CAJ | 학술논문

目的观察全责护理模式在慢性心力衰竭患者康复训练中的应用效果.方法采用随机数字表法将86例患者随机分为观察组(n=43)和对照组(n=43)；16名护士分为A、B两组,A组实行全责护理模式,B组实行责任制和功能制相结合的护理模式；观察组由A组护士负责康复训练4周,对照组由B组护士负责康复训练4周.比较两组患者人院时和出院时的射血分数(EF)、6 min步行试验的距离(6MWT)和出院时患者对康复训练知识的知晓率和满意度得分之间的差异.结果入院时两组EF、6MWT比较,差异无统计学意义(t值分别为1.598,1.523；P均＞0.05).出院时观察组EF (54.13±9.12)、6MWT(402.63±74.81),均高于对照组EF(43.26±8.57)、6MWT(336.16±75.82),两组比较差异有统计学意义(t值分别为2.093,2.145；P均＜0.05)；各组EF、6MWT出院与入院时比较,差异有统计学意义(t值分别为2.681,2.010,2.791,2.185；P均＜0.01).出院时两组患者满意度得分比较,差异有统计学意义(t =2.145,P＜0.05).结论全责护理模式用于慢性心力衰竭患者的康复训练中可取得显著效果.
목적 관찰전책호리모식재만성심력쇠갈환자강복훈련중적응용효과.방법 채용수궤수자표법장86례환자수궤분위관찰조(n=43)화대조조(n=43)；16명호사분위A、B량조,A조실행전책호리모식,B조실행책임제화공능제상결합적호리모식；관찰조유A조호사부책강복훈련4주,대조조유B조호사부책강복훈련4주.비교량조환자인원시화출원시적사혈분수(EF)、6 min보행시험적거리(6MWT)화출원시환자대강복훈련지식적지효솔화만의도득분지간적차이.결과 입원시량조EF、6MWT비교,차이무통계학의의(t치분별위1.598,1.523；P균＞0.05).출원시관찰조EF (54.13±9.12)、6MWT(402.63±74.81),균고우대조조EF(43.26±8.57)、6MWT(336.16±75.82),량조비교차이유통계학의의(t치분별위2.093,2.145；P균＜0.05)；각조EF、6MWT출원여입원시비교,차이유통계학의의(t치분별위2.681,2.010,2.791,2.185；P균＜0.01).출원시량조환자만의도득분비교,차이유통계학의의(t =2.145,P＜0.05).결론 전책호리모식용우만성심력쇠갈환자적강복훈련중가취득현저효과.
Objective To observe the effect of full-responsibility nursing model in rehabilitation exercise on patients with chronic heart failure (HF).Methods Eighty-six patients with HF were randomly divided into observation group and control group,with 43 cases in each group.sixteen nurses were randomly divided into A and B group ; A group carried out full - responsibility nursing model and was in charge of the rehabilitation exercise of observation group,B group carried out routine holistic nursing model and was in charge of the rehabilitation exercise of control group.After 4 weeks,the effects including EF,6MWT,the knowing of rehabilitation exercise,satisfaction to the hospital were evaluated.Results Before rehabilitation exercise,there were no significant differences in EF and 6MWT( P ＞ 0.05 ).After 4 weeks,EF was( 54.13 ± 9.12 ) and 6MWT was (402.63 ± 74.81 ) in the observation group,while EF was (43.26 ± 8.57 ) and 6MWT was ( 336.16 ±75.82) in the control group.There were significant differences between the two groups ( t =2.093,2.145 ; P ＜0.05).there were significant differences before and after rehabilitation exercise in two groups ( P ＜ D.05 ).After 4 weeks,EF and 6MWT of the two groups were both increased,but the effect of the observation group was better (P ＜ 0.05 ). After 4 weeks,there were significant differences in the knowing of rehabilitation exercise and the satisfaction to the hospital in the two groups ( P ＜ 0.05 ).Conclusions Full-responsibility nursing model in rehabilitation exercise can make an effective effect.