摘要
目的:分析路径式护理联合积极心理干预对急性心力衰竭患者的影响。方法:本研究为回顾性分析,选择74例急性心力衰竭患者作为此次研究对象,均为2023年7月—2024年7月萍乡矿业集团有限责任公司总医院收治,根据不同护理方法分为对照组与观察组,每组37例。对照组选择传统护理,观察组选择路径式护理联合积极心理干预。比较两组情绪状态评分、疾病知识认知度、心功能指标及不良事件发生率。结果:两组患者情绪状态评分在干预前具有可比性(P>0.05),干预后观察组焦虑评分(40.32±1.28)分、抑郁评分(41.28±1.39)分低于对照组(P<0.05);两组患者疾病知识认知度在干预前具有可比性(P>0.05),干预后,两组疾病知识认知度水平较干预前明显升高,且观察组比对照组高(P<0.05);干预后,观察组患者左心室舒张末期内径(LVEDD)(52.32±8.45)mm、左心室收缩末期内径(LVESD)(41.32±6.42)mm较对照组低,左心室射血分数(LVEF)(55.69±8.11)%较对照组高(P<0.05);观察组不良事件发生率比对照组低(P<0.05)。结论:急性心力衰竭患者采用路径式护理联合积极心理干预可有效改善患者情绪状态,提高其对疾病认知度,有效预防患者发生不良事件等。
Objective:To analyze the impact of path-based nursing combined with positive psychological intervention on patients with acute heart failure.Method:This study was a retrospective analysis.A total of 74 patients with acute heart failure were selected as the research subjects.All of them were admitted to the General Hospital of Pingxiang Mining Group Co.,Ltd.from July 2023 to July 2024.They were divided into the control group and the observation group according to different nursing methods,with 37 cases in each group.The control group chose traditional nursing,while the observation group chose path-based nursing combined with positive psychological intervention.The emotional state scores,awareness of disease knowledge,cardiac function indicators and incidence of adverse events were compared between the two groups.Result:The emotional state scores between the two groups of patients before the intervention were comparable(P>0.05).After the intervention,the anxiety score(40.32±1.28)points and depression score(41.28±1.39)points in the observation group were lower than those in the control group(P<0.05).The disease knowledge awareness between the two groups of patients before the intervention was comparable(P>0.05).After the intervention,the levels of disease knowledge awareness in both groups significantly increased compared to before intervention,and that of the observation group was higher than that of the control group(P<0.05).After the intervention,left ventricular end-diastolic diameter(LVEDD)(52.32±8.45)mm and left ventricular end-systolic diameter(LVESD)(41.32±6.42)mm in the observation group were lower than those in the control group,the level of left ventricular ejection fraction(LVEF)(55.69±8.11)%was higher than that of the control group(P<0.05);the incidence of adverse events in the observation group was lower than that in the control group(P<0.05).Conclusion:The adoption of path-based nursing combined with positive psychological intervention for patients with acute heart failure can effectively improve their emotional state,enhance their awareness of the disease,and effectively prevent adverse events in patients,etc.
作者
何琼
林婧琪
刘逸群
HE Qiong;LIN Jingqi;LIU Yiqun(Emergency Department,General Hospital of Pingxiang Mining Group Co.,Ltd.,Pingxiang 337000,China;不详)
出处
《中国医学创新》
2026年第5期79-82,共4页
Medical Innovation of China
关键词
路径式护理
积极心理干预
急性心力衰竭
情绪状态
Path-based nursing
Positive psychological intervention
Acute heart failure
Emotional state
