首页|慢性疾病轨迹模式护理在慢性心力衰竭患者中的应用效果

慢性疾病轨迹模式护理在慢性心力衰竭患者中的应用效果

扫码查看
目的:观察慢性疾病轨迹模式护理在慢性心力衰竭(CHF)患者中的应用效果.方法:回顾性分析 2019 年 5 月至 2023 年2 月该院收治的 75 例CHF患者的临床资料,按护理方式不同将其分为对照组 37 例与观察组 38 例.对照组给予常规护理,观察组在对照组基础上采用慢性疾病轨迹模式护理.比较两组护理前后生命质量[美国堪萨斯城心肌病患者生存质量表(KCCQ)、基于中国文化改良明尼苏达心力衰竭生存质量量表(C-MLHF)]、希望水平[Herth希望量表(HHI)]、心理状况[心理应激反应问卷(SRQ)],以及护理满意度[纽卡斯尔护理服务满意度量表(NSNS)]评分.结果:护理后,两组KCCQ、C-MLHF评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);护理后,两组HHI评分均高于护理前,且观察组高于对照组;两组SRQ评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组NSNS评分高于对照组,差异有统计学意义(P<0.05).结论:在常规护理基础上采用慢性疾病轨迹模式护理可提高CHF患者生命质量、希望水平和护理满意度评分,降低SRQ评分,其效果优于单纯常规护理.
Application effects of chronic disease trajectory model nursing in patients with chronic heart failure
Objective:To observe application effects of chronic disease trajectory model nursing in patients with chronic heart failure(CHF).Methods:The clinical data of 75 patients with CHF admitted to the hospital from May 2019 to February 2023 were retrospectively analyzed.According to different nursing methods,they were divided into control group(37 cases)and observation group(38 cases).The control group was given routine nursing,while the observation group was given the chronic disease trajectory model nursing on the basis of that of the control group.The scores of quality of life[Kansas city cardiomyopathy questionnaire(KCCQ),Minnesota heart failure quality of life scale(C-MLHF)],hope level[Herth hope index(HHI)]and psychological status[stress response questionnaire(SRQ)]before and after the nursing,and the nursing satisfaction[Newcastle satisfaction with nursing scales(NSNS)]were compared between the two groups.Results:After the nursing,the scores of KCCQ and C-MLHF in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the HHI scores of the two groups were higher than those before the nursing,and that in the observation group was higher than that in the control group;the SRQ scores of the two groups were lower than those before the nursing,and that in the observation group was lower than that in the control group;and the differences were statistically significant(P<0.05).Further,the NSNS score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the chronic disease trajectory model nursing can improve the quality of life scores,the hope level scores and the nursing satisfaction scores of the CHF patients,and reduce the SRQ scores.Moreover,it is superior to simple routine nursing.

Chronic heart failureChronic disease trajectory model nursingQuality of lifeHope levelPsychological statusNursing satisfaction

杜艳

展开 >

商丘市中心医院心内科,河南 商丘 476000

慢性心力衰竭 慢性疾病轨迹护理 生命质量 希望水平 心理状况 护理满意度

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(18)