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目的分析慢性心力衰竭患者行综合护理干预对其心理状态与生活质量的影响。方法回顾性分析2014年1月—2015年1月本院收治的110例慢性心力衰竭患者临床资料,按不同护理方式分为对照组和观察组各55例。对照组行常规护理,观察组行综合护理干预。对比两组抑郁自评量表(self-rating depression scale,SDS)、焦虑自评量表(self-rating anxiety scale,SAS)得分情况,SF-36量表躯体功能、社会功能、精神状况、总体健康得分情况及复发情况。计量资料组间比较采用t检验,组内比较采用配对t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果观察组与对照组护理后SDS、SAS评分分别为(50.05±5.02)、(40.50±5.72)、(65.20±6.26)、(56.28±6.69)分,均低于护理前的(68.13±7.94)、(60.82±7.25)、(68.15±7.92)、(60.80±7.26)分,差异均有统计学意义(均P<0.05)。两组护理后SDS、SAS评分比较差异均有统计学意义(均P<0.05)。观察组护理后躯体功能、社会功能、精神状况、总体健康得分分别为(74.56±10.42)、(79.36±12.61)、(74.65±13.02)、(80.02±13.60)分,均高于护理前的(55.20±5.24)、(59.35±8.64)、(62.22±8.21)、(58.24±6.25)分,差异均有统计学意义(均P<0.05)。观察组护理后躯体功能、社会功能、精神状况、总体健康得分与对照组[(60.18±5.25)、(62.21±10.40)、(65.53±12.31)、(64.37±13.01分)]比较差异均有统计学意义(均P<0.05)。观察组复发率为18.18%,低于对照组的47.27%,差异有统计意义(P<0.05)。结论慢性心力衰竭患者行综合护理干预可显著缓解患者焦虑、抑郁心理,提高生活质量,降低复发率。
Objective To analyze the effect of comprehensive nursing intervention on psychological status and quality of life in patients with chronic heart failure. Methods The clinical data of 110 patients with chronic heart failure admitted from January 2014 to January 2015 in our hospital were retrospectively analyzed. According to the different nursing methods, 55 cases were divided into control group and observation group. Control group routine nursing, observation group comprehensive nursing intervention. The scores of self-rating depression scale (SDS), self-rating anxiety scale (SAS), physical function of SF-36, social function, mental status, Health score and recurrence. Measurement data were compared between groups using t test, the group was compared using paired t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results The SDS and SAS scores of the observation group and the control group were (50.05 ± 5.02), (40.50 ± 5.72), (65.20 ± 6.26) and (56.28 ± 6.69) points lower than those of the pre-treatment (68.13 ± 7.94) , (60.82 ± 7.25), (68.15 ± 7.92) and (60.80 ± 7.26) points, respectively, with statistical significance (all P <0.05). There was significant difference between the two groups in SDS and SAS scores (all P <0.05). The body function, social function, mental status and overall health score in the observation group after nursing were (74.56 ± 10.42), (79.36 ± 12.61), (74.65 ± 13.02) and (80.02 ± 13.60) points, respectively, 55.20 ± 5.24), (59.35 ± 8.64), (62.22 ± 8.21) and (58.24 ± 6.25), respectively. There were significant differences between the two groups (all P <0.05). The body function, social function, mental status and overall health score in the observation group were statistically different from those in the control group [(60.18 ± 5.25), (62.21 ± 10.40), (65.53 ± 12.31), (64.37 ± 13.01) Significance (both P <0.05). The recurrence rate in observation group was 18.18%, which was lower than that in control group (47.27%), the difference was statistically significant (P <0.05). Conclusion Comprehensive nursing intervention in patients with chronic heart failure can significantly alleviate anxiety and depression in patients, improve quality of life and reduce the recurrence rate.