患者导航模式护理干预对老年慢阻肺合并Ⅱ～Ⅲ级心力衰竭患者的影响

Effects of nursing intervention in a patient navigation model on elderly patients with chronic obstructive pulmonary disease complicated with grade Ⅱ-Ⅲ heart failure

中文关键词: 老年  慢性阻塞性肺疾病  心力衰竭  患者导航模式

英文关键词: elderly  chronic obstructive pulmonary disease  heart failure  patient navigation model

中文摘要:

      目的 探究患者导航模式下的护理干预对老年慢性阻塞性肺疾病(慢阻肺)合并Ⅱ～Ⅲ级心力衰竭患者心肺功能和运动耐力的影响,为该类疾病患者的临床护理提供新思路.方法 选取2021年6月—2024年6月于简阳市人民医院就诊的130例老年慢阻肺合并Ⅱ～Ⅲ级心力衰竭患者,随机分为对照组(n=65)和观察组(n=65),对照组采用常规护理干预,观察组在对照组相同处理的基础上联合患者导航模式下的护理干预.2组均持续干预10 d.比较2组的应对方式、焦虑情况、心功能指标、肺功能指标及不良事件发生情况.结果 干预后,观察组的回避评分、屈服评分和状态特质焦虑问卷评分均低于对照组,面对评分高于对照组,差异均具有统计学意义(P＜0.05).干预后6个月,观察组的心室射血分数(LVEF)、用力肺活量(FVC)和第一秒用力呼气容积(FEV1)水平均高于对照组,左心室舒张末期容积(LVEDV)与左心室收缩末期容积(LVESV)均低于对照组,差异均具有统计学意义(P＜0.05).干预期间,观察组不良事件总发生率低于对照组,差异均具有统计学意义(P＜0.05).结论 实施患者导航模式下的护理干预可显著改善老年慢阻肺合并Ⅱ～Ⅲ级心力衰竭患者的应对方式,减轻其焦虑程度,并增强其心功能和肺功能,且能减少不良事件的发生.

英文摘要:

      Objective To explore the effects of nursing intervention in a patient navigation model on the cardiopulmo-nary function and exercise endurance in elderly patients with chronic obstructive pulmonary disease(COPD)complicated with grade Ⅱ-Ⅲ heart failure,and provide new ideas for the clinical nursing of these patients.Methods A total of 130 elderly COPD patients with grade Ⅱ-Ⅲ heart failure treated in People's Hospital of Jianyang City from June 2021 to June 2024 were selected and randomly divided into control group(n=65)and observation group(n=65).The control group received conven-tional nursing intervention,while the observation group received nursing intervention in a patient navigation model on the basis of the control group.Both groups were continuously intervened for 10 days.The coping styles,anxiety conditions,cardiac function indicators,pulmonary function indicators and the incidence of adverse events were compared between the two groups.Results After the intervention,the scores of the avoidance score,yielding and State Trait Anxiety Inventory of the observation group were all lower than those of the control group,while the facing score was higher than that of the control group.The differences were statistically significant(P＜0.05).6 months after the intervention,the levels of ventricular ejection fraction(LVEF),forced vital capacity(FVC),and forced expiratory volume in one second(FEV,)of the observation group were all higher than those of the control group,while the left ventricular end-diastolic volume(LVEDV)and left ventricular end-systol-ic volume(LVESV)were both lower than those of the control group.The differences were statistically significant(P＜0.05).During the intervention,total incidence of adverse events in the observation group was lower than that in control group(P＜0.05).Conclusion Nursing intervention in the patient navigation model can significantly improve the coping styles of elderly COPD patients complicated with grade Ⅱ-Ⅲ heart failure,relieve their anxiety,enhance their cardiac and lung functions,and reduce the occurrence of adverse events.