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《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:

期数:

2016年07期

页码:

736-738

栏目:

论著

出版日期:

2016-08-27

文章信息/Info

Title:

Effect of traditional Chinese medicine nursing intervention on cardiac function and quality of life for patients with chronic heart failure

作者:

陈雪开¹;  廖惠娴¹;  何妙芳²

1. 广州市天河区中医医院，广州510655； 2. 黄埔区夏巷卫生服务中心，广州510700

Author(s):

CHEN Xue-kai*;  LIAO Hui-xian;  HE Miao-fang

*Guangzhou Tianhe District Hospital of Traditional Chinese Medicine, Guangzhou, Guangdong 510655, China Corresponding author: CHEN Xue-kai, E-mail: chenxuekai0715@163.com

关键词:

慢性心力衰竭; 中医护理; 心功能; 生活质量

Keywords:

Chronic heart failure;  Traditional Chinese medicine nursing;  Cardiac function;  Quality of life

分类号:

R473.5

DOI:

-

摘要:

目的分析慢性心力衰竭患者应用中医护理干预对其心功能、生活质量以及预后的影响。方法 选取广州市天河区中医医院收治的100 例慢性心力衰竭患者，随机分为观察组与对照组，各50 例。对照组 给予常规治疗及常规护理。观察组在常规治疗基础上予以中医护理干预，具体护理措施：情志调护、辨证 施护、饮食调护、中药穴位贴敷调护、中医养生调护，并且医护人员要向患者及其家属宣传中医养生的概 念和意义，让患者和家属真正深入认识慢性心力衰竭的防治要点。两组均出院后随访60 d。对比两组患者 的左心室射血分数（LVEF）、6 min 步行试验，生活质量（MHL 评分） 及预后是否发生心血管事件。结 果干预前， 两组患者的LVEF、6 min 步行试验差异无统计学意义（P＞0.05）； 干预后， 观察组 LVEF、6 min 步行实验显著高于对照组（P＜0.05）。两组患者干预后的MHL 评分较干预前均有提高，但 观察组较对照组改善更显著（P＜0.05）。观察组发生心肌梗死、恶性心力失常的概率等均低于对照组 （P＜0.05）。结论中医护理改善了慢性心力衰竭患者的心功能分级及预后，提高了患者的生活质量。

Abstract:

Objective To analyze the effect of traditional Chinese medicine (TCM) nursing intervention on cardiac function, the influence of the quality of life and prognosis of patients with chronic heart failure . Methods A total of 100 patients with chronic heart failure were randomly divided into observation group and control group. 50 cases of control group were given conventional treatment and conventional nursing. 50 canses of observation group were given TCM nursing intervention on the basis of conventional treatment as control group. Left ventricular ejection fraction (LVEF), 6 min walking experiments, the quality of life （MHL scores） and prognosis between the two groups were compared. Results Before the intervention, LVEF and 6 min walking experiment were not different between the two groups (P>0.05); after the intervention, LVEF and 6 min walking experiment in observation group were significantly higher than those in control group (P<0.05). MHL scores in both groups all increased after the intervention, and observation group improved significantly than control group (P<0.05). Incidence rates such as myocardial infarction, the probability of malignant disorders of the heart in observation group were lower than those in control group. Conclusion TCM nursing for patients with chronic heartfailure may improve cardiac function grading, prognosis and quality of life.

参考文献/References:

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[7] 张艳媚,翟妍,李鑫楠. 中医护理对慢性心力衰竭患者生活质量 的影响[J]. 中国当代医药,2016(5):189-191.

备注/Memo

备注/Memo:

作者简介：陈雪开，本科，主管护师，专业方向：临床护理 通信作者：陈雪开，E-mail：chenxuekai0715@163.com

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更新日期/Last Update: 2016-08-27