舒适护理干预在慢性充血性心力衰竭患者中应用和效果评价.doc

舒适护理干预在慢性充血性心力衰竭患者中应用和效果评价 　　[摘要] 目的 探讨舒适护理干预在慢性充血性心力衰竭（CHF）患者中的应用及效果评价。 方法 选择2009年1月～2012年4月在浙江省宁波市第四医院治疗的74例CHF患者随机分为护理干预组和常规护理组。两组均予以常规护理，包括基础护理、生活护理和治疗护理，护理干预组加用舒适护理干预措施，两组干预疗程均为16周。观察两组患者干预16周后的临床疗效和护理满意程度，并比较干预结束后随访1年内患者再次住院率和病死率。结果 干预16周后，护理干预组临床总有效率（89.19%）明显优于常规护理组（70.27%）（χ2=5.64，P 0.05）。 结论 舒适护理干预可提高CHF患者临床效果，使患者病情得到有效控制，提高护理满意度，并能减少患者再住院率，有利于患者早日康复。 [关键词] 慢性充血性心力衰竭；舒适护理；疗效；护理满意程度 [中图分类号] R473.5 [文献标识码] C [文章编号] 1673-7210（2014）02（b）-0136-03 Application and effect evaluation of comfortable nursing intervention for patients with chronic congestive heart failure ZHENG Chunxi Department of Medicine， the Fourth Hospital of Ningbo City， Zhejiang Province， Ningbo 315700， China [Abstract] Objective To discuss application and effect evaluation of comfortable nursing intervention to patients with chronic congestive heart failure （CHF）. Methods 74 cases of CHF patients from January 2009 to April 2012 collected from the Fourth Hospital of Ningbo City of Zhejiang Province were selected and divided into nursing intervention group and routine nursing group at random. The patients in two groups were given routine treatment， including basic nursing， daily nursing and treatment nursing. The patients in nursing intervention group were additionally given comfortable nursing intervention. The courses of intervention in both groups were 16 weeks. The clinical effects and nursing satisfaction of patients in two groups were observed after 16 weeks′intervention， and the one-year readmission rate and case fatality rate after the intervention were compared and followed up as well. Results After 16 weeks’ intervention， the total clinical efficiency （89.19%） of patients in nursing intervention group was obviously better than that in routine nursing group （70.27%） （χ2=5.64， P 0.05）. Conclusion The comfortable nursing intervention can enhance the clinical effects of CHF patients， and can effectively control the patient’s condition， improve the satisfaction of nursin