延续性护理对心力衰竭患者自我护理能力及健康行为的作用(1)
摘要：目的 对应用延续性护理模式对患有心力衰竭疾病的患者在治疗期间实施护理的临床效果进行研究。方法 选择我院收治的患有心力衰竭疾病的患者82例，随机分为对照组和治疗组，平均每组41例。采用常规护理模式对对照组患者在治疗期间实施护理；采用延续性护理模式对观察组患者在治疗期间实施护理。对比两组患者自我护理能力、干预前后健康行为评分改善幅度、对心力衰竭疾病治疗期间的护理服务满意度、心脏疾病治疗期间出现的不良反应。结果 观察组研究对象在干预后能够自我护理的人数明显多于对照组；干预前后健康行为评分改善幅度明显大于对照组；对心力衰竭疾病治疗期间的护理服务满意度明显优于对照组；心脏疾病治疗期间出现的不良反应明显少于对照组。结论 应用延续性护理模式对患有心力衰竭疾病的患者在治疗期间实施护理的临床效果非常明显。
关键词：延续性护理；心力衰竭；自我护理；健康行为
Effect of Continuous Nursing on Self-care Ability and Health Behavior of Patients with Heart Failure
, 百拇医药
TANG Yu
(Mianyang People's Hospital，Mianyang 621000，Sichuan，China)
Abstract：Objective To study the clinical effect of nursing care for patients with heart failure in the treatment of patients with heart failure. Methods 82 cases of patients with heart failure in our hospital were randomly divided into control group and treatment group， with 41 cases in each group. Nursing care of patients in control group were treated by routine nursing mode and nursing care of patients in observation group was carried out during the period of treatment. Compared with the two groups of patients self-care ability， health behavior score before and after intervention to improve the rate of care for patients with heart failure during the treatment of satisfaction， the adverse reactions during the treatment of heart disease. Results In the observation group， the number of the object of study can self care significantly more than the control group after the intervention； before and after the intervention of health behavior were improved significantly than those of control group； the nursing service satisfaction was significantly better than the control group during the treatment of heart failure disease； adverse reactions during the treatment of heart disease was significantly lower than the control group. Conclusion The application of continuity care model for patients with heart failure in patients with the clinical effect of nursing care during the period of treatment is very obvious.
, 百拇医药
Key words：Continuity nursing； Heart failure；Self nursing； Health behavior
慢性心力衰竭屬于由多种心脏疾病共同作用之后所导致的一种心功能不全临床综合征类疾病，该病患者的病程时间相对较长，且通常情况下会同时伴有进行性的症状表现，大多数情况下会受到运动、情绪、服药等相关因素的共同影响，临床治疗方面主要以缓解患者的症状表现，在最大程度上延长生命为基本原则。因此，慢性心力衰竭疾病会由于病情在治疗后再次复发而再住院，对其生活质量造成严重不良影响，占用大量医疗资源，使家庭和社会的负担明显增多[1-2]。本次对应用延续性护理模式对患有心力衰竭疾病的患者在治疗期间实施护理的临床效果进行研究。现汇报如下。
1 资料与方法
1.1一般资料 在2014年6月～2016年6月选择我院收治的患有心力衰竭疾病的患者82例，随机分为对照组和治疗组，平均每组41例。对照组患者心力衰竭病史1～17个月，平均病史时间(8.3±1.4)个月；男性患者25例，女性患者16例；患者体重42～79 kg，平均体重(53.8±7.3)kg；患者年龄49～85岁，平均年龄(54.4±7.0)岁；心脏功能Ⅱ级患者18例，心脏功能Ⅲ级患者15例，心脏功能Ⅳ级患者8例；心力衰竭本次发病时间1～26 h，平均发病时间(10.3±2.4)h；治疗组患者心力衰竭病史1～15个月，平均病史时间(8.1±1.2)个月；男性患者24例，女性患者17例；患者体重44～73 kg，平均体重(53.2±7.9)kg；患者年龄47～82岁，平均年龄(54.6±7.4)岁；心脏功能Ⅱ级患者19例，心脏功能Ⅲ级患者13例，心脏功能Ⅳ级患者9例；心力衰竭本次发病时间1～29 h，平均发病时间(10.6±2.2)h。治疗组与对照组患者上述相关指标比较无明显统计学差异(P>0.05)，具可比性。, http://www.100md.com(唐玉)
关键词：延续性护理；心力衰竭；自我护理；健康行为
Effect of Continuous Nursing on Self-care Ability and Health Behavior of Patients with Heart Failure
, 百拇医药
TANG Yu
(Mianyang People's Hospital，Mianyang 621000，Sichuan，China)
Abstract：Objective To study the clinical effect of nursing care for patients with heart failure in the treatment of patients with heart failure. Methods 82 cases of patients with heart failure in our hospital were randomly divided into control group and treatment group， with 41 cases in each group. Nursing care of patients in control group were treated by routine nursing mode and nursing care of patients in observation group was carried out during the period of treatment. Compared with the two groups of patients self-care ability， health behavior score before and after intervention to improve the rate of care for patients with heart failure during the treatment of satisfaction， the adverse reactions during the treatment of heart disease. Results In the observation group， the number of the object of study can self care significantly more than the control group after the intervention； before and after the intervention of health behavior were improved significantly than those of control group； the nursing service satisfaction was significantly better than the control group during the treatment of heart failure disease； adverse reactions during the treatment of heart disease was significantly lower than the control group. Conclusion The application of continuity care model for patients with heart failure in patients with the clinical effect of nursing care during the period of treatment is very obvious.
, 百拇医药
Key words：Continuity nursing； Heart failure；Self nursing； Health behavior
慢性心力衰竭屬于由多种心脏疾病共同作用之后所导致的一种心功能不全临床综合征类疾病，该病患者的病程时间相对较长，且通常情况下会同时伴有进行性的症状表现，大多数情况下会受到运动、情绪、服药等相关因素的共同影响，临床治疗方面主要以缓解患者的症状表现，在最大程度上延长生命为基本原则。因此，慢性心力衰竭疾病会由于病情在治疗后再次复发而再住院，对其生活质量造成严重不良影响，占用大量医疗资源，使家庭和社会的负担明显增多[1-2]。本次对应用延续性护理模式对患有心力衰竭疾病的患者在治疗期间实施护理的临床效果进行研究。现汇报如下。
1 资料与方法
1.1一般资料 在2014年6月～2016年6月选择我院收治的患有心力衰竭疾病的患者82例，随机分为对照组和治疗组，平均每组41例。对照组患者心力衰竭病史1～17个月，平均病史时间(8.3±1.4)个月；男性患者25例，女性患者16例；患者体重42～79 kg，平均体重(53.8±7.3)kg；患者年龄49～85岁，平均年龄(54.4±7.0)岁；心脏功能Ⅱ级患者18例，心脏功能Ⅲ级患者15例，心脏功能Ⅳ级患者8例；心力衰竭本次发病时间1～26 h，平均发病时间(10.3±2.4)h；治疗组患者心力衰竭病史1～15个月，平均病史时间(8.1±1.2)个月；男性患者24例，女性患者17例；患者体重44～73 kg，平均体重(53.2±7.9)kg；患者年龄47～82岁，平均年龄(54.6±7.4)岁；心脏功能Ⅱ级患者19例，心脏功能Ⅲ级患者13例，心脏功能Ⅳ级患者9例；心力衰竭本次发病时间1～29 h，平均发病时间(10.6±2.2)h。治疗组与对照组患者上述相关指标比较无明显统计学差异(P>0.05)，具可比性。, http://www.100md.com(唐玉)
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