中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
24期
106-108,112
,共4页
慢性心力衰竭%综合性护理%治疗依从性%心功能%护理满意度
慢性心力衰竭%綜閤性護理%治療依從性%心功能%護理滿意度
만성심력쇠갈%종합성호리%치료의종성%심공능%호리만의도
Chronic heart failure(CHF)%Comprehensive nursing%Treatment compliance%Heart function%Nursing sat-isfaction
目的：探讨综合性护理干预用于慢性心力衰竭(CHF)患者康复中的疗效。方法选取84例CHF患者,随机分为常规护理组和护理干预组。两组均予内科常规药物治疗,常规护理组和护理干预组在此基础上分别予常规护理及综合性护理,两组患干预时间均为6个月。观察两组患者干预前后依从性、心功能改善及护理满意度的变化情况。结果干预6个月后,护理干预组治疗总依从率明显高于常规护理组(95.24% vs 78.57%),差异有统计学意义(χ2=5.13,P<0.05)；两组患者6 min步行试验较干预前均有明显上升(P<0.05或P<0.01),且护理干预组上升值明显大于对照组(P<0.05)；护理干预组服务态度、技术水平、健康宣教、关爱患者、心理支持等护理满意度明显高于常规护理组(P<0.05或P<0.01)。结论综合性护理干预用于CHF患者康复中的疗效确切,可提高患者治疗依从性,改善患者心功能,稳定其病情,促进患者的早日康复,提高患者的护理满意度。
目的：探討綜閤性護理榦預用于慢性心力衰竭(CHF)患者康複中的療效。方法選取84例CHF患者,隨機分為常規護理組和護理榦預組。兩組均予內科常規藥物治療,常規護理組和護理榦預組在此基礎上分彆予常規護理及綜閤性護理,兩組患榦預時間均為6箇月。觀察兩組患者榦預前後依從性、心功能改善及護理滿意度的變化情況。結果榦預6箇月後,護理榦預組治療總依從率明顯高于常規護理組(95.24% vs 78.57%),差異有統計學意義(χ2=5.13,P<0.05)；兩組患者6 min步行試驗較榦預前均有明顯上升(P<0.05或P<0.01),且護理榦預組上升值明顯大于對照組(P<0.05)；護理榦預組服務態度、技術水平、健康宣教、關愛患者、心理支持等護理滿意度明顯高于常規護理組(P<0.05或P<0.01)。結論綜閤性護理榦預用于CHF患者康複中的療效確切,可提高患者治療依從性,改善患者心功能,穩定其病情,促進患者的早日康複,提高患者的護理滿意度。
목적：탐토종합성호리간예용우만성심력쇠갈(CHF)환자강복중적료효。방법선취84례CHF환자,수궤분위상규호리조화호리간예조。량조균여내과상규약물치료,상규호리조화호리간예조재차기출상분별여상규호리급종합성호리,량조환간예시간균위6개월。관찰량조환자간예전후의종성、심공능개선급호리만의도적변화정황。결과간예6개월후,호리간예조치료총의종솔명현고우상규호리조(95.24% vs 78.57%),차이유통계학의의(χ2=5.13,P<0.05)；량조환자6 min보행시험교간예전균유명현상승(P<0.05혹P<0.01),차호리간예조상승치명현대우대조조(P<0.05)；호리간예조복무태도、기술수평、건강선교、관애환자、심리지지등호리만의도명현고우상규호리조(P<0.05혹P<0.01)。결론종합성호리간예용우CHF환자강복중적료효학절,가제고환자치료의종성,개선환자심공능,은정기병정,촉진환자적조일강복,제고환자적호리만의도。
Objective To discuss curative effect of comprehensive nursing intervention on patients with chronic heart failure (CHF) during rehabilitation. Methods Eighty-four cases of patients with CHF were selected and divided into routine nursing group and nursing intervention group at random. The patients in two groups were given routine drug medical treatment in Department of Medicine,and the patients in routine nursing group and nursing intervention group were given routine nursing and comprehensive nursing respectively for 6 months. The changes of compliance, heart function improvement and nursing satisfactory of patients in two groups were observed. Results After 6 months' inter-vention,the total treatment compliance rate of patients in nursing intervention group was much higher than that in rou-tine nursing group (95.24% vs 78.57%),the difference was significant(χ2=5.13, P<0.05). The total treatment compli-ance rates of patients in two groups obviously rose than before after 6 minutes' walking test (P<0.05 or P<0.01),and the rising rate in nursing intervention group was much higher than that in control group (P<0.05). The service at-titude,technique level,health education,caring for patients,mental support and other nursing satisfactory of patients in nursing intervention group were all much higher than those in routine nursing group (P<0.05 or P<0.01). Conclusion Comprehensive nursing intervention has reliable curative effect on patients with CHF during rehabilitation, which can enhance the treatment compliance of patients, improve the heart function,stabilize the condition of illness, motivate the early rehabilitation and increase the nursing satisfaction.
