67例慢性心力衰竭的临床护理体会.docVIP

67例慢性心力衰竭的临床护理体会 【摘要】 目的 探究分析慢性心力衰竭的临床护理对策及应用效果。方法 67例慢性心力衰竭患者随机分为常规护理组（34例）和综合护理组（33例）， 常规护理组给予基础护理， 综合护理组给予综合护理。对比两组患者护理前后抑郁量表评分及满意度。结果 两组患者护理后抑郁量表评分较护理前明显降低， 综合护理组较常规护理组相比显著降低（P 0.05）。常规护理组的满意度为76.47%， 综合护理组的满意度为90.91%， 综合护理组的满意度明显高于常规护理组（P 0.05）。结论 对于慢性心力衰竭患者给予综合护理可显著降低抑郁评分， 提高满意度， 值得临床推广与应用。 【关键词】 慢性心力衰竭；护理；抑郁量表；满意度 DOI：10.14163/j.cnki.11-5547/r.2015.29.148 Clinical nursing experience of 67 chronic heart failure cases YUAN Ni-na. Qingdao Licang District Central Hospital， Qingdao 266041， China 【Abstract】 Objective To explore and analyze clinical nursing measures and application effect for chronic heart failure. Methods A total of 67 patients with chronic heart failure were randomly divided into conventional nursing group （34 cases） and comprehensive nursing group （33 cases）. The conventional group received basic nursing and the comprehensive group received comprehensive nursing. Depression scale score and satisfaction degree were compared between the two groups before and after nursing. Results Compared with that before nursing， both groups had obviously reduced depression scale score after nursing， and the comprehensive nursing group had much lower score than the conventional nursing group （P 0.05）. The conventional nursing group had satisfaction degree as 76.47%， and the comprehensive nursing group had it as 90.91%. The comprehensive nursing group had much higher satisfaction degree than the conventional nursing group （P 0.05）. Conclusion Implement of comprehensive nursing can remarkably reduce depression score and improve satisfaction degree in chronic heart failure patients. This method is worthy of clinical promotion and application. 【Key words】 Chronic heart failure； Nursing； Depression scale； Satisfaction degree 慢性心力衰竭作为临床上一类发病率较高的心血管疾病， 主要是指由于慢性原发性心肌病或由于心室长期承受较大的压力负荷所致， 使得患者心肌收缩力明显减弱， 无法完成正常的射血工作， 从而引发一系列临床综合征。大量临床研究证实， 慢性心力衰竭在临床上表现为呼吸困难、劳累乏力等症状， 且呈进行性恶化趋势， 对患者的生活质量及生命健康造成诸多影响[1]。本院现就对收治的67例慢性心力衰竭患者展开分析， 总结其护理对策， 现报告如下。 1 资料与方法 1. 1 一般资料 选取本院2014年5月～2015