摘要
目的 研究基于目标策略的护理干预对老年慢性心力衰竭合并肺部感染患者自我效能及心理弹性的影响。方法 以2021年2月至2022年10月安阳市人民医院收治的老年慢性心力衰竭合并肺部感染患者98例为研究对象,采用随机数字表法分为对照组(49例)和观察组(49例)。对照组进行常规护理管理,观察组进行基于目标策略的护理干预,两组均干预1个月。统计两组疾病转归情况及干预完成后护理满意度、护理质量,比较两组干预前和干预完成后生命体征、自我效能感及心理弹性。结果 观察组机械通气时间、发热时间、喘憋消失时间、心力衰竭症状消失时间、感染缓解时间均短于对照组(P<0.05)。干预完成后两组心率、呼吸频率、收缩压、舒张压较干预前降低,观察组低于对照组(P<0.05);两组一般自我效能感量表(GSES)、坚韧、自强、乐观、自我概念、自护责任感、自我护理技能、健康知识水平较干预前升高,观察组高于对照组(P<0.05)。干预完成后,观察组操作能力、护理态度、问题解决能力、护理行为评分高于对照组(P<0.05)。干预完成后,观察组总满意率高于对照组(P<0.05)。结论 基于目标策略的护理干预可促进老年慢性心力衰竭合并肺部感染患者症状及生命体征改善,进而促进其病情转归,有助于提高其自我效能感及心理弹性、自护能力、护理质量、护理满意度,具有较好的干预效果。
Objective To study the effect of nursing intervention based on goal strategy on self-efficacy and psychological resilience of elderly patients with chronic heart failure complicated with pulmonary infection.Methods A total of 98 elderly patients with chronic heart failure combined with pulmonary infection admitted to Anyang People’s Hospital from February 2021 to October 2022 were selected as the research objects,and were divided into the control group(49 cases)and the observation group(49 cases)by random number table method.The control group received routine nursing management,and the observation group received nursing intervention based on goal strategy.Both groups were intervened for 1 month.Statistics were made on the disease outcome,nursing satisfaction and nursing quality after the intervention,and the vital signs,self-efficacy and psychological resilience before and after the intervention were compared between the two groups.Results The mechanical ventilation time,fever time,asthmaticness disappearance time,disappearance time of heart failure symptoms and infection remission time of the observation group were shorter than those of the control group(P<0.05).After the intervention,the heart rate,respiratory rate,systolic blood pressure,diastolic blood pressure in the two groups were lower than those before intervention,and the observation group was lower than the control group(P<0.05).The scores of general self-efficacy scale(GSES)and scores of tenacity,self-reliance,optimism,self-concept,self-care responsibility,self-care skills,health knowledge level of the two groups were higher than those before intervention,and the observation group was higher than the control group(P<0.05).After the intervention,the scores of operation ability,nursing attitude,problem solving ability and nursing behavior in the observation group were higher than those in the control group(P<0.05).After the intervention,the total satisfaction rate of observation group was higher than that of control group(P<0.05).Conclusion Nursing intervention based on goal strategy could promote the improvement of symptoms and vital signs in elderly patients with chronic heart failure complicated with pulmonary infection,and then promote the outcome of their disease,and help improve their self-efficacy,psychological resilience,self-care ability,nursing quality and nursing satisfaction,with good intervention effect.
作者
陈悦
吕新鑫
杨振宇
CHEN Yue;L Xinxin;YANG Zhenyu(Department of Internal Medicine,Anyang People’s Hospital,Anyang 455000,China;Department of Cardiology,Anyang People’s Hospital,Anyang 455000,China)
出处
《河南医学研究》
2025年第24期4588-4593,共6页
Henan Medical Research
关键词
慢性心力衰竭
肺部感染
老年
基于目标策略的护理干预
自我效能
满意度
chronic heart failure
lung infection
old age
nursing intervention based on goal strategy
self-efficacy
satisfaction
