张艳媚 翟妍 李鑫楠

[摘要] 目的 探讨中医护理干预对慢性心力衰竭患者生活质量的影响。 方法 选取我院2011年l月～2015年1月我院收治的慢性心力衰竭患者200例作为本次研究的观察对象，根据入院顺序将其分为观察组与对照组各100例，两组均给予常规西药治疗与护理，观察组在此基础上加用中医护理。记录两组患者护理前后的生活质量变化及患者对护理工作的满意度，并采用统计学软件处理。 结果 经不同措施护理后两组患者的生活质量均较治疗前有所改善，且观察组改善效果更为明显（P<0.05或P<0.01）；观察组对护理工作满意度显著高于对照组，两组比较差异有统计学意义（P<0.01）；观察组患者的总有效人数为90人，总有效率为90.0%，对照组患者的总有效人数为75人，总有效率为75.0%，两组患者比较，观察组患者的总有效率明显高于对照组，差异有统计学意义（P<0.01）。 结论 对慢性心力衰竭患者在实施常规护理的基础上给予中医护理干预措施，可显著提高其生活质量，获得满意的预后效果，维持良好的护患关系。

[关键词] 中医护理；慢性心力衰竭；生活质量

[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2016）02（b）-0189-04

Impact of traditional Chinese medicine nursing on the life quality of chronic heart failure patients

ZHANG Yan-mei ZHAI Yan LI Xin-nan

Department of the First Medical，Shenzhen Hospital of Guangzhou University of Chinese Medicine，Shenzhen 518034，China

[Abstract] Objective To explore the impact of traditional Chinese medicine nursing intervention on the life quality of chronic heart failure patients. Methods 200 chronic heart failure patients from January 2011 to January 2015 of our hospital were selected as observation object of this study.Patients were divided into observation group and control group according to their admitted order，and each group was 100 cases.Both two groups were given routine western medicine and nursing.Patients in observation group were added traditional Chinese medicine nursing on the basis of that.The changes of life quality before and after nursing and satisfaction that patients to nursing work in two groups were noted and conducted by using statistical software. Results After treating with different nursing，life quality improved compared with before treatment，but the improvement effects in observation group were more obvious （P<0.05 or P<0.01），and the satisfaction in observation group was obvious higher than control group，and the difference was statistical significance （P<0.01）.The total effective number and total effective rate in observation group were respectively 90 and 90.0%，obvious better than that were respectively 75 and 75.0% in control group，and the difference was statistical significance （P<0.01）. Conclusion For chronic heart failure patients，giving traditional Chinese medicine nursing intervention on the basis of routine nursing can obvious improve life quality，get good prognosis effects and maintain good relationship between nurses and patients.

[Key words] Traditional Chinese medicine nursing；Chronic heart failure；Life quality

心血管疾病是指包括心脏、血管等在内的循环系统疾病，该疾病已成为威胁人类健康最常见的疾病。近年来，随着各种因素的影响，心血管疾病的发生率逐年增加，已成为主要的公共卫生问题。调查显示，我国慢性心力衰竭住院率占同期心血管病的20%，致残率与病死率也逐渐升高[1]。慢性心力衰竭患者在治疗过程中常遇到很多问题，如疾病知识水平低、生活质量差、复发率和再住院率高等，其治疗与护理，重点实施的还是现代医学与护理方面的健康教育，而结合中医知识实施中医护理指导者甚少。本文具体探讨中医护理干预对于慢性心力衰竭患者生活质量的影响，现报道如下。

1 资料与方法

1.1一般资料

选择我院2011年l月～2015年1月收治的慢性心力衰竭患者200例，根据入院顺序将其分为观察组与对照组各100例，其中对照组中男62例，女38例；……