摘要
目的探讨行为干预对老年慢性心力衰竭患者左心室收缩功能及生活质量的影响,明确行为干预在慢性心力衰竭患者治疗中的有效性。方法选择2016年1月至2017年1月于重庆医科大学附属第一医院住院治疗的老年慢性心力衰竭患者92例,采取实验性研究设计将患者随机分为对照组和试验组各46例,两组均给予心血管病常规治疗,试验组另外给予行为干预。在两组患者接受护理前后采用双平面辛普森法及明尼苏达心力衰竭生活质量问卷表(MLHFQ)比较患者的左心室每搏量(SV)、射血分数(EF)和生活质量得分。结果两组患者在接受护理5周后的SV值及EF值均高于护理前(P<0.05),生活质量得分低于护理前(P<0.05);试验组SV值及EF值均高于对照组(P<0.05),生活质量得分低于对照组(P<0.05)。结论行为干预能有效改善慢性心力衰竭患者的左心室收缩功能,提高患者的生活质量,促进患者身心健康。
Objective To investigate the effect of behavioral intervention on the left ventricular systolic function and living quality in elderly patients with chronic heart failure,and to determine the effectiveness of behavioral intervention in the treatment of chronic heart failure patients.Methods Ninety-two elderly inpatients with chronic heart failure in the First Affiliated Hospital of Chongqing Medical University from January 2016 to January 2017 were selected as the study subjects and randomly divided into experimental group and control group according to the experimental study design,46 cases in each group.The two groups were given the routine treatment of cardiovascular disease,in addition the intervention group was given the behavioral intervention.The stroke volume(SV),left ventricular ejection fraction(EF)and quality of life scores were measured by biplane Simpson method and Minnesota Living with Heart Failure questionnaire(MLHFQ)before and after receiving nursing care.Results The SV and EF values at 5 weeks after receiving nursing in the two groups were higher than those before nursing(P<0.05),and the score of life quality was lower than that before nursing(P<0.05);the SV and EF values in the experimental group were higher than those in the control group(P<0.05),while the score of life quality was lower than that in the control group(P<0.05).Conclusion The behavioral intervention can effectively improve the left ventricular systolic function and increases the quality of life in the patients with chronic heart failure,and promotes the physical and mental health of patients.
作者
鄢晓丽
龙梦云
罗仕兰
YAN Xiaoli;LONG Mengyun;LUO Shilan(Department of Health Physical Examination,First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;;Department of Geriatrics,Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)
出处
《重庆医学》
CAS
2018年第26期3398-3400,3405,共4页
Chongqing medicine
基金
重庆市卫生和计划生育委员会医学科研计划项目(2015MSXM025)
关键词
行为干预
慢性心力衰竭
左心室收缩功能
生活质量
behavioral intervention
chronic heart failure
left ventricular systolic function
quality of life
