|
|
The influence of double heart medical model on patients with chronic heart failure |
CHEN Xiaofeng |
Department of ICU, the Second Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150086, China |
|
|
Abstract Objective To explore the influence of double heart medical model on patients with chronic heart failure. Methods 120 patients with chronic heart failure treated in Department of ICU of the Second Affiliated Hospital of Harbin Medical University from February 2017 to February 2019 were selected as study objects. According to the random paper method, they were divided into two groups: 56 patients in control group (conventional medical mode) and 64 patients in observation group (double heart medical mode). The score of self-rating anxiety scale (SAS), score of self-rating depression scale (SDS), standard diviation average of NN intervals (SDANN), standard diviation of NN intervals (SDNN), the difference between root mean square of succe successive differences (rMSSD), left ventricular ejection fraction, cardiac output and stroke output were observed before and after the intervention in two groups. Results Before intervention, there were no significant differences in SAS score, SDS score, SDANN, SDNN, rMSSD, left ventricular ejection fraction, cardiac output and stroke output between two groups (P > 0.05). After intervention, the scores of SAS and SDS in two groups were significantly lower than those before intervention, SDANN, SDNN and rMSSD in two groups were significantly faster than those before intervention, left ventricular ejection fraction in two groups was significantly higher than that before intervention, cardiac output and stroke output in two groups were significantly greater than those before intervention; the scores of SAS and SDS in observation group were lower than those in control group, SDANN, SDNN and rMSSD in observation group were faster than those in control group, left ventricular ejection fraction in observation group was higher than that in control group, cardiac output and stroke output in observation group were higher than those in control group, the differences were statistically significant (P < 0.05). Conclusion The application of double heart medical model in patients with chronic heart failure can improve bad mood, reduce heart rate variability and improve heart function, which is worthy of clinical application.
|
|
|
|
|
[1] 姚光琳.双心医学模式对慢性心力衰竭伴焦虑抑郁状态患者心率变异性及心功能的影响[J].中国健康心理学杂志,2019,27(5):723-727.
[2] 罗永丽,王洪雄,李东霞,等.分级运动康复对老年慢性心力衰竭患者心功能级生活质量的影响[J].中国老年学杂志,2017,37(24):6064-6066.
[3] 王育梅,宋美,王冉,等.河北省社区心血管疾病老人伴发抑郁症状及相关因素现况调查[J].中国心理卫生杂志,2016,30(2):86-90.
[4] 张静,侯丽萍,耿慧,等.有氧运动强度对慢性心力衰竭患者运动耐力的影响[J].医学与哲学,2018,39(2):30-33.
[5] 余木生,熊春霖,许通文,等.叶酸、维生素B12治疗对慢性心力衰竭伴高同型半胱氨酸血症患者心功能的影响[J].海南医学,2017,27(8):1237-1239.
[6] 黄智钢,李燕.个体化治疗对老年慢性心力衰竭住院患者预后的影响[J].河北医学,2018,24(2):202-205.
[7] 张泽丹,曾莉,谭平.叶酸联合维生素B12治疗老年冠心病慢性心力衰竭伴高同型半胱氨酸血症的疗效分析[J].河北医学,2018,24(2):313-317.
[8] 马毅.慢性心力衰竭患者血清同型半胱氨酸水平与短期预后的关系研究[J].川北医学院学报,2017,32(1):106-108.
[9] 康铁朵,刘文娴,康云鹏,等.心脏康复运动在老年慢性心力衰竭患者治疗中的应用[J].中国医药,2017,12(2):171-174.
[10] 胡成燕,庄晓赛,宁彬,等.双心医学模式在不稳定型心绞痛伴抑郁焦虑患者中的应用研究[J].安徽医学,2014, 42(12):1648-1650.
[11] 中华医学会心血管病学分会,中华心血管病杂志编辑委员会.中国心力衰竭诊断和治疗指南2014[J].中华心血管病杂志,2014,42(2):98-122.
[12] 吴文源.焦虑自评量表[J].中国心理卫生杂志,1999(增刊):235-238.
[13] 舒良.自评抑郁量表[J].中国心理卫生杂志,1999(增刊):194-196.
[14] 王程程,赵伟娣,刘博秀.双心模式护理对重症心脏瓣膜病患者预后的效果评估[J].贵州医药,2018,42(4):498-499.
[15] 严梦琴,肖水源,胡宓.我国一些抑郁量表的中文翻译与信效度问题[J].中国心理卫生杂志,2016,30(7):501-505.
[16] 龚艳辉,万艳平,谭力权,等.协同护理模式对慢性心力衰竭病人自我容量管理的影响[J].全科护理,2019,17(15):1856-1858.
[17] 吴小英,费芳琴.居家慢性心力衰竭患者护理依赖现状及影响因素[J].中国医药导报,2019,16(7):170-172.
[18] 瞿广素,甘春霞,周蓓,等.延续性护理管理模式对慢性心力衰竭患者认知功能的影响[J].重庆医学,2019,48(9):1618-1620.
[19] 王寅,李彤,王晓静,等.基于体质量管理策略的护理干预对慢性心力衰竭患者行为能力及生活质量的影响[J].护士进修杂志,2019,34(7):577-580.
[20] 姜腾飞,王伟,张琦,等.慢性心力衰竭患者延续性护理研究进展[J].实用心脑肺血管病杂志,2019,27(2):104-107.
[21] 罗翠华,黄幼平,区洁崧.运动康复护理应用于慢性心力衰竭病人的效果评价[J].全科护理,2019,17(13):1582-1584.
[22] 林红,潘玉环.“双心医学”模式在慢性心力衰竭伴抑郁障碍患者中的应用[J].中国医药科学,2018,8(5):204-206,210.
[23] 刘园园,卢文秋.“双心医学”模式在慢性心衰伴抑郁障碍患者中的应用[J].天津医药,2014,42(6):575-577. |
|
|
|