以目标为导向的护理干预对慢性心力衰竭患者疾病认知水平及生活质量的影响

目的 探讨以目标为导向的护理干预对心力衰竭患者疾病认知水平及生活质量的影响。方法 将本院2020年2月—2022年2月接收的110例慢性心力衰竭患者根据随机数字表法分为对照组(给予常规护理)与干预组(给予目标为导向的护理),各55例,比较2组患者3个月后的疾病认知及行为水平、心功能及生活质量(MLHFQ)评分变化。结果 干预后,6MWT干预组为(442.64±131.53),高于对照组的(332.58±119.82),t=4.588,P<0.001;干预组的BNP为(539.54±193.57),低于对照组的(812.37±127.65),t=-8.726,P<0.001;干预组的LVEF为(54.46±5.86),高于对照组的(48.58±3.47),t=6.403,P<0.001;差异均具有统计学意义。干预组的疾病认知评分为(51.46±3.73),高于对照组的(45.62±3.25),t=8.754,P<0.001;干预组的行为评分为(50.11±3.32),高于对照组的(36.38±3.14),t=-22.283,P<0.001;差异均具有统计学意义。干预组的MLHFQ评分为(18.45±8.69),低于对照组的(41.25±7.15),t=-15.026,P<0.001,差异有统计学意义。结论 对慢性心力衰竭患者给予目标为导向的护理干预效果较好,可提高患者疾病认知水平,转变患者日常行为,改善患者的心功能与生活质量水平。

Effect of goal-oriented nursing intervention on disease cognition and quality of life in patients with chronic heart failure

Objective To explore the effect of goal-oriented nursing intervention on the disease cognition level and quality of life of patients with heart failure. Methods A total of 110 patients with chronic heart failure admitted to our hospital from February 2020 to February 2022 were divided into a control group (given routine nursing) and an intervention group (given goal-oriented nursing) according to the random number table method, with 55 cases in each group, and the changes in disease cognition and behavior levels, cardiac function and quality of life (MLHFQ) scores of the two groups after 3 months were compared. Results After the intervention, in the intervention group, 6MWT was (442.64±131.53), higher than that in the control group: (332.58±119.82), t=4.588, P<0.001; in the intervention group, BNP was (539.54±193.57), lower than that in the control group: (812.37±127.65), t=-8.726, P<0.001; in the intervention group, LVEFF was (54.46±5.86), high than that in the control group: (48.58±3.47), t=6.403, P<0.001, and the difference was statistically significant. The disease cognition score in the intervention group was (51.46±3.73), higher than that in the control group: (45.62±3.25), t=8.754, P<0.001. The behavioral score in the intervention group was (50.11±3.32), higher than that in the control group: (36.38±3.14), t=-22.283, P<0.001, and the difference was statistically significant. The MLHFQ score in the intervention group was (18.45±8.69), lower than that in the control group: (41.25±7.15), t=-15.026, P<0.001, and the difference was statistically significant. Conclusion The goal-oriented nursing intervention for patients with chronic heart failure has a good effect, which can improve patients’ disease cognition, change patients’ daily behavior, and improve patients’ cardiac function and quality of life.