息护理对不同类心脏功能患者的影响:试点研究
Renhao Ze1, Ling Li2, Benling Qi2
1Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430022, China; MDT Team of Geriatric Palliative Care, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430022, China.
Geriatric nursing (New York, N.Y.)
|October 2, 2023
概括
息治疗显著改善了晚期心力衰竭患者的焦虑和抑郁 (NYHA III/IV类). 它还提高了NYHA IV类患者的生活质量,但对NYHA II类患者没有任何好处.
科学领域:
- 心脏病学 心脏病学
- 抚慰性护理是一种缓解性护理.
- 生活质量研究 研究 生命质量研究
背景情况:
- 心力衰竭显著影响患者的生活质量和精神健康.
- 息治疗 (PC) 旨在改善患有严重疾病的患者的生活质量.
- 在心力衰竭的不同阶段 (NYHA II,III,IV类) 中,PC的有效性需要进一步研究.
研究的目的:
- 调查息治疗对不同程度心力衰竭的患者的影响,特别是NYHAII,III和IV级心力衰竭患者.
- 评估缓和护理干预后生活质量和心理困扰 (焦虑和抑郁) 的变化.
主要方法:
- 患者被分为NYHA类II,III和IV组.
- 生活质量 (堪萨斯市心肌病问卷 - KCCQ) 和心理状态 (医院焦虑和抑郁量表 - HADS) 在PC前和3个月后被测量.
- 在PC干预组和对照组之间比较了结果.
主要成果:
- 息治疗显著改善了NYHA IV类患者的KCCQ,HADS-抑郁和HADS-焦虑得分 (P <0.05).
- 在NYHAIII类患者中观察到HADS抑郁和HADS焦虑得分的显著改善 (P<0.05),趋势是KCCQ的改善.
- 在NYHAII类患者的KCCQ,HADS抑郁或HADS焦虑得分上没有发现PC的显著影响.
结论:
- 息治疗有效地减少了NYHA三级和四级心力衰竭患者的焦虑和抑郁.
- 息治疗显著提高了NYHA第四级心力衰竭患者的生活质量.
- 对于NYHAII类心力衰竭患者来说,息护理在评估结果方面没有显著的益处.
相关概念视频
01:30Heart Failure IV: Classification and Diagnostic Evaluation
19
Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
19
01:30Cardiomyopathy II: Dilated Cardiomyopathy
11
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
11
01:17Pathophysiology of Heart Failure
1.6K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.6K
01:30Heart Failure VII: Nursing Interventions
89
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
89
01:22Heart Failure VI: Adjunct Therapies
16
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
16
01:29Cardiomyopathy V: Interprofessional Care
14
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
14