综合护理干预对慢性心力衰竭患者生活质量的影响研究.docxVIP

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综合护理干预对慢性心力衰竭患者生活质量的影响研究

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【摘要】目的：观察综合护理干预对慢性心力衰竭患者生活质量的影响。方法：将2015年7月~2016年7月100例慢性心力衰竭病例均分为两组，每组各50例。对照组采取常规心内科护理，观察组在此基础上开展综合护理干预，两组干预时间均为半年。对比两组生活质量、焦虑与抑郁情绪的改善情况。结果：观察组患者的心功能较对照组有明显改善，组间差异具有统计学意义（P＜0.05）。观察组患者的生活质量评分（39.1±3.0）分，明显优于护理前与对照组（P＜0.05）。观察组患者的负性情绪改善情况明显好于护理前与对照组（P＜0.05）。结论：对于慢性心力衰竭患者来说，临床采取综合护理干预模式有利于促进心功能恢复，改善其生活质量，纠正焦虑以及抑郁等负性情绪，具有积极的临床意义，值得在心内科护理工作中推广使用。

【关键词】慢性心衰；护理；生活质量；效果

Influenceofcomprehensivenursinginterventiononqualityoflifeinchronicheartfailurepatients

TanZhili

(SecondPeoplesHospitalofGuangxiGuigangGuangxiGuigang537132)

[Abstract]Objective:Toobservetheeffectofcomprehensivenursinginterventiononqualityoflifeinchronicheartfailurepatients.Methods:100casesofpatientswithchronicheartfailurefromJuly2015-July2016wererandomlypidedinto2groups,50casesofeachgroup.ThecontrolgroupreceivedroutinecareofCardiology,theobservationgroupreceivedcomprehensivenursinginterventiononthebasisofcontrolgroup.Thetwogroupinterventiontimesweresixmonths.Qualityoflife,anxietyanddepressionofthetwogroupswereobservedandstatisticallyanalyzed.Results:Heartfunctionofobservationgroupimprovedsignificantlythanthecontrolgroup,therewasstatisticalsignificance(P＜0.05).Qualityoflifescoresofobservationgroupwas(39.1±3.0)points,significantlybetterthanthepre-treatmentandthecontrolgroup(P0.05).Negativeemotionsofobservationgroupimprovedsignificantlythanthepre-treatmentandcontrolgroup(P＜0.05).Conclusion:Forpatientswithchronicheartfailure,clinicallyintegratedcareinterventionmodelandpromotingtherecoveryofcardiacfunctionandimprovetheirqualityoflife,anxietyanddepressioncorrectnegativeemotionswithpositiveclinicalsignificanceworthyofpromotioncardiologycareuse.

[Keywords]chronicheartfailure;nursing;qualityoflife;effect

慢性心力衰竭（chronicheartfailure，CHF）是心