摘要
目的探讨个体化综合护理干预对重症心力衰竭患者的疗效。方法入选我院2009年4月至2013年6月收治的80例重症心力衰竭患者,随机分为两组。对照组40例给予常规内科治疗及护理,试验组40例给予常规内科治疗及个体化综合护理干预。观察两组患者治疗预后和心脏彩超的差异。结果试验组再次住院率为35.0%,低于对照组的57.5%,差异有统计学意义(P<0.05);试验组死亡率2.5%,稍低于对照组的7.5%,无统计学差异(P>0.05);治疗后,试验组LVEF上升,同时其高于同期对照组,差异均有统计学意义(P<0.05);试验组ESD下降,同时其低于同期对照组,差异均有统计学意义(P<0.05)。结论个体化综合护理干预对重症心力衰竭患者疗效显著,能够显著降低患者死亡率,同时减少患者再次住院的发生率,改善患者左心功能,延缓左室重构。
Objective To investigate the efficacy of individualized comprehensive nursing intervention for patients with severe heart failure. Methods 80 patients with severe heart failure in our hospital from April 2009 to June 2013 were randomly divided into two groups. 40 cases of control group received the conventional medical treatment and nursing, and 40 cases of experimental group received the conventional medical treatment and individualized comprehensive nursing intervention. The differences of prognosis and cardiac ultrasound between two groups were observed. Results The incidence of re-hospitalization was 35.0% in the experimental group, significantly lower than 57.5% in the control group （P〈0.05）. The mortality rate was 2.5% in the experimental group, lower than 7.5% in the control group （P 〉0.05）. After treatment, the LVEF increased significantly in experimental group, which higher than that in the control group at the same period （P〈0.05）; the ESD decreased significantly in experimental group, which lower than that in the control group at the same period （P〈0.05）. Conclusions Individualized comprehensive nursing intervention for severe heart failure has significant effect. It can significantly reduce mortality rate and the incidence of re-hospitalization, improve left ventricular function, and delay the left ventricular remodeling.
出处
《临床医学工程》
2014年第2期244-245,共2页
Clinical Medicine & Engineering
关键词
个体化
综合护理干预
重症心力衰竭
应用效果
Individualization
Comprehensive nursing intervention
Severe heart failure
Application effect
