霍雪琴 王建宁 颜琼

[摘要]目的 探讨综合护理干预措施对原发性肺动脉高压患者生活质量的影响。方法 选取2017年1月～2018年1月入住我院心内科接受治疗的44名原发性肺动脉高压患者，采用随机数字表法分为对照组与实验组，每组各22例。实验组采用综合护理干预措施，对照组采用常规护理，采用SF-36量表对两组进行生活质量水平调查。结果 实验组干预后生活质量各维度得分均高于对照组，差异有统计学意义（P<0.05）；实验组干预后生活质量各维度得分均高于干预前，差异有统计学意义（P<0.05）。结论 通过积极的综合护理干预措施，可有效提高肺动脉高压患者生活质量，为临床护理工作者制定有效的健康教育策略提供科学依据。

[关键词]护理干预；原发性肺动脉高压；生活质量

[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2018）10（a）-0182-03

[Abstract] Objective To explore the effect of comprehensive nursing intervention on quality of life in patients with primary pulmonary hypertension. Methods Altogether 44 primary pulmonary hypertension patients who were treated in department of cardiology our hospital from January 2017 to January 2018 were divided according to the random digital table method into the control group and the experiment group， 22 cases in each group. The experiment group was received comprehensive nursing intervention， while the control group was received routine nursing. The SF-36 scale was used to investigate the quality of life of the two groups. Results The post-interventional scores of all dimensions of quality of life of the experiment group were higher than those of the control group， with statistically significant difference （P<0.05）. The post-interventional scores of all dimensions of the quality of life of the experiment group were higher than those before the intervention， with statistically significant difference （P<0.05）. Conclusion Active and comprehensive nursing intervention measures can effectively improve the quality of life of patients with pulmonary hypertension， and provide a scientific basis for clinical nursing workers to formulate effective health education strategies.

[Key words] Nursing intervention； Primary pulmonary hypertension； Quality of life

原发性肺动脉高压（pulmonary arterial hypertension，PAH）也称为特发性肺动脉高压，是指原因不明的肺血管阻力增加而引起持续性肺动脉压力升高，其血流动力学定义为静息状态下平均肺动脉压>25 mmHg，肺毛细血管压或左房压<15 mmHg或运动时肺动脉平均压>30 mmHg[1]。该疾病是临床上较罕见的以右心衰竭为主要病变的心脏病，其临床表现主要是劳力性呼吸困难、胸痛、气促、下肢或全身水肿等。PAH病因、发病机制尚不明确，一般可由左心疾病、低氧血症、肺部疾病、抗凝药物、感染、肿瘤等引发，死亡率高达30%～50%[2]。本研究主要通过临床调查、经验总结及查阅医学文献资料，探讨综合护理干预措施对PAH患者生活质量的影响，以改善患者健康狀况。

1资料与方法

1.1一般资料

选取2017年1月～2018年1月入住我院心内科接受治疗的44名PAH患者，纳入标准：经右心导管检查确诊为PAH者，即标准静息状态下测得的右心导管肺动脉平均压≥25 mm Hg[3]；自愿参加本调查者。……