综合护理对老年慢性心功能不全患者治疗依从性、生活质量及心功能的影响

目的探讨综合护理干预对老年慢性心功能不全患者治疗依从性、生活质量及心功能的影响。方法将97例老年慢性心功能不全患者随机分为观察组和对照组,对照组患者实施常规护理,观察组患者则实施综合性护理干预。随访半年后对2组患者治疗依从性、生活质量及心功能进行评估。结果观察组的治疗依从性及生活质量干预后较干预前明显改善,也明显优于对照组,差异具有统计学意义(P<0.05)。观察组的美国纽约心脏病协会分级及左室射血分数干预后也优于干预前,且明显优于对照组,差异具有统计学意义(P<0.05)。干预后观察组6 min步行距离较对照组明显增加(P<0.05)。结论综合护理干预能明显提高老年心功能不全患者治疗依从性,改善心功能,提高患者生活质量。

Influence of comprehensive nursing intervention on the compliance,life quality and cardiac function in the treatment of elderly patients with chronic cardiac insufficiency

Objective To explore the influence of comprehensive nursing intervention on the compliance,life quality and cardiac function of elderly patients with chronic cardiac insufficiency.Methods Ninety-seven elderly patients with chronic cardiac insufficiency were randomly divided into observation group(n=49) and control group(n=48).Comprehensive nursing intervention was conducted in observation group and routine nursing care was given to control group.The compliance with treatment,life quality and cardiac function in both groups were evaluated after following up for half a year.Results There was a significant difference since the treatment compliance and life quality in the observation group were improved obviously compared with control group and preintervention(P<0.05).Meanwhile,there was a significant difference since the New York Heart Association(NYHA) and Left Ventricular Ejection Fraction(LVEF) in the observation group were higher than that of control group and preintervention(P<0.05).There was a significant difference since the 6-minute walk distance in observation group was further than that of control group(P<0.05).Conclusion Comprehensive nursing intervention enables to obviously increase patients′ treatment compliance and cardiac function and finally achieve the goal of improvement of patients' life quality.