基于智谋理论的精细化容量管理在心力衰竭易损期患者中的应用研究

【】目的:探讨基于智谋理论的精细化容量管理在心力衰竭易损期患者中的应用效果。方法:选取2021年03月至2022年03月南京市胸科医院收治的180例心力衰竭患者为研究对象,分为对照组和观察组各90例。对照组实施常规容量管理,观察组实施基于智谋理论的精细化容量管理。分别在干预前与干预6个月后应用智谋量表(RS)和明尼苏达心力衰竭生活质量问卷(MLHFQ)评价两组患者智谋水平和生活质量,应用匹茨堡睡眠质量指数量表(PSQI)评价患者睡眠质量,并对比两组患者干预前后的心功能水平变化。结果:干预后两组患者RS评分均升高,观察组高于对照组,MLHFQ评分降低,观察组低于对照组(P＜0.05)；干预后两组患者的日间功能、催眠药物、睡眠障碍、睡眠效率、睡眠时间、入睡时间、睡眠质量和PSQI总评分均降低,且观察组较对照组低(P＜0.05)；干预后两组患者LVEF均升高,且观察组较对照组高,LVESV、LVEDV水平降低,观察组较对照组低(P＜0.05)。结论:基于智谋理论的精细化容量管理可改善易损期心力衰竭患者的智谋水平,提升其生活质量与睡眠质量,进而辅助提升患者心功能水平,值得临床应用推广。

Research on the Application of Refined Capacity Management Based on Wisdom Theory in Patients with Vulnerable Heart Failure

[Abstract]Objective: To explore the application effect of refined capacity management based on the theory of intelligence in patients with vulnerable heart failure. Method: 180 patients with heart failure admitted to Nanjing Chest Hospital from March 2021 to March 2022 were selected as the study subjects. They were randomly divided into a matched group and an observation group with 90 patients in each group. The matched group implemented routine capacity management, while the observation group implemented refined capacity management based on the theory of intelligence. Before and 6 months after intervention, the Wisdom Scale (RS) and Minnesota Heart Failure Quality of Life Questionnaire (MLHFQ) were used to evaluate the intelligence and quality of life of two groups of patients. The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the sleep quality of patients, and the changes in cardiac function levels of the two groups of patients before and after intervention were compared. Result: After intervention, the RS scores of both groups of patients increased, and the observation group was higher than the matched group. The MLHFQ score decreased, and the observation group was lower than the matched group (P<0.05); After the intervention, the daytime function, hypnotics, sleep disorders, sleep efficiency, sleep time, sleep time, sleep quality and PSQI total score of patients in both groups decreased, and the observation group was lower than the matched group (P<0.05); After intervention, LVEF increased in both groups of patients, and the observation group was significantly higher than the matched group. LVESV and LVEDV levels decreased, while the observation group was lower than the matched group (P<0.05). Conclusion: Refined capacity management based on the theory of intelligence can improve the intelligence level of patients with vulnerable heart failure, improve their quality of life and sleep, and assist in improving their cardiac function level, which is worthy of clinical application and promotion.