influence on the prognosis of elderly patients with chronic heart failure by comprehensive nursing intervention / 中国实用护理杂志

ABSTRACT

Objective To know the influence of comprehensive nursing intervention on the prognosis of elderly patients with chronic heart failure. Methods By the prospective study method, 76 cases of elderly patients with chronic heart failure were selected from January 2014 to July 2015 as the research objects. According to the different methods of hospital care, they were divided into the observation group and control group, patients in the observation group had accepted the comprehensive nursing intervention measures, while the patients in the control group adopted conventional nursing intervention measures. Compared the nursing effect, anxiety scale (SAS), depression (SDS), left ventricular ejection fraction (LVEF), 6-minute walking distance and heart failure in the quality of life scores between the two groups. Results After 3 months of comprehensive nursing intervention, the rate of grasp nursing knowledge, compliance, nursing satisfaction and readmission in the observation group was 78.95%(30/38), 81.58%(31/38), 92.11%(35/38), 31.58%(12/38) respectively, which was significant better than that of in the control group 57.89%(22/38), 65.79%(25/38), 57.89%(22/38), 52.63%(20/38),respectively, the differences were statistically significant (χ2=3.897 4-7.916 7, P<0.05). The score of SAS, SDS, LVEF and the length of the 6-minute test in the observation group was 41.6±3.9, 45.3±5.2, (52.1±5.5)%, (568.3± 44.2) m, which was significant better than that of in the control group, 46.8 ± 4.7, 51.6 ± 4.9, (46.8 ± 4.6)%, (462.3 ± 46.5) m, t=4.556 6-10.185 1, P<0.05. Conclusions Comprehensive nursing intervention can effectivey improve the prognosis of patients with chronic heart failure, slow the progression of disease, and then strength the confidence of fighting disease.