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目的探讨延续性护理联合常规护理对慢性心力衰竭(CHF)患者康复期的效果。方法选取2014年1月—2015年2月开平市中心医院收治的CHF患者80例进行研究,按照随机分为对照组和观察组,每组40例。对照组在住院期间行常规的护理方法,观察组在对照组基础上行延续性护理干预。随访1年后比较两组患者心功能分级、心脏彩色多普勒超声检查结果[E峰/A峰(E/A)、左室舒张末期内径(LVEDD)、每搏量(SV)、左室射血分数(LVEF)]和生活质量评价量表和6 min步行试验情况。结果两组患者比较心功能分级情况,观察组明显优于对照组,两组比较差异有统计学意义(P<0.05);观察组患者心脏彩色多普勒超声结果 (E/A、SV、LVEDD、LVEF)均明显高于对照组,差异有统计学意义(P<0.05);观察组生活质量评分、6 min步行试验结果均明显高于对照组,差异有统计学意义(P<0.05)。结论延续性护理干预联合常规护理对CHF患者提高生活质量、增加心脏泵血及改善心脏功能效果理想。
Objective To investigate the effect of continuous nursing combined with routine nursing on convalescent period of patients with chronic heart failure (CHF). Methods A total of 80 CHF patients admitted to Kaiping Central Hospital from January 2014 to February 2015 were selected and randomly divided into control group and observation group, 40 cases in each group. The control group underwent routine nursing during hospitalization. The observation group underwent continuous nursing intervention on the basis of the control group. After one year of follow-up, the cardiac function was compared between the two groups. The results of color Doppler echocardiography (E / A, LVEDD, SV, left ventricle Ejection fraction (LVEF)] and the quality of life rating scale and the 6-minute walk test. Results Compared with the control group, the observation group was superior to the control group in the two groups (P <0.05). The color Doppler echocardiography (E / A, SV, LVEDD , LVEF) were significantly higher than those in the control group (P <0.05). The quality of life score of the observation group and the walking test at 6 min were significantly higher than those of the control group (P <0.05). Conclusion Continuous nursing intervention combined with routine care for CHF patients with improved quality of life, increased cardiac pumping blood and improve cardiac function results.