiety and depression of the patients with CHF, promote their compliance behaviors and improve their life quality.
