慢性心力衰竭病人生活质量研究进展

综述了慢性心力衰竭病人的生活质量状况及护理研究进展，提出了研究的空白之处及未来发展方向。     

慢性心力衰竭病人生活质量研究进展

综述了慢性心力衰竭病人的生活质量状况及护理研究进展,提出了研究的空白之处及未来发展方向。     

Health-related quality of life in elderly Chinese patients with heart failure

Heart failure (HF) has a profound impact on patients' health-related quality of life (HRQL). Little is known about factors relating to HRQL in elderly Chinese HF patients. The objective of this cross-sectional correlational study was to identify the demographic, psychosocial, and clinical factors associated with HRQL in this group of patients. Cross-sectional data were obtained from a consecutive sample of hospitalized HF patients (n = 227) with measures of HRQL, psychological distress, perceived social support, and health perception. Functional status was measured with the New York Heart Association Classification (NYHA). In stepwise regression analysis, four variables, including psychological distress, health perception, NYHA classification, and educational level explained 51.8% (p =.01) of the variance in HRQL. These findings suggest that improving HRQL of HF patients entails improving their psychological status, functional status, and health perception.     

1例巨细胞动脉炎并发脑梗死患者的护理

目的探讨影响慢性心力衰竭患者生活质量的因素，以有针对性地提供健康教育，提高患者生活质量。方法选择50例慢性心力衰竭患者，按住院顺序随机分成观察组对照组各25例，2组患者在常规治疗的同时接受健康教育，观察组在此基础上同步针对生活质量影响因素实施家属健康教育。在患者入院时及入院后第6周，采用生活质量指数评定表，分别对2组患者的生活质量进行评分并记录。结果组内比较，观察组入院时与入院第6周比较，入院第6周总体生活质量显著高于入院时，差异有统计学意义（P〈0．01）；组间比较，在入院第6周，观察组总体生活质量显著高于对照组。差异有统计学意义（P〈0．01）。结论对慢性心力衰竭患者，针对其生活质量影响因素同步实施患者家属健康教育，可以有效地提高家属的照顾水平，提高患者的生活质量。     

综合护理干预在慢性肺源性心脏病合并心力衰竭治疗中的应用效果

目的探讨综合护理干预在慢性肺源性心脏病合并心力衰竭治疗中的应用效果。方法选择100例慢性肺源性心脏病合并心力衰竭患者按是否愿意接受综合护理干预分为2组。对照组患者给予常规护理,实验组患者加施综合护理干预,比较2组患者干预前后1 s用力呼气容量、左室射血分数、6 min步行距离、生活质量、并发症与护理满意度等。结果 2组患者干预后FEV1与LVEF水平组间比较存在显著性差异(P0.05);2组患者干预后6 min步行距离与心衰生活质量水平组间比较存在显著性差异(P0.05);实验组患者心律失常发生率明显低于对照组,存在显著差异(P0.05);实验组患者并发症总发生率显著性低于对照组(P0.05);实验组患者护理满意度显著性优于对照组(P0.05)。结论综合护理干预在慢性肺源性心脏病合并心力衰竭治疗中的应用效果显著,可提高患者满意度。     

Quality of life in partners of people with congestive heart failure: gender and involvement in care

Title.  Quality of life in partners of people with congestive heart failure: gender and involvement in care.
Aim.  This paper is a report of a study conducted to investigate quality of life in partners of people with congestive heart failure in comparison to individuals living with a healthy partner.
Background.  Congestive heart failure is a chronic debilitating disease with severe symptoms and complex treatment. The support of partners is essential in the management of congestive heart failure. Living with a chronic illness generally affects the quality of life of patients and their partners.
Method.  Data were collected using a cross-sectional, comparative design between October 2002 and February 2005 with 303 partners of people with congestive heart failure. Reference data were collected in 304 age- and gender-matched individuals living with a healthy partner, drawn from the general population. All respondents completed questionnaires at home on quality of life and general well-being. Analysis of variance was used to analyse the data.
Findings.  Overall, differences in quality of life between partners of people with heart failure and matched controls were small. However, substantial variation in the quality of life of partners was found by exploring the role of gender and involvement in care. Quality of life scores varied strongly for male and female partners who had to perform caregiving tasks. The performance of these caregiving tasks was negatively associated with the quality of life of female partners but not with that of male partners.
Conclusion.  Female partners especially should not be overlooked when they become involved in personal care tasks. Nurses should not be reluctant to involve male partners in caring for women with heart failure.     

一体化护理模式在冠心病合并心力衰竭患者中的应用价值

目的分析一体化护理模式在冠心病合并心力衰竭患者中的应用价值。方法选取我院2018年1月至2019年1月接收的134例冠心病合并心衰患者,根据随机数字法将其分为对照组(n=67,常规护理)和研究组(n=67,一体化护理)。比较两组干预后遵医行为、生存质量及护理满意度。结果干预后,研究组患者遵医行为明显优于对照组,生存质量和护理满意度明显高于对照组(P<0.05)。结论冠心病合并心衰患者行一体化护理模式干预可有效提高患者遵医行为及护理满意度,改善患者生存质量,临床应用价值显著。