Application of comprehensive nursing care in patients with heart failure and arrhythmia
全方位护理在心力衰竭合并心律失常患者中的应用

摘要

目的 分析全方位护理在心力衰竭合并心律失常患者护理中具备的应用价值与优势。方法 将2021年全年覆盖范围内前往院内心血管内科就诊的患者纳为研究对象抽样范围，随机遴选80名确定为心力衰竭合并心律失常的患者作为受试对象（n=80），将患者分为对照组（n=40，予以患者常规护理）与研究组（n=40，予以患者全方位护理）。观察：生活质量综合评定结局；心功能指标表达情况；护理结局。结果 研究组患者生活质量综合评定量表分数更高，经比较与对照组患者间存在的差距统计意义突出（P<0.05）；研究组患者心功能指标中，左心室舒张与收缩末期内经更低，左心室射血分数百分比与二尖瓣舒张末期最大峰值更高，与经比较与对照组患者间存在的差距统计意义突出（P<0.05）；研究组患者卧床静养、住院时间以及机械通气更短，胸痛缓解时间更早，经比较与对照组患者间存在的差距统计意义突出（P<0.05）。结论 予以心血管内科患者全方位护理有助于改善心力衰竭合并心律失常患者的生活质量与心功能，利于患者预后。

Abstract

Objective To analyze the application value and advantages of comprehensive nursing in the care of patients with heart failure and arrhythmia.
Methods A sample of 80 patients with heart failure and arrhythmia who were identified as subjects (n=80) were randomly selected and included in the study. The patients were divided into a control group (n=40, receiving routine patient care) and a study group (n=40, receiving comprehensive patient care). Observation: Comprehensive assessment of quality of life outcomes; Expression of cardiac function indicators; Nursing outcomes.
Results Patients in the study group had higher scores on the Comprehensive Quality of Life Assessment Scale, and the statistical significance of the differences between the study group and the control group was significant (P<0.05); Among the cardiac function indicators of patients in the study group, the left ventricular diastolic and end-systolic internal meridians were lower, the percentage of left ventricular ejection fraction and the maximum peak value of end-diastolic mitral valve were higher, and the difference between patients in the study group and those in the control group was statistically significant (P<0.05); Patients in the study group had shorter periods of rest in bed, hospitalization, and mechanical ventilation, and earlier relief of chest pain. After comparison, the difference between the study group and the control group was statistically significant (P<0.05).
Conclusion   Comprehensive nursing care for cardiovascular patients is helpful to improve the quality of life and cardiac function of patients with heart failure and arrhythmia, and is beneficial to their prognosis.