舒适护理干预在慢性充血性心力衰竭患者中应用和效果评价

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1、舒适护理干预在慢性充血性心力衰竭患者中应用和效果评价［摘要］目的探讨舒适护理干预在慢性充血性心力衰竭(CHF)患者中的应用及效果评价。方法选择2009年1月〜2012年4月在浙江省宁波市第四医院治疗的74例CHF患者随机分为护理干预组和常规护理组。两组均予以常规护理，包括基础护理、生活护理和治疗护理，护理干预组加用舒适护理干预措施，两组干预疗程均为16周。观察两组患者干预16周后的临床疗效和护理满意程度，并比较干预结束后随访1年内患者再次住院率和病死率。结果干预16周后，护理干预组临床总有效率(89.19%)明显优于常规护理组(70.27%)(x2=5.64,P0.

2、05)。结论舒适护理干预可提高CHF患者临床效果，使患者病情得到有效控制，提高护理满意度，并能减少患者再住院率，有利于患者早日康复。［关键词］慢性充血性心力衰竭；舒适护理；疗效；护理满意程度［中图分类号］R473.5［文献标识码］C［文章编号］1673-7210(2014)02(b)-0136-03ApplicationandeffectevaluationofcomfortablenursinginterventionforpatientswithchroniccongestiveheartfailureZHENGChunxiDepartmentofMedicin

3、e,theFourthHospitalofNingboCity,ZhejiangProvince,Ningbo315700，China[Abstract]ObjectiveTodiscussapplicationandeffectevaluationofcomfortablenursinginterventiontopatientswithchroniccongestiveheartfailure(CHF).Methods74casesofCHFpatientsfromJanuary2009toApril2012collectedfromtheFourthHospi

4、talofNingboCityofZhejiangProvincewereselectedanddividedintonursinginterventiongroupandroutinenursinggroupatrandom.Thepatientsintwogroupsweregivenroutinetreatment,includingbasicnursing,dailynursingandtreatmentnursing.Thepatientsinnursinginterventiongroupwereadditionallygivencomfortablen

5、ursingintervention.Thecoursesofinterventioninbothgroupswere16weeks.Theclinicaleffectsandnursingsatisfactionofpatientsintwogroupswereobservedafter16weeksrintervention,andtheone-yearreadmissionrateandcasefatalityrateaftertheinterventionwerecomparedandfollowedupaswell.ResultsAfter16weeks'

6、intervention,thetotalclinicalefficiency(89.19%)ofpatientsinnursinginterventiongroupwasobviouslybetterthanthatinroutinenursinggroup(70.27%)(x2=5.64,P0.05).ConclusionThecomfortablenursinginterventioncanenhancetheclinicaleffectsofCHFpatients,andcaneffectivelycontrolthepatientscondition,im

7、provethesatisfactionofnursing,reducethereadmissionrateofpatients,anditisbeneficialtotheearlyrecoveryofpatients.[Keywords]Chroniccongestiveheartfailure；Comfortablenursing；Clinicaleffects；Nursingsatisfaction慢性充血性心力衰竭（CHF）是各种心血管疾病的严重阶段，具有高发病率、高致残率和高病死率的临床特点［1］。舒适护理是一种新型的护理方式，通过生理、心理、社会和