首页|积极综合护理模式在慢性心衰伴心肾综合征患者中的应用效果及对症状改善、MQSGA评分的影响

积极综合护理模式在慢性心衰伴心肾综合征患者中的应用效果及对症状改善、MQSGA评分的影响

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目的 探讨积极综合护理模式在慢性心衰伴心肾综合征(CRS)患者中的应用效果.方法 选择 2020 年1月至2022年1月收治的 50例慢性心衰伴CRS患者为研究对象,经随机数字表法将其分为常规组和研究组,各 25例.常规组予以一般性基础护理,研究组予以积极综合护理模式.比较两组的护理效果.结果 研究组的呼吸困难、贫血、水肿及乏力改善时间均显著短于常规组(P<0.05).干预后,两组的体质量指数(BMI)均明显升高,改良主观综合性营养评估法(MQSGA)评分均明显降低,且研究组优于常规组(P<0.05).干预后,两组的自我感受负担量表(SPBS)评分均降低,简易应对方式问卷(SCSQ)评分均升高,且研究组优于常规组(P<0.05).结论 积极综合护理模式有助于缓解慢性心衰伴CRS患者的临床症状及自我感受负担,提高患者的体质量,改善其疾病应对态度及营养状况.
Application effect of active comprehensive nursing mode in patients with chronic heart failure and cardiorenal syndrome and its influences on symptom improvement and MQSGA score
Objective To explore the application effect of active comprehensive nursing mode in patients with chronic heart failure and cardiorenal syndrome(CRS).Methods A total of 50 patients with chronic heart failure and CRS admitted from January 2020 to January 2022 were selected as the research objects.The patients were divided into routine group and study group by random number table method,with 25 cases in each group.The routine group was given general basic nursing,and the study group was given active comprehensive nursing mode.The nursing effects of the two groups were compared.Results The improvement time of dyspnea,anemia,edema and fatigue in the study group were significantly shorter than those in the routine group(P<0.05).After intervention,the body mass index(BMI)of the two groups increased significantly,and the scores of Modified Quantitative Subjective Global Assessment(MQSGA)decreased significantly,and those in the study group were better than the routine group(P<0.05).After intervention,the Self-Perceived Burden Scale(SPBS)score of the two groups decreased,and the Simplified Coping Style Questionnaire(SCSQ)score increased,and those in the study group were better than the routine group(P<0.05).Conclusion The active comprehensive nursing model can help alleviate clinical symptoms and self-perceived burden of patients with chronic heart failure and CRS,improve body weight of patients,and improve their disease response attitude and nutritional status.

active comprehensive nursingchronic heart failurecardiorenal syndromeModified Quantitative Subjective Global Assessment

辛雅雅、王丙聚、马虹

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陕西省核工业二一五医院,陕西 咸阳,712000

延安大学咸阳医院,陕西 咸阳,712000

积极综合护理 慢性心衰 心肾综合征 改良主观综合性营养评估法

陕西省重点研发计划

2020SF-150

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(11)
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