摘要
目的:研究精细化护理联合延续性护理对老年慢性心力衰竭(CHF)患者遵医行为和生活质量的影响.方法:选择2019年2月至2021年2月我院心内科收治的120例老年CHF患者,根据随机数字表法均分为对照组(给予常规护理干预)和研究组(给予精细化护理联合延续性护理),两组均干预2个月.比较两组干预前后心理状态评估量表(MSSNS)、简易精神状态检查量表(MMSE)、遵医行为调查表、明尼苏达心力衰竭患者生活质量问卷(MLHFQ)评分.结果:干预后,与对照组比较,研究组MSSNS量表评分[(61.02±2.97)分比(55.81± 3.38)分]和MLHFQ量表评分[(58.90±3.49)分比(41.70±2.80)分]显著降低,MMSE量表评分[(25.61 ±3.32)分比(29.68±3.51)分]显著增加,同时研究组的遵医定期复诊、遵医适量康复运动、遵医用药、遵医饮食、遵医稳定情绪百分比均显著增加(P＜0.05或＜0.01).结论:精细化护理联合延续性护理可以显著改善老年慢性心力衰竭患者治疗过程中的心理精神状态、遵医行为和生活质量.
Abstract
Objective:To study the effects of refined nursing combined with continuous nursing on medical compli-ance behavior and quality of life in elderly patients with chronic heart failure(CHF).Methods:A total of 120 aged CHF patients treated in our Department of Cardiology from Feb 2019 to Feb 2021 were selected.According to ran-dom number table method,they were equally divided into control group(given routine nursing intervention)and study group(given refined nursing combined with continuous nursing),both groups were intervened for 2 months.Scores of mental status scale in non-psychiatric settings(MSSNS),mini-mental state examination(MMSE),med-ical compliance behavior questionnaire,and Minnesota living with heart failure questionnaire(MLHFQ)were com-pared between the two groups before and after intervention.Results:After intervention,compared with control group,there were significant reductions in scores of MSSNS[(61.02±2.97)points vs.(55.81±3.38)points]and MLHFQ[(58.90±3.49)points vs.(41.70±2.80)points],and significant rise in MMSE score[(25.61±3.32)points vs.(29.68±3.51)points]in study group;and significant rise in percentages of compliance to regular return visit,appropriate rehabilitation exercise,medication,diet and emotion stabilization in study group,P＜0.05 or＜0.01.Conclusion:Refined nursing combined with continuous nursing can significantly improve the mental state,medical compliance behavior and quality of life in elderly patients with chronic heart failure during the treatment.
基金项目
河北省医学科学研究重点课题(2018)(20181220)
维普
万方数据