健康教育护理干预对老年慢性心力衰竭患者生活质量及预后的影响.docVIP

健康教育护理干预对老年慢性心力衰竭患者生活质量及预后的影响 韩旭 张云明 徐蕾 哈尔滨医科大学附属第一医院干部三病房 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的探究与分析健康教育护理干预对老年慢性心力衰竭患者生活质量及预后的影响。方法 选取哈尔滨医科大学附属第一医院2015年5月2016年5月收治的90例老年慢性心力衰竭患者, 采取随机数字表法将其分为对照组和观察组, 每组各45例。对照组给予常规护理, 观察组给予健康教育护理干预。比较两组用药知识知晓率、用药依从率、生活质量评分及随访1年的心力衰竭住院率及心力衰竭病死率。结果 观察组用药知识知晓率及用药依从率均高于对照组, 差异均有统计学意义 (均P0.05) 。护理后两组躯体功能、角色功能、认知功能、情绪功能及社会功能评分均高于护理前, 观察组上述指标改善更加显著, 差异均有统计学意义 (均P0.05) 。观察组随访1年心力衰竭住院率及心力衰竭病死率均低于对照组, 差异均有统计学意义 (均P0.05) 。结论 健康教育护理干预能改善老年慢性心力衰竭患者的生活质量, 提高患者对疾病的认知程度, 促进预后。 关键词： 健康教育护理干预; 慢性心力衰竭; 生活质量; 预后; 收稿日期：2017-06-15 基金：黑龙江省哈尔滨市应用技术研究与开发项目 (2014RFXGJ018) Effect of health education care intervention on the quality of life and prognosis of patients with chronic heart failure HAN Xu ZHANG Yunming XU Lei The Third Ward of Cadres, the First Affiliated Hospital of Harbin Medical University; Abstract： Objective To explore and analyze the effect of health education care intervention on quality of life and prognosis of patients with chronic heart failure.Methods Ninety cases of elderly patients with chronic heart failure admitted to the First Affiliated Hospital of Harbin Medical University from May 2015 to May 2016 were selected and divided into the control group and the observation group by random number table, with 45 cases in each group.The control group was given routine nursing care, while the observation group was given health education care intervention.The awareness rate of knowledge on drug use and compliance rate of drug use, scores of quality of life, and the hospitalization rate and fatality rate after 1 year of follow-up between the two groups were compared.Results The awareness rate of knowledge on drug use and compliance rate of drug use in the observation group were higher than those of control group, with statistically significant differences (all P 0.05) .After nursing, the scores of physical function, role function, cognitive function, emotional function and social func