基于家庭的延伸康复护理在心衰合并心律失常患者中的应用以及对负面情绪的改善研究

曹桢 杨卓

摘要：目的：探究基于家庭的延伸康復护理在心衰合并心律失常患者中的应用以及对负面情绪的改善作用。方法：筛选我院2018年1月～2020年1月收治的72例心衰合并心律失常患者，随机分为观察组（36例，采用基于家庭的延伸康复护理）和对照组（36例，采用常规护理），比较两组患者的HAMD和HAMA评分、心功能水平、遵医行为依从性、PG-SGA评分、EORTCQLQ-C30评分、护理满意度。结果：（1）护理前，两组患者的HAMD和HAMA评分、LVEF和6min步行距离、PG-SGA评分和EORTCQLQ-C30评分均无显著差异，P>0.05，护理后，观察组的HAMD和HAMA评分、LVEF和6min步行距离、PG-SGA评分和EORTCQLQ-C30评分明显优于对照组，P<0.05。（2）护理后，观察组的自测血压、遵医嘱用药、合理饮食、规范运动和定期复查等依从性明显高于对照组，P<0.05。（3）护理后，观察组（97.22%）的满意度明显高于对照组（72.22%），P<0.05。结论：心衰合并心律失常患者的临床护理中，采取基于家庭的延伸康复护理，可有效改善患者的焦虑抑郁等负面情绪，提高心功能水平，加强遵医行为，提升生存质量、营养情况和护理满意度，值得参考。

关键词：基于家庭的延伸康复护理;心衰;心律失常;负面情绪

【Abstract】Objective： To explore the application of family-based extended rehabilitation nursing in patients with heart failure and arrhythmia and the improvement of negative emotions. Methods： The 72 patients with heart failure and arrhythmia admitted to our hospital from January 2018 to January 2020 were screened and randomly divided into observation group （36 cases， using extended family-based rehabilitation care） and control group （36 cases， using Routine nursing）， compare the HAMD and HAMA scores， cardiac function level， compliance behavior， PG-SGA score， EORTCQLQ-C30 score， and nursing satisfaction of the two groups of patients. Results： （1） Before nursing， there was no significant difference in HAMD and HAMA scores， LVEF and 6-min walking distance， PG-SGA score and EORTCQLQ-C30 score of the two groups of patients， P>0.05. After nursing， HAMD and HAMA in the observation group The score， LVEF and 6min walking distance， PG-SGA score and EORTCQLQ-C30 score were significantly better than those of the control group， P<0.05. （2） After nursing， the observation group's compliance with self-tested blood pressure， medication as prescribed by doctors， reasonable diet， standardized exercise， and regular review was significantly higher than that of the control group， P<0.05. （3） After nursing， the satisfaction degree of the observation group （97.22%） was significantly higher than that of the control group （72.22%）， P<0.05. Conclusion： In the clinical nursing of patients with heart failure and arrhythmia， family-based extended rehabilitation nursing can effectively improve the patients’ negative emotions such as anxiety and depression， improve heart function， strengthen compliance with doctors， and improve the quality of life， nutritional status and nursing care. Satisfaction is worthy of reference.

[Keywords] family-based extended rehabilitation care; heart failure; arrhythmia; negative emotions

心衰指的是由于心脏功能异常导致静脉血液淤积引发的肺部淤血等症状，属于终末期的心脏病的发展阶段，随着病情持续发展，可引发不同类型的心律失常，心衰并发心律失常是心内科常见的急重症之一，器质性心脏病患者尤其容易出现心律失常，还容易继发严重病发症状，危及患者性命。而心衰并发心律失常需要较长的康复时间，患者很容易在康复过……