文档介绍：综合护理干预对慢性心衰合并焦虑抑郁患者的疗效观察
【摘要】目的:本研究旨在评价综合护理干预对慢性心衰合并焦虑抑郁患者的临床疗效。方法:本研究共入选98例慢性心衰合并焦虑抑郁患者,随机分为试验组(n=48)和对照组(n=50),对照组采取常规护理干预,试验组在常规护理的基础上进行综合护理干预,4周后比较两组患者护理前后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分、6 min步行距离及护理满意度。结果:与对照组相比,试验组SAS、SDS评分均明显下降,6 min步行距离明显延长,护理满意度明显升高,差异均有统计学意义(P中国论文网/6/view-
【关键词】综合护理干预; 慢性心衰; 焦虑; 抑郁
doi:. 文献标识码 B 文章编号 1674-6805(2017)32-0109-02
Curative Effect prehensive Nursing Intervention on Patients with Chronic Heart plicated Anxiety and Depression/HUANG Zhaoling.//Chinese and Foreign Medical Research,2017,15(32):109-110
【Abstract】 Objective:To assess curative effect prehensive nursing intervention on patients with chronic heart failure(CHF) complicated anxiety and :A total of 98 patients with plicated anxiety and depression were enrolled in the present the patients were classified into experimental group(n=48) and control group(n=50) group adopted routine nursing intervention,while observation group prehensive nursing intervention based on routine nursing following up for 4 weeks,self-rating anxiety scale(SAS) score,self-rating depression scale(SDS) score,the distance of 6-minute walk test,and nursing satisfaction of the two groups :The level of SAS,SDS scores in experimental group were lower significantly than those in control group after effective nursing pared with control group,observation group had a significantly prolonged 6MWT and a higher nursing satisfaction,the differences were statistically significant(),有可比性。 方法
本试验为前瞻性临床研究,两组患者均按照指南给予规范化抗心衰药物治疗。对照组患者实施内科护理常规,主要包括基础护理、病情观察、饮食指导、健康宣教、作息指导及药物护理等。试验组除了上述常规护理外,还实施综合护理措施,具体如下:(1)心理护理。首先建立良好的医患关系,耐心倾听患者主诉,获得患者信任,鼓励患者表达内心感受,理解和尊重患者所处的心理状态,了解患者心理状态及产生焦虑抑郁原因,评估焦虑抑郁障碍严重程度。采取鼓励、同情、支持、劝导、启发、解释、暗示等支持性心理护理[5],及时给予安慰开导。(2)健康教育。对患者及其家属讲解CHF的病因、病理生理机制、常规治疗及预后转归,以及焦虑抑郁等负面情绪产生的原因、危害及治疗手段,从而提高患者及家属对于CHF及焦虑抑郁障碍的认识,增强患者战胜疾病的信心。(3)运动康复训练[6]。根据CHF患者心功能情况实施个体化运动康复训练,切记运动必须循序渐进、量力而行,避