中医护理在老年慢性心力衰竭中的应用效果
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R541;R248

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Application Effect of Chinese Medicine Nursing on Chronic Heart Failure in Senile Patients
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    摘要:

    目的:观察中医护理在老年慢性心力衰竭 (CHF) 中的应用效果。方法:选取 80 例老年 CHF 患者,按随机数字表法分为观察组与对照组各 40 例。2 组均给予常规西药治疗,对照组给予常规护理,观察组在此基础上实施中医护理 (包括情志护理、穴位贴敷及饮食护理),2 组均干预 1 个月。比较 2 组治疗前后的心功能指标、汉密尔顿抑郁量表 (HAMD) 评分、汉密尔顿焦虑量表 (HAMA) 评分及护理满意度。结果:干预后,观察组左心室射血分数 (LVEF) 大于对照组 (P<0.05),左心室收缩末期内径(LVESD) 及左心室舒张末期内径(LVEDD)均小于对照组(P<0.05),HAMD、HAMA 评分均低于对照组(P< 0.05)。观察组护理满意度为 97.50%,高于对照组的 75.00% (P<0.05)。结论:对常规西药治疗及常规护理干预的老年 CHF 患者实施中医护理,可改善其心功能,减轻其负性情绪,提高护理满意度。

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    Abstract:Objective:To observe the application effect of Chinese medicine nursing on chronic heart failure(CHF) in senile patients. Methods:A total of 80 cases of senile CHF patients were selected and divided into the observation group and the control group according to the random number table method, 40 cases in each group. Both groups were given routine western medicine treatment; the control group was additionally given routine nursing, and the observation group was additionally given Chinese medicine nursing including emotional nursing, point application and diet nursing based on the treatment of the control group. Both groups were intervened for one month. Before and after treatment,the indexes of heart function,the scores of Hamilton Depression Scale(HAMD) and Hamilton Anxiety scale(HAMA) and the nursing satisfaction in the two groups were compared. Results:After intervention,the left ventricular ejection fraction(LVEF) in the observation group was larger than that in the control group(P<0.05); the left ventricular end- systolic diameter(LVESD) and the left ventricular end-diastolic diameter(LVEDD) were shorter(P<0.05);the scores of HAMD and HAMA were lower(P<0.05). The nursing satisfaction was 97.50% in the observation group, higher than that of 75.00% in the control group(P<0.05). Conclusion:The application of Chinese medicine nursing for senile CHF patients intervened with routine western medicine and routine nursing can improve their heart function,relieve their negative emotions and enhance the nursing satisfaction.

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胡慧慧,祁小荣,张海螺.中医护理在老年慢性心力衰竭中的应用效果[J].新中医,2021,53(1):143-145

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  • 在线发布日期: 2021-01-11
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