舒适护理干预在老年慢性心衰护理中的作用

The role of comfort nursing intervention in nursing care of senile chronic heart failure

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DOI 10.12208/j.jacn.20240322
刊名
Journal of Advances in Clinical Nursing
年,卷(期) 2024, 3(8)
作者
作者单位

昆明市第二人民医院 云南昆明 ;

摘要
观察分析对老年慢性心衰患者实施舒适护理干预的临床效果和应用价值。方法 采用回顾性研究方法,选择院内就诊的60例老年慢性心衰患者(样本纳入例数:60例;样本纳入时间:2022年5月至2023年5月),以随机摸球为基础分组方式,分为对照、实验两个小组,观察例数高度一致。分别实施常规护理,舒适护理干预。收集分析护理效果。结果 与对照组(常规护理)相比,实验组(舒适护理干预)护理后的舒适度评分(心理舒适度/环境舒适度/护理服务舒适度)更高,负性情绪评分(SAS/SDS)更低,护理后的症状缓解时间(呼吸困难缓解时间/乏力消失时间/水肿消失时间/心率恢复正常时间)、住院时间更短,护理后的生活质量评分(角色功能/情绪功能/认知功能/社会功能/躯体功能)更高,差异均具有统计学意义(P<0.05)。结论 舒适护理干预可以有效促进老年慢性心衰患者症状缓解,促进恢复,有助于提升舒适度,减少负性情绪,改善生活质量,改善预后,有较高应用价值。
Abstract
Objective To observe and analyze the clinical effect and application value of comfort nursing intervention for elderly patients with chronic heart failure. Methods A retrospective study was conducted to select 60 elderly patients with chronic heart failure (sample included: 60 cases; Sample inclusion time: May 2022 to May 2023) was divided into control and experimental groups based on random ball touching, and the number of observed cases was highly consistent. Routine nursing and comfort nursing intervention were carried out respectively. The nursing effect was collected and analyzed. Results Compared with the control group (routine nursing), the experimental group (comfort nursing intervention) had a higher post-nursing comfort score (psychological comfort/environmental comfort/nursing service comfort) and a lower negative emotion score (SAS/SDS). The symptom relief time (dyspnea relief time/fatigue disappearance time/edema disappearance time/heart rate return to normal time) and hospital stay after nursing were shorter, and the score of life quality (role function/emotional function/cognitive function/social function/physical function) after nursing was higher, with statistical significance (P<0.05). Conclusion Comfort nursing intervention can effectively promote the relief of symptoms in elderly patients with chronic heart failure, promote recovery, help to enhance comfort, reduce negative emotions, improve quality of life, improve prognosis, and have high application value.
关键词
老年患者;慢性心衰;舒适护理干预;护理效果
KeyWord
Elderly patients; Chronic heart failure; Comfort nursing intervention; Nursing effect
基金项目
页码 69-72
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任粉,金梦莹,刘润*. 舒适护理干预在老年慢性心衰护理中的作用 [J]. 临床护理进展. 2024; 3; (8). 69 - 72.

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