CAJ | 학술논문

目的：探讨护理干预对慢性心力衰竭（ CHF）患者心功能的影响，改善患者生存质量。方法：将选取的60例患者随机分为观察组和对照组各30例，两组患者均给予常规护理，观察组加用护理干预，观察记录干预前及干预3个月后左室射血分数（ LVEF ）、左室舒张末内径（ LVEDD、左室收缩末内径（ LVESD）、6min步行试验及明尼苏达心功能不全生命质量量表（ MLHFQ）评分。结果：干预前，两组患者LVEF、LVEDD、LVESD及6min步行试验相似，差异无统计学意义（ P＞0．05）；干预3个月后，观察组LVESD、LVEDD均明显低于对照组，LVEF及6min步行试验明显高于对照组，差异有统计学意义（P＜0．05）。干预前，两组患者MLHFQ评分相似，差异无统计学意义（P＞0．05）；干预1个月及3个月后，观察组MLHFQ评分均明显低于对照组，差异有统计学意义（ P＜0．05）。结论：护理干预能有效改善CHF患者的心功能，提高生活质量。
목적：탐토호리간예대만성심력쇠갈（ CHF）환자심공능적영향，개선환자생존질량。방법：장선취적60례환자수궤분위관찰조화대조조각30례，량조환자균급여상규호리，관찰조가용호리간예，관찰기록간예전급간예3개월후좌실사혈분수（ LVEF ）、좌실서장말내경（ LVEDD、좌실수축말내경（ LVESD）、6min보행시험급명니소체심공능불전생명질량량표（ MLHFQ）평분。결과：간예전，량조환자LVEF、LVEDD、LVESD급6min보행시험상사，차이무통계학의의（ P＞0．05）；간예3개월후，관찰조LVESD、LVEDD균명현저우대조조，LVEF급6min보행시험명현고우대조조，차이유통계학의의（P＜0．05）。간예전，량조환자MLHFQ평분상사，차이무통계학의의（P＞0．05）；간예1개월급3개월후，관찰조MLHFQ평분균명현저우대조조，차이유통계학의의（ P＜0．05）。결론：호리간예능유효개선CHF환자적심공능，제고생활질량。
Objective:To investigate the effects of nursing intervention on the heart function and to im-prove the quality of life of patients with chronic heart failure (CHF).Methods:A total of 60 patients were selected and randomly divided into observation group and control group , with 30 patients in each group;the patients of both groups were given with usual care , while the patients of the observation group given with nursing intervention additionally , and the left ventricular ejection fractions ( LVEF) , left ventricular end-di-astolic dimensions (LVEDD), left ventricular end-systolic dimension (LVESD), 6min walking test results, and Minnesoda living with heart failure questionnaire ( MLHFQ) scores were observed and recorded before the intervention and at 3 months after the intervention .Result: Before the intervention , the patients of the two groups had similar LVEF , LVEDD, LVESD, and 6 min walking test results , and the differences were statistically insignificant ( P>0.05);at 3 months after the intervention , the patients of the observation group had significantly lower LVESD and LVEDD than the control group , and significantly higher LVEF and 6 min walking test result than the control group , and the differences were statistically significant ( P<0.05) .Before the intervention , the patients of the two groups had similar MLHFQ scores , and the difference was statistical-ly insignificant ( P>0.05); at 1 month and 3 months after the intervention , the patients of the observation group had significantly lower MLHFQ scores than the control group , and the differences were statistically sig-nificant ( P<0.05) .Conclusion:Nursing intervention can effectively improve the heart function and elevate the quality of life in CHF patients .