林展球 罗小燕 钟小炜

[摘要] 目的 探讨重症心力衰竭患者采用结果导向的护理管理对机体快速康复的促进效果。 方法 选取2017年1月至2020年1月院内收治的重症心力衰竭患者80例，随机分为研究组与对照组，每组40例，患者均进行对症治疗，然后配合护理干预，对照组进行常规护理管理，研究组进行结果导向的护理管理，比较研究组与对照组护理前后心率，血压，监测动脉血氧饱和度（SaO2），心功能改善情况，焦虑、抑郁及护理满意度。 结果 研究组心率低于对照组，血压、SaO2高于对照组，差异有统计学意义（P<0.05）;研究组BNP低于对照组，而CI、CO、EF指标高于对照组，差异有统计学意义（P<0.05）;研究组SAS、SDS评分低于对照组，差异有统计学意义（P<0.05）;研究组护理总满意率为95.00%，高于对照组的80.00%，差异有统计学意义（P<0.05）。 结论 结果导向的护理管理改善患者心率、血压、心功能及焦虑、抑郁情况明显，促进患者快速康复。

[关键词] 结果导向;护理管理;重症心力衰竭;快速康复

[中图分类号] R473.5          [文献标识码] B          [文章编号] 1673-9701（2021）31-0178-04

[Abstract] Objective To explore the effect of result-oriented nursing management on the rapid recovery of the body in patients with severe heart failure. Methods A total of 80 patients with severe heart failure admitted to the hospital from January 2017 to January 2020 were enrolled. They were randomly divided into the study group and the control group， with 40 cases in each group. The patients received symptomatic treatment combined with nursing intervention. The control group was given routine nursing management. The study group was given result-oriented nursing management. The heart rate， blood pressure， arterial blood oxygen saturation （SaO2）， cardiac function improvement， anxiety， depression， and nursing satisfaction were compared between the study group and the control group before and after nursing. Results The heart rate of the study group was lower than that of the control group， and the blood pressure and SaO2 of the study group were higher than those of the control group，the difference was statistically significant（P<0.05）.BNP in the study group was lower than that in the control group， while CI， CO and EF were higher than those in the control group，the difference was statistically significant（P<0.05）. The SAS and SDS score of the study group was lower than that of the control group，the difference was statistically significant（P<0.05）. The nursing total satisfaction rate of the study group was 95.00%， higher than that of the control group （80.00%）， and the difference was statistically significant （P<0.05）. Conclusion The result-oriented nursing management improves the patient's heart rate， blood pressure， heart function， anxiety and depression， and promotes the patient's rapid recovery.

[Key words] Result-oriented; Nursing management; Severe heart failure; Rapid recovery

心力衰竭是臨床发病率较高的疾病之一，主要症状为气促、呼吸困难、外周水肿等，而重症心力衰竭则是在静息状态中以呼吸困难为主要临床表现，同时患者存在血流动力学异常，患者大部分易发生休克或多器官功能障碍等并发症，严重威胁患者生存质量[1-2]。现今，重症心力衰竭以促进尿液排泄、血管内皮扩张及增强心功能等对症治疗为主，挽救患者生命，但治疗期间因患者机体差异病情变化不同，且对疾病有关的知识陌生、心理承受力与自我管理能力较弱，往往会随着治疗进展遵医配合度变差，影响患者恢复[3-4]。……