顏靜

【摘要】目的：探究慢性心力衰竭老年患者在護(hù)理過程中結(jié)合舒適護(hù)理的重要性。方法：選取本院2019年1月—2020年12月收治的慢性心力衰竭老年患者作為研究對象，共260例，采用統(tǒng)計(jì)學(xué)軟件SPSS24.0進(jìn)行隨機(jī)分組，各130例。常規(guī)護(hù)理用于對照組，舒適護(hù)理用于觀察組。比較兩組患者經(jīng)不同方式干預(yù)前后各項(xiàng)心功能指標(biāo)水平以及干預(yù)后生活質(zhì)量、各項(xiàng)臨床指標(biāo)變化情況。結(jié)果：干預(yù)后觀察組6MWD、LVEF顯著高于對照組，LVED指標(biāo)水平低于對照組，SF-36評分均高于對照組，各項(xiàng)臨床癥狀改善情況優(yōu)于對照組（P<0.05）。結(jié)論：慢性心力衰竭老年患者在護(hù)理過程中結(jié)合舒適護(hù)理，不僅能提升患者生活質(zhì)量，同時(shí)還能改善患者心功能，縮短患者住院時(shí)間、水腫消失時(shí)間、氣喘癥狀緩解時(shí)間以及心律恢復(fù)正常時(shí)間，值得推行。

【關(guān)鍵詞】慢性心力衰竭；舒適護(hù)理；心功能；生活質(zhì)量

The effect of comfort nursing intervention in the nursing of elderly patients with chronic heart failure

YAN Jing

Siyang County Hospital of Traditional Chinese Medicin， Siyang， Jiangsu 223700， China

【Abstract】Objective： To explore the importance of comfort nursing in the nursing process of elderly patients with chronic heart failure. Methods： 260 elderly patients with chronic heart failure were randomly divided into three groups， 130 cases in each group from January 2019 to December 2020. Routine nursing was used in control group and comfort nursing was used in observation group. The changes of the cardiac function index， the quality of life and the clinical indexes of the two groups were compared before and after different intervention. Results： After the intervention， 6MWD and LVEF of the observation group were significantly higher than those of the control group， lved index level was lower than that of the control group， SF-36 score was higher than that of the control group， and the improvement of clinical symptoms of the observation group was better than that of the control group（P<0.05）.Conclusion： the combination of comfortable nursing in the nursing process of elderly patients with chronic heart failure can not only improve the quality of life， but also improve the heart function of patients， shorten the hospitalization time， time of edema disappearance， relief time of asthma symptoms and normal time of heart rhythm recovery.

【Key？Words】Chronic heart failure； Comfort nursing； Heart function； Quality of life

在臨床心血管內(nèi)科疾病當(dāng)中最常見疾病之一是慢性心力衰竭，該疾病主要集中在老年群體中，由于老年患者自身機(jī)體代謝能力持續(xù)下降，因此在護(hù)理以及治療依從性方面相對較差[1]。同時(shí)，部分患者內(nèi)心還會出現(xiàn)一系列不良情緒，對最終治療效果造成影響[2]。若想提升慢性心力衰竭疾病患者的個(gè)人生活質(zhì)量與療效，則需予以規(guī)范且科學(xué)的護(hù)理干預(yù)措施，改善預(yù)后[3]。舒適護(hù)理屬于一種新型護(hù)理模式，其宗旨在于在整個(gè)治療過程中確?；颊呤孢m度以及愉悅度，促使患者病情早日康復(fù)。本研究探究慢性心力衰竭老年患者在護(hù)理過程中結(jié)合舒適護(hù)理的重要性，結(jié)果如下。

1 資料與方法

1.1 一般資料

選取本院2019年1月—2020年12月收治慢性心力衰竭老年患者作為研究對象，共260例，采用統(tǒng)計(jì)學(xué)軟件SPSS24.0進(jìn)行隨機(jī)分組，各130例。常規(guī)護(hù)理用于對照組，舒適護(hù)理用于觀察組，兩組患者的一般資料對比（P>0.05），有可比性，見表1。