摘要
目的探讨NuMan模式下专职化层级护理在缺血性心肌病合并心力衰竭患者中的护理效果。方法选取2021年1月-2022年1月新乡市中心医院诊治的78例缺血性心肌病合并心力衰竭患者,采用随机信封法分为对照组(37例)与观察组(41例)。对照组患者采用常规护理干预,观察组患者采用NuMan模式下专职化层级护理干预,2组患者均持续干预3周。比较2组患者干预前后的汉密尔顿焦虑量表(HAMA)与汉密尔顿抑郁量表(HAMD)评分,干预后的自我管理能力、自我感受负担、生活质量评分以及护理干预期间的不良事件发生情况。结果观察组患者干预后合理饮食、按时用药、自我心理调节、康复训练配合4个方面自我管理能力评分高于对照组,差异均有统计学意义(P<0.05)。观察组患者干预后世界卫生组织生存质量测评量表(WHO-QOL-100)中精神、生理、社会关系、独立能力4个维度评分均高于对照组,差异均有统计学意义(P<0.05)。2组患者干预后HAMA、HAMD评分均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组患者干预后自我感受负担量表(SPBS)中身体负担、情感负担、经济负担3个维度评分均低于对照组,差异均有统计学意义(P<0.05)。观察组不良事件发生率为7.32%,低于对照组的24.32%,差异有统计学意义(P<0.05)。结论NuMan模式下专职化层级护理干预用于缺血性心肌病合并心力衰竭患者,有助于改善患者负性情绪,降低自我感受负担,提高自我管理能力和生活质量。
Objective To explore the care effect of professional layered care in patients with ischemic cardiomyopathy complicated with heart failure under Nu Man model.Methods From January 2021 to January 2022,78 patients with ischemic cardiomyopathy complicated with heart failure were randomly assigned to the control group(n=37)and observation group(n=41).Participants in the control group received routine care intervention,and participants in the observation group professional layered care intervention under Nu Man model.The continuous intervention was performed for 3 weeks in both groups.The Hamilton Anxiety Rating Scale(HAMA)and Hamilton Depression Rating Scale(HAMD)scores before and after the intervention,self-management ability,self-perceived burden,quality of life scores after the intervention,and adverse events during care intervention were compared between the two groups.Results The scores of self-management ability in reasonable diet,medication on time,self-psychological regulation and rehabilitation training after intervention in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05)After the intervention,the scores of mental,physical,social relationships and independent ability in the World Health Organization Quality of Life Assessment(WHO-QOL-100)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The HAMA and HAMD scores of the patients in the 2 groups after intervention were lower than those before the intervention,and the observation group was lower than the control group,with statistically significant differences(P<0.05).After the intervention,the scores of the physical burden,emotional burden and economic burden in the Self-Perceived Burden Scale(SPBS)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence rate of adverse events in the observation group was 7.32%,which was lower than that in the control group(24.32%),and the difference was statistically significant(P<0.05).Conclusion The professional layered care intervention under Nu Man model for patients with ischemic cardiomyopathy complicated with heart failure is helpful to improve their negative emotions,reduce self-perceived burden,and raise their self-management ability and quality of life.
作者
郝宗娇
杨美玲
桑品品
Hao Zongjiao;Yang Meiling;Sang Pinpin(Cardiovascular Intensive Care Unit,Xinxiang Central Hospital/the Fourth Clinical College of Xinxiang Medical College,Xinxiang Henan 453000,China)
出处
《保健医学研究与实践》
2022年第8期116-119,124,共5页
Health Medicine Research and Practice
