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护理延伸服务对慢性心衰合并心律失常患者健康行为和心功能的影响

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目的 研究护理延伸服务对慢性心衰合并心律失常患者健康行为和心功能的影响。方法 选择
中国人民解放军空军军医大学第一附属医院于2015年3月至2018年3月收治的110例慢性心衰合并心律失常
患者,随机分为对照组(n=57)和观察组(n=53),对照组采用常规护理干预,观察组在对照组基础上
加用护理延伸服务,比较两组患者干预前后健康促进生活方式量表Ⅱ(HPLPⅡ)、心力衰竭患者自我护
理指数量表(SCHFI)、Morisky用药依从性问卷(MMAS-8)、心功能、生活质量和心血管不良事件发生
情况。结果 干预前,两组患者的HPLPⅡ、SCHFI、MMAS-8、心功能和生活质量比较,差异无统计学意义
(P>0.05);干预后,两组HPLP、SCHFI、MMAS-8、心功能指标均上升,观察组高于对照组,差异有统
计学意义(P<0.05)。观察组心血管不良事件发生率低于对照组(P<0.05)。结论 护理延伸服务可改善
慢性心力衰竭合并心律失常患者的健康行为及心功能,提高生活质量,降低心血管不良事件发生风险。

Abstract:

Objective To study the effect of nursing extension service on health behavior and cardiac function
of patients with chronic heart failure complicated with arrhythmia. Methods 110 patients with chronic heart failure
complicated with arrhythmia admitted to the First Affiliated Hospital of the Military Medical University of the Chinese
People's Liberation Army Air Force from March 2015 to March 2018 were selected,according to simple random
method, they were divided into control group (n=57) and observation group (n=53). The control group received routine
nursing intervention, and the observation group received nursing extension service based on the control group. The
Health promotion lifestyle scaleⅡ(HPLP Ⅱ), heart failure patient self-care index scale (SCHFI), Morisky medication
compliance questionnaire (MMAS-8), cardiac function, quality of life before and after intervention, and cardiovascular
adverse events were compared between the two groups. Results before the intervention, there was no significant
difference in HPLP, SCHFI, MMAS-8, cardiac function and quality of life between the two groups (P>0.05). After
the intervention, the indexes of HPLPⅡ, SCHFI, MMAS-8 and cardiac function in the two groups all increased, the
indexes in the observation group were higher than those in the control group. the minnesota heart failure quality of life
questionnaire (MLHFQ) in the two groups all decreased, the indexes in the observation group were lower than those in
the control group, and the difference was statistically significant (P<0.05). The incidence of adverse cardiovascular
events in the observation group was lower than that in the control group (P<0.05). Conclusion Nursing extension
service can improve the health behavior and cardiac function of patients with chronic heart failure complicated with
arrhythmia, improve the quality of life, and reduce the risk of cardiovascular adverse events.

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