Study on the effect of continuous nursing in elderly patients with chronic heart failure
延续性护理用于老年慢性心力衰竭患者的效果研究

摘要

目的 探究实施延续性护理在慢性心力衰竭（CHF）老年患者当中的效果。方法 本研究挑选出在我院进行治疗的38例心力衰竭患者作为研究对象，依据抽签法分为观察组、对照组，每组各19例。对照组处理：进行常规出院指导护理；观察组处理：除出院的常规护理外再给予延续性护理，比较两组护理前后EHFSCB-9和LHFQ评分，评估心功能改善以及再入院情况。结果 比较两组护理前后的评分，EHFSCB-9评分护理后明显评分有提高，且观察组要明显高于对照组，而LHFQ评分则低于护理前，且观察组低于对照组，组间比较后差异性显著，P<0.05；比较２组护理前后的纽约心脏病协会心功能各分级比例，差异不显著，均无统计学意义（均P>0.05），观察组心功能改善比例（41.94%）高于对照组（32.26%），差异显著有统计学意义（P<0.05）。随访期间，２组均无死亡病例，但观察组再入院比例（5.26%）显著低于对照组（21.05%），组间存在显著差异性，P<0.05。结论 延续性护理配合常规护理手段后的效果好于单独常规护理手段，对CHF老年患者有着积极作用，可帮助患者提高生活质量，使入院率降低，有助于延续患者的寿命。

Abstract

Objective: To explore the effect of continuous nursing in elderly patients with chronic heart failure (CHF).
Methods: In this study, 38 patients with heart failure who were treated in our hospital were selected as the research objects, and were divided into observation group and control group according to lottery method, with 19 cases in each group. The control group was treated with routine discharge guidance nursing; the observation group was treated with continuous nursing in addition to the routine nursing after discharge. The EHFSCB-9 and LHFQ scores before and after nursing were compared between the two groups to evaluate the improvement of cardiac function and readmission.
Results: Comparing the scores of the two groups before and after nursing, the EHFSCB-9 score was significantly improved after nursing, and the observation group was significantly higher than the control group, while the LHFQ score was lower than that before nursing, and the observation group was lower than the control group. After comparison, the difference was significant, P<0.05; comparing the proportions of each grade of New York Heart Association cardiac function before and after nursing in the two groups, the difference was not significant, and there was no statistical significance (both P>0.05), and the improvement rate of cardiac function in the observation group (41.94 %) was higher than that of the control group (32.26%), and the difference was statistically significant (P < 0.05). During the follow-up period, there were no deaths in the two groups, but the readmission rate in the observation group (5.26%) was significantly lower than that in the control group (21.05%), and there was a significant difference between the groups, P<0.05.
Conclusion  : The effect of continuous nursing combined with routine nursing is better than routine nursing alone, and it has a positive effect on elderly patients with CHF, which can help patients improve their quality of life, reduce the admission rate, and prolong their life.