首页|基于叙事护理理论的个性化康复训练措施在心脏瓣膜病合并心力衰竭患者中的效果

基于叙事护理理论的个性化康复训练措施在心脏瓣膜病合并心力衰竭患者中的效果

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目的:探讨基于叙事护理理论的个性化康复训练措施在心脏瓣膜病合并心力衰竭患者中的效果。方法:选取2021 年 10 月—2023 年 2 月南华大学附属第二医院收治的 108 例心脏瓣膜病合并心力衰竭患者作为研究对象,根据随机数表法分为试验组和参照组,各 54 例。参照组采用常规护理措施干预,试验组给予基于叙事护理理论的个性化康复训练措施干预。比较两组干预前后的心功能指标、心力衰竭指标、心理状态及并发症发生情况。结果:干预后,试验组左室收缩末期内径(LVESD)、左室舒张末期内径(LVEDD)低于参照组,左心射血分数(LVEF)高于参照组,差异有统计学意义(P<0。05)。干预后,两组抑郁自评量表(SDS)评分和焦虑自评量表(SAS)评分低于干预前,且试验组均低于参照组,差异有统计学意义(P<0。05)。干预后,两组血浆脑钠肽(BNP)和心肌肌钙蛋白I(cTnI)均低于干预前,且试验组均低于参照组,差异有统计学意义(P<0。05)。试验组并发症发生率低于参照组,差异有统计学意义(P<0。05)。结论:基于叙事护理理论的个性化康复训练措施可提高心脏瓣膜病合并心力衰竭患者心功能,改善心力衰竭症状,缓解焦虑抑郁情绪,减少并发症。
Effect of Individualized Rehabilitation Training Measures Based on Narrative Nursing Theory in Patients with Valvular Heart Disease Combined with Heart Failure
Objective:To explore the effect of individualized rehabilitation training measures based on narrative nursing theory in patients with valvular heart disease combined with heart failure.Method:A total of 108 patients with valvular heart disease combined with heart failure admitted to the Second Affiliated Hospital of the University of South China from October 2021 to February 2023 were selected as the study objects,and they were divided into experimental group and reference group according to random number table method,with 54 cases in each group.The reference group was treated with routine nursing measures,and the experimental group was treated with individualized rehabilitation training measures based on narrative nursing theory.The indexes of heart function,heart failure,psychological state before and after intervention and complications were compared between the two groups.Result:After intervention,left ventricular end-systolic diameter(LVESD),left ventricular end-diastolic diameter(LVEDD)in the experimental group were lower than those in the reference group,and left ventricular ejection fraction(LVEF)was higher than that in the reference group,the differences were statistically significant(P<0.05).After intervention,the self-rating depression scale(SDS)score and self rating anxiety scale(SAS)score of the two groups were lower than those before intervention,and those in the experimental group were lower than those in the reference group,the differences were statistically significant(P<0.05).After intervention,brain natriuretic peptide(BNP)and cardiac troponin I(cTnI)in both groups were lower than those before intervention,and those in the experimental group were lower than those in the reference group,the differences were statistically significant(P<0.05).The incidence of complications in the experimental group was lower than that in the reference group,and the difference was statistically significant(P<0.05).Conclusion:Individualized rehabilitation training measures based on narrative nursing theory can improve heart function,improve symptoms of heart failure,relieve anxiety and depression,and reduce complications in patients with valvular heart disease complicated with heart failure.

Narrative nursing theoryPersonalized rehabilitation trainingValvular heart diseaseHeart failure

蒋聪聪、刘亮

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南华大学附属第二医院 湖南 衡阳 421001

叙事护理理论 个性化康复训练 心脏瓣膜病 心力衰竭

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(19)