综合护理干预对中青年慢性心力衰竭患者负性情绪及生活质量的影响

摘要

目的：：综合护理干预对中青年慢性心力衰竭( CHF )患者负性情绪的影响,提高生活质量。方法：选择符合标准的患者80例,根据入院先后顺序分为观察组(单数)和对照组(双数)各40例,对照组给予常规护理,观察组给予综合护理干预,采用焦虑自评量表( SAS)、抑郁自评量表( SDS)、明尼苏达心功能不全生命质量量表(MLHFQ)及6min步行距离(6MWD)评价护理效果。结果：入组时,两组患者SAS、SDS及MLHFQ各领域评分比较,差异均无统计学意义( P>0.05)；入组后3个月,两组患者SAS、SDS及MLHFQ各领域评分较入组时均下降,但观察组患者下降幅度更大,差异有统计学意义( P<0.05)。入组时,观察组患者6MWD(311.20±43.05)m,对照组6MWD(324.52±43.63)m,差异无统计学意义(P>0.05)；入组后3个月,观察组患者6MWD(439.61±32.74)m,对照组6MWD(402.41±38.72)m,较本组入组时均提升,但观察组提升幅度更大,差异有统计学意义( P<0.05)。结论：综合护理干预能有效减轻CHF患者的焦虑及抑郁情绪,改善生活质量,提升活动能力。%Objective: Objective: To investigate the effects of comprehensive nursing in-tervention on the negative emotions and to elevate the quality of life in young and middle-aged patients with chronic heart failure ( CHF) . Methods:A total of 80 eligible patients were selected, and divided into obser-vation group (with odd numbers) and control group (with even numbers) according to the admission num-bers, with 40 patients in each group. The control group was given usual care, while the observation group giv-en comprehensive nursing intervention, and the nursing effects were evaluated by self-rating anxiety scale (SAS), self-rating depression scale (SDS), Minnesoda living with heart failure questionnaire (MLHFQ), and 6-min walking distance (6MWD). Results:When grouping, the differences in SAS, SDS, and MLHFQ scores were statistically insignificant (P>0.05); at 3m after grouping, the patients of both groups had de-creased SAS, SDS, and MLHFQ scores, but the patients of the observation group had greater decreasing ex-tents, and the differences were statistically significant (P<0.05). When grouping, 6MWD of the observation group and control group were (311.20±43.05)m and (324.52±43.63)m, respectively, and the difference was statistically insignificant ( P>0.05);at 3m after grouping, 6MWD of the observation group and control group were (439.61±32.74)m and (402.41±38.72)m, respectively; both were higher than those when grouping, but the observation group had greater increasing extent, and the differences were statistically significant ( P<0. 05) . Conclusion:Comprehensive nursing intervention can effectively lighten the anxiety and depression, im-prove the quality of life, and elevate the locomotor activity in CHF patients.