基于感恩拓延-建构理论的持续个性化护理干预对扩张型心肌病心力衰竭患者心功能、日常生活能力的影响

Effects of continuous personalized nursing intervention based on gratitude extension construction theory on cardiac function and activities of daily living in patients with dilated cardiomyopathy and heart failure

摘要

目的 探究基于感恩拓延-建构理论的持续个性化护理干预对扩张型心肌病心力衰竭患者心功能、日常生活能力的影响。方法 于2023年1月-2024年12月,选取我院扩张型心肌病心力衰竭患者140例作为研究对象,随机分为对照组、研究组,各70例,对照组采用常规干预,研究组采用以感恩拓延-建构理论为基础的持续个性化护理干预。对比两组患者心功能、负性情绪、日常生活能力、生活质量评分及满意度。结果 干预前两组心功能指标(LVEF、LVESD、LVEDD)具有可比性。干预前后,研究组LVEF差值(16.12±1.49)%显著高于对照组差值(8.27±1.55)%,两组间差值比较具有统计学意义(t=30.550,P<0.001),干预前后研究组LVESD差值(14.89±2.30)mm、LVEDD差值(10.10±1.53)mm分别大于对照组LVESD差值(10.02±1.85)mm、LVEDD差值(6.36±1.85)mm,两组间比较差值具有统计学意义(P<0.05);干预前后研究组SAS、SDS评分差值高于对照组,差异具有统计学意义(P<0.05);干预前后研究组ADL评分差值大于对照组,差异具有统计学意义(P<0.05)。研究组生活质量各维度评分均显著高于对照组(P<0.05);研究组总满意度(97.14%)高于对照组(85.71%),差异具有统计学意义(χ²=4.211,P<0.05)。结论 基于感恩拓延-建构理论的持续个性化护理干预对扩张型心肌病心力衰竭患者的心功能、日常生活能力及生活质量具有显著的改善作用,值得临床推广。

Abstract

Objective To explore the effects of continuous personalized nursing interventions based on the theory of gratitude extension construction on cardiac function and activities of daily living in patients with dilated cardiomyopathy and heart failure. Methods From January 2023 to December 2024,140 patients with dilated cardiomyopathy and heart failure from our hospital were enrolled as the study subjects and randomly divided into a control group and a study group,with 70 cases each. The control group received conventional interventions,while the study group received continuous personalized nursing interventions based on the Gratitude Extension-Building Theory. The heart function,negative emotions,activities of daily living,quality of life,and satisfaction were compared between the two groups. Results Before the intervention,the two groups were comparable in terms of cardiac function indicators (LVEF,LVESD,LVEDD). After the intervention,the change in LVEF in the study group (16.12±1.49)% was significantly higher than that in the control group (8.27±1.55)%,and the difference between the two groups was statistically significant (t=30.550,P<0.001). The pre-to-post intervention changes in LVESD (14.89±2.30 mm) and LVEDD (10.10±1.53 mm) in the study group were higher than those in the control group (LVESD 10.02±1.85 mm;LVEDD 6.36±1.85 mm),and the differences between the two groups were statistically significant (P<0.05). The changes in SAS and SDS scores before and after intervention in the study group were higher than those in the control group,with statistically significant differences (P<0.05). The difference ADL scores in the study group were higher in the control group (P<0.05),and scores across all dimensions of quality of life in the study group were significantly higher than those in the control group (P<0.05). The overall satisfaction rate in the study group (97.14%) was higher than that in the control group (85.71%),and the difference was statistically significant (χ²=4.211,P<0.05). Conclusion The continuous personalized nursing intervention based on the theory of gratitude extension construction can significantly improve effect on the cardiac function,activities of daily living,and quality of life of patients with dilated cardiomyopathy and heart failure,which is worthy of clinical popularization.

关键词

感恩拓延-建构理论 / 持续个性化护理 / 扩张型心肌病心力衰竭 / 心功能 / 日常生活能力

Key words

Gratitude extension-construction theory / Continuous personalized care / Dilated cardiomyopathy heart failure / Heart function / Activities of daily living (ADL)

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基金资助

南阳市科技攻关计划项目(24KJGG240)