首页|概念重建认知护理对老年慢性心力衰竭患者的影响

概念重建认知护理对老年慢性心力衰竭患者的影响

扫码查看
原文链接
  • NETL
  • NSTL
  • 万方数据
  • 维普
目的:探讨概念重建认知护理对老年慢性心力衰竭患者的影响。方法:选取 2019 年 1 月 1 日～2022 年 12 月 31 日收治的 90 例老年慢性心力衰竭患者，采用摸球法分组，奇数为对照组 45 例，偶数为研究组 45 例，对照组采用常规护理，研究组在常规护理基础上实施概念重建认知护理;比较两组干预前后心功能指标[包括左心室射血分数(LVEF)、6 分钟步行距离试验(6MWT)]、自我护理状态(采用心力衰竭自我护理指数)、心理状态[采用汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)]、疾病知识知晓程度、生活质量[采用明尼苏达州心力衰竭生活质量问卷(LiHFe)]。结果:干预后，研究组LVEF高于对照组(P<0。05)，6MWT长于对照组(P<0。05);干预后，研究组心力衰竭自我护理指数各部分评分及总分均高于对照组(P<0。05)，HAMA、HAMD评分均低于对照组(P<0。05)，疾病知识知晓评分及LiHFe评分均高于对照组(P<0。05)。结论:概念重建认知护理能提升老年慢性心力衰竭患者的心功能、心力衰竭自我护理能力，改善患者心理状态，提高疾病知识知晓及生活质量。
Impact of Conceptual Reconstruction Cognitive Care on Elderly Patients with Chronic Heart Failure
Objective:To explore the impact of conceptual reconstruction cognitive care on elderly patients with chronic heart failure.Methods:A total of 90 elderly patients with chronic heart failure treated from January 1,2019 to December 31,2022 were divided into groups using ball-drawing method,with odd numbers as the control group and even numbers as the observation group with 45 in each group.The control group received conventional care,while the observation group received conceptual reconstruction cognitive care in addi-tion to the conventional care.Different indicators of the two groups after intervention were compared,including cardiac function indexes by Left Ventricular Ejection Fraction(LVEF),6-minute walk test(6MWT),Self-care status(heart failure Self-care Index),psychological sta-tus by Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),disease knowledge awareness score,and Minnesota Living with Heart Failure Questionnaire(LiHFe).Results:After intervention,LVEF in the observation group was higher than that in the control group(P<0.05),6MWT was longer than that in the control group(P<0.05).After intervention,the scores and total scores of heart failure Self-care indexes were higher in the observation group than those of control group(P<0.05),HAMA and HAMD scores was lower than those of control group(P<0.05),disease knowledge awareness score and LiHFe score were higher than those of control group(P<0.05).Conclusion:Conceptual reconstruction cognitive care can significantly enhance cardiac function and heart failure self-care ability of elderly patients with chronic heart failure,improve their psychological status,enhance their disease knowledge awareness and quality of life.

Conceptual ReconstructionCognitive CareElderlyChronic Heart FailureQuality of life

孔红娟、史潇夏、周芬

展开 >

河南中医药大学第一附属医院 河南郑州 450000

概念重建 认知护理 老年 慢性心力衰竭 生活质量

2024

10.3969/j.issn.1006-7256.2024.03.002

齐鲁护理杂志
山东省护理学会

齐鲁护理杂志

影响因子：1.452
ISSN：1006-7256
年,卷(期)：2024.30(3)
  • 14