首页|量化管理护理干预对急性心力衰竭患者心脏功能及不良事件的影响

量化管理护理干预对急性心力衰竭患者心脏功能及不良事件的影响

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目的 探究量化管理护理干预在急性心力衰竭患者中的应用效果。方法 选取85例急性心力衰竭患者,依据护理方案的不同分为两组:对照组42例均接受常规护理,观察组43例均接受常规护理+量化管理护理干预。对比两组护理质量、入住ICU时间、住院时间、机械通气时间、心脏功能、不良事件发生率及干预前后左心室收缩末期内径(LVESD)、健康促进生活方式量表(health promoting lifestyle profile,HPLP)评分、左心室射血分数(LVEF)、焦虑自评量表(self-rating anxiety scale,SAS)评分、左心室舒张末期内径(LVEDD)。结果 观察组护理质量中的基础护理、患者管理、风险评估、应急管理、日常生活指导评分均高于对照组(P<0。01);观察组机械通气时间、入住ICU时间、住院时间较对照组短(P<0。01)。干预后观察组LVEDD、LVESD及SAS评分低于对照组,LVEF及HPLP评分高于对照组(P<0。05);观察组不良事件发生率4。65%(2/43)低于对照组的21。43%(9/42)(P<0。05)。结论 量化管理护理干预应用于急性心力衰竭患者可提高护理质量,降低不良事件发生率,还能改善患者心理状态,强化健康行为,促进心功能好转。
Impact of quantitative management nursing intervention on cardiac function and adverse events in patients with acute heart failure
Objective To explore the application effect of quantitative management nursing intervention in patients with acute heart failure. Methods A total of 85 patients with acute heart failure were selected, and divided into two groups based on different nursing plans. The control group (n=42) all received routine nursing while the observation group (n=43) all received both routine nursing combined with quantitative management nursing intervention. The nursing quality, ICU stay time, hospitalization time, mechanical ventilation time, cardiac function, and incidence of adverse events were compared between the two groups, as well as left ventricular end-systolic diameter (LVESD), health promoting lifestyle profile (HPLP) score, LVEF, self-rating anxiety scale (SAS) score, and left ventricular end-diastolic diameter (LVEDD) before and after intervention. Results The observation group scored higher in the nursing quality of basic nursing, patient management, risk assessment, emergency management, and daily life guidance compared to the control group (P<0.01) . The mechanical ventilation time, ICU stay time, and hospitalization time of the observation group were shorter than those of the control group (P<0.01) . After intervention, the LVEDD, LVESD, and SAS score of the observation group were lower than those of the control group while LVEF and HPLP score were higher than those of the control group (P<0.05);the incidence of adverse events in the observation group was 4.65%(2/43), which was lower than that in the control group [21.43% (9/42), P<0.05]. Conclusion Among patients with acute heart failure, quantitative management nursing intervention is helpful for improving nursing quality and reducing the incidence of adverse events, and additionally, improving patients' psychological state, enhancing healthy behaviors and promoting cardiac function improvement.

quantitative managementacute heart failurecardiac functionadverse eventemotional state

王东南、杨静、贾转曌、钟恒坤

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461000 河南 许昌,许昌市人民医院急诊内科

450000 河南 郑州,郑州市第一人民医院急诊科

量化管理 急性心力衰竭 心脏功能 不良事件 情绪状态

河南省医学科技攻关联合共建项目

LHGJ20199911

2024

实用心电学杂志
江苏大学

实用心电学杂志

影响因子:0.648
ISSN:2095-9354
年,卷(期):2024.33(4)