循证护理对扩张型心肌病合并心力衰竭患者抑郁心理的干预效果

Effect of evidence-based nursing on depression of atients with dilated cardiomyopathy and heart failure

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(2)
作者
作者单位

山东省青岛市中心医院 ;
青岛市中心医院 ;

摘要
【摘要】探讨循证护理(EBN)对扩张型心肌病(DCM)合并心力衰竭(HF)患者抑郁心理的干预效果。方法 选取本院2015年1月~2016年6月期间收治的DCM合并HF患者80例随机分为两组:观察组40例行EBN,对照组40例行常规护理,对比两组护理效果。结果 观察组护理后焦虑自评量表(SAS)、抑郁自评量表(SDS)、明尼苏达心力衰竭生活质量调查表(MLHFQ)评分、左室舒张末径(LVEDD)及再住院率均低于对照组,左室射血分数(LVEF)、6min步行距离(6WMT)均高于对照组,组间比较差异有统计学意义(P<0.05)。结论 实施循证护理能够降低DCM合并HF患者的焦虑抑郁情绪及再住院率,改善心功能及生活质量。
Abstract
【Abstract】 Objective To investigate the effect of evidence-based nursing (EBN) on depression of atients with dilated cardiomyopathy (DCM) and heart failure (HF).Methods A total of 80 patients with DCM and HF admitted in our hospital from January 2015 to June 2016 were randomly divided into two groups: 40 cases in the observation group received EBN, 40 cases in the control group received routine nursing,the nursing effect between the two groups were compared.Results After nursing, the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Minnesota Heart Failure Quality of Life Scale (MLHFQ) scores, left ventricular end diastolic diameter (LVEDD) and re-hospitalization rate in the observation group were lower than those in the control group , the left ventricular ejection fraction (LVEF) and 6-min walk test (6WMT) were higher than those in the control group, there were significant differences between the two groups (P<0.05). Conclusion EBN can effectively improve the anxiety and depression,reduce the re-hospitalization rate, improve the cardiac function and quality of life in DCM patients with HF.
关键词
【关键词】扩张型心肌病;心力衰竭;循证护理;焦虑抑郁;生活质量
KeyWord
【Key words】 Dilated cardiomyopathy; Heart failure; Evidence-based nursing; Anxiety and depression; Quality of life
基金项目
页码 337-341
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孙洪巧,张美华,刘敏,曲静,丛明慧*. 循证护理对扩张型心肌病合并心力衰竭患者抑郁心理的干预效果 [J]. 国际精神病学杂志. 2017; 44; (2). 337 - 341.

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