无缝护理模式对慢性肺源性心脏病合并心力衰竭患者预后的影响

《无缝护理模式对慢性肺源性心脏病合并心力衰竭患者预后的影响》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、无缝护理模式对慢性肺源性心脏病合并心力衰竭患者预后的影响【摘要】目的：探讨无缝护理模式应用于慢性肺源性心脏病合并心力衰竭患者的疗效及预后的影响。方法：选取2014年1-12月笔者所在医院呼吸内科和心内科收治的慢性肺源性心脏病合并心力衰竭患者共80例，按照随机分组原则分成观察组和对照组各40例，对照组患者给予常规护理措施，观察组患者在接受常规护理的基础上给予专业的无缝护理干预，比较两组患者的心肺功能改善情况及护理干预疗效。结果：护理干预后两组患者心肺功能均较前改善，但观察组左室射血分数、第一秒用力呼气量、6min步行距离均显著高于对照组(P<0.05)o观察组患者采取护理

2、干预0.5、1h后护理干预显效率高于对照组(P<0.05)o结论：对慢性肺源性心脏病合并心力衰竭患者采取无缝护理干预，能及时高效的控制患者病情进展，改善患者心肺功能，提高各阶段治疗显效率，降低死亡率，值得在护理工作中加以借鉴学习。【关键词】慢性肺源性心脏病;心力衰竭；无缝护理中图分类号R473.5文献标识码B文章编号1674-6805(2015)18-0079-02TheInfluenceofPrognosisofSeamlessNursingonPatientsofChronicPulmonaryHeartDiseasewithHeartFailure/DAICui-

3、lin.//ChineseandForeignMedicalResearch,2015,13(18)：79-80[Abstract]Objective：Toinvestigatetheinfluenceofprognosisandefficacyofseamlessnursingonpatientsofchronicpulmonaryheartdiseasewithheartfailure.Method：80casesofchronicpulmonaryheartdiseasewithheartfailurewereselectedfromourhospitalfrom

4、January2014toDecember2O14.Theywererandomlydividedintotheobservationgroupandthecontrolgroup,with40patientsineachgrouprespectively.Thecontrolgroupreceivedtraditionalnursing,andtheseamlessnursingmodelwasusedintheobservationgroup.Theheartandlungfunctionandthenursingeffectoftwogroupswerecompa

5、red.Result：Afternursingintervention,theheartandlungfunctionofpatientswereimproved.However,theleftventricularejectionfraction,forcedexpiratoryvoluneand6minwalkingdistanceintheobservationgroupwerehigherthanthoseinthecontrolgroup(P<0.05).Thenursinginterventionexcellentrateat0.5h,1hintheobse

6、rvationgroupwerehigherthanthoseinthecontrolgroup(P<0.05)・Conclusion：Seamlessnursingcancontrolthediseaseprogressionofchronicpulmonaryheartdiseasewithheartfailurepatientsandimprovetheheartandlungfunction.Moreover,itcanimprovetheefficiencyoftreatmentineachstageandreducethedeathrate.ltiswort

7、hpromotinginclinicalcare.【Keywords】Chronicpulmonaryheartdisease；Heartfailure；SeamlessnursingFirst-author"saddress：AnyueCountyPeople'sHospital,Anyue642350,Chinadoi：10.14033/j.cnki.cfmr.2015.18.043慢性肺源性心脏病是由于胸、肺部疾病导致的肺组织或血管功能障碍，使肺动脉压力上升，右心室长期承受高负荷而发生器质性变化，疾病晚期或急性加重期常会合并心力衰竭