文章摘要

路径式护理在H型高血压合并射血分数保留的 心力衰竭治疗中的应用

作者: 1冯丽丽, 1李敏, 1宋婷婷
1 秦皇岛市第一医院心血管内科,河北 秦皇岛 066000
通讯: 宋婷婷 Email: sttqhd0210@qq.com
DOI: 10.3978/j.issn.2095-6959.2021.03.026

摘要

目的:探讨路径式护理在H型高血压合并射血分数保留的心力衰竭(heart failure with preserved ejection fraction,HFPEF)治疗中的应用效果。方法:选取秦皇岛市第一医院心血管内科于2015年1月至2016年8月收治的100例H型高血压合并HFPEF患者为对照组,采用常规护理。选取2016年9月至2019年1月收治的100例H型高血压合并HFPEF患者为观察组,采用路径式护理。比较两组的健康知识掌握情况、血压、左房容积/体表面积(left atrial volume index,LAVI)等指标。结果:观察组的健康知识知晓率、去除高危因素重要性知晓率高于对照组,差异有统计学意义(P<0.05)。观察组干预后的收缩压、舒张压低于对照组,LAVI小于对照组,差异有统计学意义(P<0.05)。观察组干预后的同型半胱氨酸(homocysteine,Hcy)低于对照组,氨基末端脑肽钠前体(N-terminal pro-brain natriuretic peptide,NT-proBNP)低于对照组,差异有统计学意义(P<0.05)。结论:路径式护理能提高H型高血压合并HFPEF患者对自身疾病的认识,提高血压控制水平,改善左房泵血功能。
关键词: 路径式护理;H型高血压;射血分数保留;效果

Application of pathway nursing in the treatment of H-type hypertension complicated with heart failure with preserved ejection fraction

Authors: 1FENG Lili, 1LI Min, 1SONG Tingting
1 Department of Cardiovascular Medicine, Qinhuangdao First Hospital, Qinhuangdao Hebei 066000, China

CorrespondingAuthor: SONG Tingting Email: sttqhd0210@qq.com

Abstract

Objective: To explore the effect of pathway nursing in the treatment of H-type hypertension with heart failure with preserved ejection fraction (HFPEF). Methods: All 100 patients with H-type hypertension and HFPEF admitted to the Department of Cardiology of the First Hospital of Qinhuangdao City from January 2015 to August 2016 were selected as a control group, and routine nursing was adopted. All 100 patients with H-type hypertension complicated with HFPEF from September 2016 to January 2019 were selected as an observation group, and pathway nursing was adopted. Health knowledge, blood pressure, left atrial volume/body surface area (LAVI) and other indicators were compared between the 2 groups. Results: The awareness rate of health knowledge and the importance of removing high-risk factors in the observation group were higher than those in the control group, with statistical significance (P<0.05). The systolic and diastolic blood pressures of the observation group were lower than those of the control group, and the LAVI was lower than that of the control group (P<0.05). After intervention, Hcy in the observation group was lower than that in the control group and N-terminal pro-brain natriuretic peptide (NT-proBNP) was lower than that in the control group (P<0.05). Conclusion: Pathway nursing can improve the understanding of H-type hypertension patients with HFPEF on their own diseases, the level of blood pressure control, and the left atrial pumping function.
Keywords: path nursing; H-type hypertension; ejection fraction retention; effect