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目的探讨加强护理在老年慢性肺源性心脏病合并心力衰竭患者中的应用价值。方法选取2013年1月至2016年1月辽宁省朝阳市中心医院收治的73例老年慢性肺源性心脏病合并心力衰竭患者作为研究对象,将其按照入院单双号分为对照组(30例)和观察组(46例)。对照组患者予以常规护理,观察组患者在常规护理基础上加强针对性护理,比较两组患者的临床护理效果。结果护理后,观察组患者的左心室射血分数、第1秒钟用力呼气容积、6 min步行距离均明显高于对照组,差异均有统计学意义(均P<0.05);观察组患者的日常生活能力、社会活动能力评分均明显高于对照组,差异均有统计学意义(均P<0.05);观察组患者的住院时间为(10.5±1.8)d,明显短于对照组的(15.4±2.6)g,差异有统计学意义(t=9.715,P<0.05)。结论对老年慢性肺源性心脏病合并心力衰竭患者在常规护理基础上行加强护理干预,可有效改善患者心肺功能,提高生命质量,促进患者早日康复。
Objective To explore the value of intensive care in elderly patients with chronic cor pulmonale complicated with heart failure. Methods From January 2013 to January 2016, 73 elderly patients with chronic cor pulmonale and heart failure admitted to Chaoyang Central Hospital of Liaoning Province were enrolled in this study. Patients were divided into control group ) And observation group (46 cases). The patients in the control group were given routine nursing care. The patients in the observation group were given targeted care on the basis of routine nursing care, and the clinical nursing effect was compared between the two groups. Results After nursing, the left ventricular ejection fraction, forced expiratory volume at 1 second, walking distance at 6 min in observation group were significantly higher than those in control group (all P <0.05); in observation group (P <0.05). The length of stay in the observation group was (10.5 ± 1.8) days, which was significantly shorter than that in the control group (P <0.05). The scores of daily living ability and social activity in the observation group were significantly higher than those in the control group 15.4 ± 2.6) g, the difference was statistically significant (t = 9.715, P <0.05). Conclusion Nursing intervention in elderly patients with chronic cor pulmonale complicated with heart failure based on routine nursing care can effectively improve the cardiopulmonary function, improve the quality of life and promote the early recovery.