护理实践与研究
護理實踐與研究
호리실천여연구
ATTEND TO PRACTICE AND RESEARCH
2015年
7期
10-12
,共3页
认知行为干预%慢性心力衰竭%心功能状况
認知行為榦預%慢性心力衰竭%心功能狀況
인지행위간예%만성심력쇠갈%심공능상황
Cognitive behavioral intervention%Chronic heart failure%Cardiac function
目的：：探讨认知行为干预在慢性心力衰竭(CHF)患者中的应用效果。方法：选择我院内科2012年1月~2013年6月住院的的老年CHF 患者120例，将其随机等分为试验组和对照组，对照组给予常规护理，试验组实施认知行为干预，包括制定 CHF 患者认知干预临床路径图，指导患者培养自我管理的能力，鼓励患者树立行为重建，教导家人掌握正确施救的方法，建立患者 Q 群网络平台，出院后电话回访及家庭探视。结果：干预半年后采用6 min 步行试验，试验组患者心功能状况明显优于对照组；两组心率、脉搏、血压状况比较，试验组优于对照组(P <0.05)；两组患者出院1年内，试验患者再入院率低于对照组(P <0.05)。结论：认知行为干预可改善 CHF 患者的心功能状况，降低患者的再入院率。
目的：：探討認知行為榦預在慢性心力衰竭(CHF)患者中的應用效果。方法：選擇我院內科2012年1月~2013年6月住院的的老年CHF 患者120例，將其隨機等分為試驗組和對照組，對照組給予常規護理，試驗組實施認知行為榦預，包括製定 CHF 患者認知榦預臨床路徑圖，指導患者培養自我管理的能力，鼓勵患者樹立行為重建，教導傢人掌握正確施救的方法，建立患者 Q 群網絡平檯，齣院後電話迴訪及傢庭探視。結果：榦預半年後採用6 min 步行試驗，試驗組患者心功能狀況明顯優于對照組；兩組心率、脈搏、血壓狀況比較，試驗組優于對照組(P <0.05)；兩組患者齣院1年內，試驗患者再入院率低于對照組(P <0.05)。結論：認知行為榦預可改善 CHF 患者的心功能狀況，降低患者的再入院率。
목적：：탐토인지행위간예재만성심력쇠갈(CHF)환자중적응용효과。방법：선택아원내과2012년1월~2013년6월주원적적노년CHF 환자120례，장기수궤등분위시험조화대조조，대조조급여상규호리，시험조실시인지행위간예，포괄제정 CHF 환자인지간예림상로경도，지도환자배양자아관리적능력，고려환자수립행위중건，교도가인장악정학시구적방법，건립환자 Q 군망락평태，출원후전화회방급가정탐시。결과：간예반년후채용6 min 보행시험，시험조환자심공능상황명현우우대조조；량조심솔、맥박、혈압상황비교，시험조우우대조조(P <0.05)；량조환자출원1년내，시험환자재입원솔저우대조조(P <0.05)。결론：인지행위간예가개선 CHF 환자적심공능상황，강저환자적재입원솔。
Objective:Explored the effect of cognitive behavioral intervention for improving cardiac function in patients with chronic heart failure. Methods:120 patients with chronic heart failure were randomly divided into experimental group and control group,the control group received routine care,the experi-mental group received cognitive behavioral intervention,include:the development of cognitive interventions in patients with chronic heart failure clinical road map,ability to teach patients self - management,and encourage patients to establish the behavior of reconstruction,teach your family to master the correct way to rescue establish network platform Q group of patients after discharge telephone interviews and home visits. Results:Six months after the intervention using 6min walk test,cardiac functional status of patients in the experimental group than the control group;comparing two groups of heart rate,pulse,blood pressure in the experimental group than the control group (P < 0. 05),Two groups of patients discharged within a year,the experimental patient readmission rate was significantly lower than the control group (P < 0. 05). there are significant differences. Conclusion:Cognitive - behavioral intervention can improve heart function in patients with chronic heart failure condition,the heart rate,pulse,reduce readmission rates for patients.
