全责护理模式在慢性心力衰竭患者康复训练中的应用效果

目的观察全责护理模式在慢性心力衰竭患者康复训练中的应用效果。方法采用随机数字表法将86例患者随机分为观察组（n=43）和对照组（n=43）；16名护士分为A、B两组，A组实行全责护理模式，B组实行责任制和功能制相结合的护理模式；观察组由A组护士负责康复训练4周，对照组由B组护士负责康复训练4周。比较两组患者人院时和出院时的射血分数（EF）、6rain步行试验的距离（6MWT）和出院时患者对康复训练知识的知晓率和满意度得分之间的差异。结果入院时两组EF、6MWT比较，差异无统计学意义（t值分别为1．598，1．523；P均〉0．05）。出院时观察组EF（54．13±9．12）、6MWF（402．63±74．81），均高于对照组EF（43．26±8．57）、6MWT（336．16±75．82），两组比较差异有统计学意义（t值分别为2．093，2．145；P均〈0．05）；各组EF、6MWT出院与入院时比较，差异有统计学意义（t值分别为2．681，2．010，2．791，2．185；P均．〈0．01）。出院时两组患者满意度得分比较，差异有统计学意义（t=2．145，P〈0．05）。结论全责护理模式用于慢性心力衰竭患者的康复训练中可取得显著效果。

Effect of full-responsibility nursing model in the rehabilitation exercise on patients with chronic heart failure

Objective To observe the effect of full-responsibility nursing model in rehabilitation exercise on patients with chronic heart failure （HF）. Methods Eighty-six patients with HF were randomly divided into observation group and control group, with 43 cases in each group, sixteen nurses were randomly divided into A and B group; A group carried out full - responsibility nursing model and was in charge of the rehabilitation exercise of observation, group, B group carried out routine holistic nursing model and was in charge of the rehabilitation exercise of control group. After 4 weeks, the effects including EF, 6MWT, the knowing of rehabilitation exercise, satisfaction to the hospital were evaluated. Results Before rehabilitation exercise, there were no significant differences in EF and 6MWT（ P 〉 0.05 ）. After 4 weeks, EF was（54.13 ＋ 9.12） and 6MWT was （402.63 ＋74.81 ） in the observation group, while EF was （43.26 ~ 8.57） and 6MWT was （336.16 ＋ 75.82） in the control group. There were signifieant differences between the two groups （ t = 2. 093,2. 145 ; P 〈 0. 05 ） i there were significant differences before and after rehabilitation exercise in two groups （ P 〈 0. 05 ）. After 4 weeks, EF and 6MWT of the two groups were both increased, but the effect of the observation group was better （ P 〈 0. 05 ）. After 4 weeks, there were significant differences in the knowing of rehabilitation exercise and the satisfaction to the hospital in the two groups （ P 〈 0. 05 ）. Conclusions Full-responsibility nursing model in rehabilitation exercise can make an effective effect.