摘要
目的:探讨心理护理联合营养支持对慢性心力衰竭患者疗效及睡眠质量的影响。方法:选取2021年1月1日至2021年12月31日中国人民解放军联勤保障部队第909医院收治的慢性心力衰竭患者90例作为研究对象,按照随机数字表法分为观察组和对照组,每组45例。对照组给予单纯的营养支持,观察组在对照组的基础上给予心理护理干预。采用匹兹堡睡眠指数量表(Pittsburgh Sleep Quality Index,PSQI)比较2组患者护理干预前后睡眠质量的变化,观察比较2组患者的临床疗效以及治疗前后心功能指标变化情况。结果:护理干预后,观察组临床总有效率显著高于对照组,观察组PSQI评分显著低于对照组,观察组心功能指标N末端脑钠肽前体NT-proBNP显著低于对照组,观察组LVEF水平显著高于对照组,2组比较差异均有统计学意义(P<0.05)。结论:与单纯的营养支持相比,联合心理护理干预能够有效治疗慢性心力衰竭,改善患者心功能水平,降低心功能等级,减轻心力衰竭程度,同时能够有效改善患者的睡眠质量,加快患者的康复进程。
Objective:To explore the effect of psychological nursing combined with nutritional support on the efficacy and sleep quality of patients with chronic heart failure.Methods:A total of 90 patients with chronic heart failure admitted to the 909th Hospital of the Joint Logistic Support Force of the Chinese People′s Liberation Army from January 2021 to December 2021 were selected as the research objects.According to the random number table method,they were divided into observation group and control group,with 45 cases in each group.The control group was given simple nutritional support,and the observation group was given psychological nursing intervention on the basis of the control group.Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes of sleep quality of patients in 2 groups before and after nursing intervention,and the clinical efficacy and changes of cardiac function indexes before and after treatment were observed and compared between the 2 groups.Results:After nursing intervention,the total clinical effective rate of the observation group was significantly higher than the control group,the PSQI score of the observation group was significantly lower than the control group,the heart function index N-terminal pro-brain natriuretic peptide NT-probNP of the observation group was significantly lower than the control group,and the LVEF level of the observation group was significantly higher than the control group,the differences between the 2 groups were statistically significant(P s<0.05).Conclusion:Compared with simple nutritional support,combined psychological nursing intervention can effectively treat chronic heart failure,improve the level of heart function,reduce the level of heart function,reduce the degree of heart failure,and can effectively improve the quality of sleep and accelerate the rehabilitation process of patients.
作者
林雅瑜
LIN Yayu(The 909th Hospital of Joint Logistic Support Force of PLA,Zhangzhou 363000,China)
出处
《世界睡眠医学杂志》
2022年第10期1911-1913,共3页
World Journal of Sleep Medicine
关键词
心力衰竭
营养支持
睡眠质量
Heart failure
Nutritional support
The quality of sleep
