摘要
目的 观察分析对老年慢性心衰患者实施呼吸训练结合舒适护理的临床效果和应用价值。方法 采用回顾性研究方法，选择院内就诊的60例老年慢性心衰患者（样本纳入例数：60例；样本纳入时间：2022年1月至2023年1月），以随机摸球为基础分组方式，分为对照、实验两个小组，观察例数高度一致。分别实施常规护理，呼吸训练结合舒适护理。收集分析护理效果。结果 与对照组（常规护理）相比，实验组（呼吸训练结合舒适护理）实验组护理后的生活质量评分/认知功能/社会功能/躯体功能）更高，睡眠质量评分（睡眠质量/入睡时间/睡眠时间/睡眠效率/睡眠障碍/催眠药物/日间功能障碍）更低，LVEF水平更高，LVEDD水平更低，负性情绪评分（焦虑/抑郁）更低，差异具有统计学意义（P＜0.05）。结论 呼吸训练结合舒适护理可以有效缓解老年慢性心衰患者负性情绪，促进心功能恢复，促进睡眠质量和生活质量改善，改善预后，有较高应用价值。
关键词： 老年慢性心衰；呼吸训练；舒适护理；护理效果
Abstract
Objective To observe and analyze the clinical effect and application value of respiratory training combined with comfort nursing in elderly patients with chronic heart failure. Methods A retrospective study was conducted to select 60 elderly patients with chronic heart failure (sample included: 60 cases; Sample inclusion time: January 2022 to January 2023) was divided into control and experimental groups based on random ball touching, and the number of observed cases was highly consistent. Routine nursing, breathing training and comfort nursing were carried out respectively. The nursing effect was collected and analyzed. Results Compared with the control group (conventional care), the experimental group (breathing training combined with comfort care) had higher life quality score/cognitive function/social function/physical function, lower sleep quality score (sleep quality/sleep time/sleep time/sleep efficiency/sleep disorders/hypnotic drugs/daytime dysfunction) and higher LVEF level. The level of LVEDD was lower and the negative emotion score (anxiety/depression) was lower, and the difference was statistically significant (P < 0.05). Conclusion Breathing training combined with comfort nursing can effectively relieve the negative emotions of elderly patients with chronic heart failure, promote the recovery of heart function, promote the improvement of sleep quality and life quality, and improve the prognosis, and have high application value.
Key words： Senile chronic heart failure; Breathing training; Comfort care; Nursing effect
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