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目的探讨针对性护理干预对于冠心病(CHD)合并心力衰竭(CHF)患者的负性情绪及血清皮质醇(Cor)水平的影响。方法将124例CHD合并CHF患者随机分为2组:对照组62例给予常规护理干预,观察组62例在对照组基础上给予针对性护理干预。比较两组干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)、明尼苏达心力衰竭生活质量调查表(Li HFe评分)、血清Cor水平及左室射血分数(LVEF)。结果干预后,观察组的SAS、SDS、Li HFe评分及血清Cor水平显著低于对照组,LVEF显著高于对照组(P<0.05)。结论针对性护理干预可下调CHD合并CHF患者的负性情绪及血清Cor水平,改善患者的心功能及生活质量。
Objective To investigate the effect of targeted nursing intervention on the negative emotions and the level of serum Coronary Cortex in patients with coronary heart disease (CHD) complicated with heart failure (CHF). Methods One hundred and twenty-four CHD patients complicated with CHF were randomly divided into two groups: control group (n = 62) received routine nursing intervention and observation group (n = 62) received targeted nursing intervention on the basis of control group. The self-rating anxiety scale (SAS), depression self-rating scale (SDS), the Minnesota Heart Failure Quality of Life Questionnaire (Li HFe), serum Cor level and left ventricular ejection fraction (LVEF) were compared before and after the intervention. Results After intervention, the SAS, SDS, Li HFe scores and serum Cor levels in the observation group were significantly lower than those in the control group, and LVEF was significantly higher than that in the control group (P <0.05). Conclusion Nursing intervention can reduce negative emotions and serum Cor levels in CHF patients with CHD and improve cardiac function and quality of life.