Application effects of rehabilitation nursing based on multidisciplinary treatment in patients with coronary heart disease complicated with heart failure
Objective:To observe application effects of rehabilitation nursing based on multidisciplinary collaboration(MDT)in patients with coronary heart disease complicated with heart failure.Methods:A prospective study was conducted on 80 patients with coronary heart disease complicated with heart failure admitted to the hospital from March 2021 to March 2023.They were divided into control group and observation group by using the random number table method,40 cases in each group.The control group received routine nursing,while the observation group received the rehabilitation nursing based on MDT.The psychological state[depression-anxiety-stress scale-21(DASS-21)]score,the compliance behavior score,the cardiac function index[left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD)]levels,the quality of life[the MOS 36-item short form health survey(SF-36)]score before and after the nursing,and the incidence of cardiovascular adverse events were compared between the two groups.Results:After 12 weeks of nursing,the DASS-21 scores of pressure,anxiety and depression as well as the LVESD and LVEDD levels in the observation group were lower than those in the control group;the scores of compliance behaviors such as scientific exercise,medical compliance,reasonable diet and regular review,and the SF-36 scores of physiological function,physiological role,emotional function,physical pain,vitality,social function,mental health and general health status of the observation group were higher than those of the control group;and the differences were statistically significant(P＜0.05).The incidence of cardiovascular adverse events in the observation group was 5.00%(2/40),which was lower than 20.00%(8/40)in the control group,and the difference was statistically significant(P＜0.05).Conclusions:The rehabilitation nursing based on MDT is effective in the patients with coronary heart disease and heart failure.It can reduce the adverse psychological state,reduce the incidence of cardiovascular adverse events,and improve the treatment compliance,the cardiac function and the quality of life.Moreover,it is superior to the routine nursing.
Coronary heart diseaseHeart failureMultidisciplinary treatmentPsychological stateCompliance behaviorCardiac function
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维普
