Effect of nursing intervention on psychological status and prognosis of patients with chronic heart failure
Weiping Wang
Abstract
Weiping Wang
Abstract
Objective To investigate the effect of nursing intervention on the psychological status and prognosis of patients with chronic heart failure.Methods 80 patients with chronic heart failure from April 2008 to April 2009 were chosen as the research subjects and randomly divided into the control group and the observation group.The control group was given with routine care.The observation group took the nursing intervention during treatment course.The total effective rate,the anxiety before and after treatment,and the depression score improvement were compared between the two groups.The relapse rates were compared by 1 year followed up after discharge.Results The anxiety and depression scores in the two groups were significantly improved after treatment.But the improvement in the observation group was significantly better than the that in the control group with statistical difference(P0.05).There were 24 cases of excellent effect,14 cases of effect and 2 cases of ineffec in the observation group with the total effective rate of 92.5%.There were 19 cases of excellent effect,11 cases of effect and 10 cases of ineffect in the control group with the total effective rate of 75.0%.The total effective rate in the observation group was significantly higher than that in the control group(P0.05).The recurrence rate for 1 year followed up after discharge was 12.5% in the observation group and 43.5% in the control group,showing that the observation group was lower than the control group(P0.05).Conclusion Nursing intervention can improve the anxiety and depression scores for the patients with chronic heart failure,enhance the confidence of the patients to overcome the disease,make them actively cooperate with medical treatment and nursing care to increase the total effective rate and reduce the recurrence rate of long-term prognosis.
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Objective To investigate the effect of nursing intervention on the psychological status and prognosis of patients with chronic heart failure.Methods 80 patients with chronic heart failure from April 2008 to April 2009 were chosen as the research subjects and randomly divided into the control group and the observation group.The control group was given with routine care.The observation group took the nursing intervention during treatment course.The total effective rate,the anxiety before and after treatment,and the depression score improvement were compared between the two groups.The relapse rates were compared by 1 year followed up after discharge.Results The anxiety and depression scores in the two groups were significantly improved after treatment.But the improvement in the observation group was significantly better than the that in the control group with statistical difference(P0.05).There were 24 cases of excellent effect,14 cases of effect and 2 cases of ineffec in the observation group with the total effective rate of 92.5%.There were 19 cases of excellent effect,11 cases of effect and 10 cases of ineffect in the control group with the total effective rate of 75.0%.The total effective rate in the observation group was significantly higher than that in the control group(P0.05).The recurrence rate for 1 year followed up after discharge was 12.5% in the observation group and 43.5% in the control group,showing that the observation group was lower than the control group(P0.05).Conclusion Nursing intervention can improve the anxiety and depression scores for the patients with chronic heart failure,enhance the confidence of the patients to overcome the disease,make them actively cooperate with medical treatment and nursing care to increase the total effective rate and reduce the recurrence rate of long-term prognosis.
Key concepts: Medicine, Anxiety, Depression (economics), Nursing, Heart failure, Nursing care, Treatment and control groups, Intervention (counseling)