护理干预对慢性心力衰竭患者负性情绪、遵医行为和生活质量的影响

目的探讨护理干预对慢性心力衰竭患者负性情绪、遵医行为和生活质量的影响。方法选择100例慢性心力衰竭患者作为研究对象，随机分为观察组和对照组各50例。对照组仅接受常规的基础护理、生活护理与治疗处置，观察组在此基础上进行包括健康教育、舒适环境、体力活动、遵医行为、饮食和心理指导。观察组在患者入院第3天实施干预，并分别在患者入院第3天和出院时对2组患者进行焦虑、抑郁、遵医行为和明尼苏达心力衰竭生活质量调查表的测试。采用r检验和t检验对数据进行分析。结果干预前，观察组与对照组的抑郁、焦虑评分，遵医行为各项构成比，以及生活质量各因子评分比较差异无统计学意义。干预后，2组抑郁、焦虑评分，按时服药、定期复查、合理膳食、戒烟限酒、体力活动等遵医行为，体力限制、情绪、症状、社会限制等生活质量评分比较，观察组均显著优于对照组。结论护理干预有利于改善患者焦虑、抑郁负性情绪，促进患者的遵医行为，提高生活质量。

The impact of nursing intervention on negative moods,compliance behavior and life quality of patients with chronic heart failure

Objective To explore the impact of nursing intervention on negative moods, compliance behavior and life quality of patients with chronic heart failure （CHF）. Methods We randomized 100 pa- tients with CHF into the observation group and the control group. The control group only accepted basic nurs- ing, life nursing and treatment; besides these, the observation group were given other interventions, including health education, comfortable environment, physical activity, compliance behavior, diet and mental guidance 3 days after the patients were admitted into hospital. The two groups were tested for anxiety, depression, compli- ance behavior as well as life quality with Minnesota Living with Heart failure questionnaire both 3 days after the patients were admitted into hospital and when they were discharged. X2 test and t test were used to analyze the data. Results Before intervention, there were no statistical difference in their anxiety, depression, compliance behavior, and life quality between the observation group and the control group. After intervention, the observation group was superior than the control group in anxiety and depression score, compliance behaviors including on- time medicine administration, regular recheck, rational diet, smoke abatement and aleohal re- strietion, physical activity, life quality score including physical limitation, emotion, symptom and social con- strain. Conclusions Nursing intervention could help improve anxiety and depression of the patients with CHF, promote their compliance behaviors and improve their life quality.