人性化護理干預對慢性心力衰竭患者負性心理及心功能的影響

焦玉麗

[摘要] 目的 探討人性化護理干預對慢性心力衰竭患者負性心理及心功能的影響。 方法 選擇我院于2015年6月～2016年6月收治的慢性心力衰竭60例，按照隨機數字表法分為干預組與對照組，每組30例。對照組患者給予常規對癥護理，干預組在對照組基礎上采取人性化護理干預，對兩組患者的焦慮、抑郁的負性心理進行評價，并比較兩組患者干預前后的LVEF水平，以對患者的心功能改善情況進行評價。 結果 兩組患者干預前的SAS、SDS評分比較無統計學差異（P>0.05）；干預后，兩組患者的SAS、SDS評分分別較干預前顯著降低，均有統計學差異（P<0.05）；且干預組干預后的SAS、SDS評分較對照組降低更顯著，組間比較均有統計學差異（P<0.05）。兩組患者干預前LVEF比較無統計學差異（P>0.05）；兩組干預后LVEF顯著增加，與干預前比較均有統計學差異（P<0.05）；干預組的LVEF水平顯著高于對照組，組間比較有統計學差異（P<0.05）。 結論 對慢性心力衰竭患者在積極治療的同時實施人性化護理干預措施，有利于緩解患者的焦慮、抑郁等負性心理，改善心功能，從而改善患者的預后。

[關鍵詞] 慢性心力衰竭；人性化護理；負性心理；心功能

[中圖分類號] R47 [文獻標識碼] B [文章編號] 1673-9701（2017）13-0154-03

[Abstract] Objective To investigate the effect of humanistic nursing intervention on the negative psychology and cardiac function of patients with chronic heart failure. Methods 60 cases of chronic heart failure in our hospital from June 2015 to June 2016 were randomly divided into intervention group and control group， each group of 30 cases. The control group was given routine nursing， the intervention group was given the humanized nursing intervention on the basis of the control group， the negative psychology of the two groups of patients with anxiety and depression were evaluated and compared before and after the intervention， the LVEF levels of cardiac function in patients chronic heart failure were evaluated. Results There were no significant differences in SAS and SDS scores between the two groups before intervention（P>0.05）； After intervention， the SAS and SDS scores in two groups of patients were significantly lower than those before intervention， with statistically significant difference（P<0.05）； and the SAS and SDS scores in the intervention group after intervention were lower more significantly than the control group， with statistically significant difference （P<0.05）. Before intervention， the LVEF levels had no significant difference between two groups（P>0.05）； after intervention， the LVEF levels of two groups increased significantly than before intervention， with statistically significant difference（P<0.05）； the level of LVEF in the intervention group was significantly higher than the control group， there were significant differences（P<0.05）. Conclusion In active treatment at the same time，patients with chronic heart failure in implementing the humanized nursing intervention can alleviate the patient's anxiety， depression and other negative psychological， improve heart function， so as to improve the prognosis of patients.

[Key words] Chronic heart failure； Humanistic nursing； Negative psychology； Cardiac function

慢性心力衰竭是心臟病病情進展的終末期，心臟功能呈顯著降低，一旦患病需要長期住院治療，反復住院治療使患者易產生焦慮、抑郁、煩躁等負性心理，進而影響治療效果，不利于心功能的改善[1]。在積極治療的同時，采用有效的護理干預措施對緩解慢性心力衰竭患者的負性心理及改善心功能具有重要作用[2]。隨著護理模式的不斷轉變，人性化護理以患者為中心，從生理、心理、精神等方面為患者的治療和護理提供有力保障，從而提高生活質量和改善心功能[3-5]。本文選擇2015年6月～2016年6月我院收治的慢性心力衰竭患者60例，其中30例采用人性化護理干預，現報道如下。

1 對象與方法

1.1 研究對象

選擇我院于2015年6月～2016年6月期間收治的慢性心力衰竭患者60例，其中男36例，女24例。年……