新型优化康复模式在老年心力衰竭病人中的护理效果及对不良心脏事件发生率的影响研究

目的:探讨新型优化康复模式在老年心力衰竭病人中的护理效果及对不良心脏事件发生率的影响。方法:选择老年心力衰竭病人300例作为研究对象,随机分为对照组和观察组各150例。对照组给予常规护理,观察组在对照组基础上联合新型优化康复模式,护理后4周对病人效果进行评估,比较两组心功能水平、不良心脏事件发生率及知晓率。结果:观察组护理后4周左心室收缩末期容积(LVESV)、室壁运动积分指数(WMSI)水平低于对照组(P<0.05);观察组护理后4周左心室舒张末期容积(LVEDV)水平高于对照组(P<0.05);观察组护理后4周心肌梗死、心律失常、心绞痛、再发心力衰竭心脏不良事件发生率低于对照组(P<0.05);观察组护理后4周治疗方法、疾病发展、疾病危害知晓率及护理方法、护理效果及护理内容满意度均高于对照组(P<0.05)。结论:新型优化康复模式用于老年心力衰竭病人中能提高病人心功能水平,有助于提高病人相关知识知晓率和对护理工作满意度,降低不良心脏事件发生率。

Nursing effect of new optimized rehabilitation model in elderly patients with heart failure and its effect on incidence of adverse cardiac events

Objective:To explore the nursing effect of the new optimized rehabilitation model in elderly patients with heart failure and its effect on the incidence of adverse cardiac events.Methods:A total of 300 elderly patients with heart failure from June 2017 to December 2019 were selected as subjects and randomly divided into control group(150 cases)and observation group(150 cases).The patients in control group received routine care,and the patients in observation group received routine care combined with a new optimized rehabilitation model based on routine care.The effect was evaluated after 4 weeks of nursing,and the heart function level,the incidence of adverse cardiac events,and the awareness rate were compared.Results:In the observation group at 4 weeks after nursing,the levels of Left Ventricular End-Systolic Volume(LVESV)and wall motion score index(WMSI)were lower than those in the control group(P<0.05);the level of Left Ventricular End-Diastolic Volume(LVEDV)was higher than that in the control group(P<0.05);the incidence of myocardial infarction,arrhythmia,angina pectoris,and recurrent heart failure were lower than those in the control group(P<0.05);the satisfaction on treatment method,disease development,disease hazard awareness rate,nursing method,nursing effect and nursing content were higher than those in the control group(P<0.05).Conclusions:The new optimized rehabilitation model could improve the heart function level of elderly patients with heart failure,which could help to increase patients′awareness and satisfaction,and reduce the incidence of adverse cardiac events.