预见性护理对老年慢性心力衰竭患者心功能水平的影响(1)
 |
| 第1页 |
参见附件(1697KB，2页)。
[摘要] 目的：探讨预见性护理对老年慢性心力衰竭患者心功能水平的影响。方法：将我院100例老年慢性心力衰竭患者随机分为观察组和对照组，每组各50例。对照组患者实施常规护理，观察组患者进行预见性护理。比较两组患者B型钠尿肽(BNP)浓度、心功能变化。结果：经过预见性护理后，观察组患者血BNP浓度、心率、血压较对照组明显降低，差异有统计学意义(P<0.05或P<0.01)；两组患者干预后心输出量(CO)、射血分数(EF)比较，差异均有统计学意义(均P<0.05)。结论：预见性护理能够大大降低老年心力衰竭患者血BNP浓度，改善患者的心功能状况，值得临床推广应用。
[关键词] 预见性护理；慢性心力衰竭；心功能
[中图分类号] R473.5 [文献标识码] A [文章编号] 1673-7210(2011)12(a)-128-02
Effects of predictive nursing on cardiac function level of elderly patients with chronic heart failure
ZHANG Shuhong, YIN Rongguang
Department of Coronary Care Unit in the South Building of China People's Liberation Army General Hospital, Beijing 100853, China
[Abstract] Objective: To investigate the effects of predictive nursing on cardiac function level of elderly patients with chronic heart failure. Methods: 100 elderly patients with chronic heart failure were randomly divided into observation group and control group, each group had 50 cases. The patients of control group were given routine care; the patients of observation group were given predictive nursing. The BNP levels, heart function of two groups were compared. Results: After predictive nursing, the BNP blood levels, heart rate, blood pressure of observation group were significantly lower than that of the control group, the difference was statistically significant (P<0.01 or P<0.05); The patients of two groups with CO, EF difference was statistically significant (all P<0.05). Conclusion: Predictive nursing can greatly reduce the BNP levels of patients with chronic heart failure, improve the patient's cardiac function, so it is worthy of promotion.
[Key words] Predictive nursing; Chronic heart failure; Cardiac function
预见性护理是一项有目标、有计划及有规划的系统性护理模式， 它能促使患者自觉采用健康行为，改善、维持和促进机体健康。有研究证实，其在促进慢性心力衰竭患者的疾病转归中有着非常重要的作用。慢性心力衰竭(CHF)是心脏疾病发展至终末阶段几乎不能避免的一种综合征，导致患者丧失工作能力，死亡率较高[1]。有研究表明[2]，血浆B型钠尿肽(BNP)是心室容量扩张及超负荷压力时分泌的神经激素，不受主观因素影响，能够准确反映出心力衰竭的程度，是心功能紊乱最敏感的指标之一。我科从2009年开始对老年慢性心力衰竭患者实施预见性护理，及时发现隐患，早期识别心力衰竭的恶化指标，改善患者心功能水平，取得了良好的效果。现报道如下：
1 资料与方法
1.1 一般资料
选择2008年1月~2010年12月在我院住院的100例老年慢性心力衰竭患者，将其随机分为观察组和对照组，每组各50例。观察组中，男26例，女24例；年龄50~78岁，平均(66.7±5.60)岁；基础心脏病：高血压15例，冠心病22例，风心病13例；心功能分级：Ⅱ级18例，Ⅲ级25例，Ⅳ级7例 ......
您现在查看是摘要介绍页，详见PDF附件(1697KB，2页)。