2015•China Modern DoctorRequires access
Effect of comprehensive nursing intervention on improving the level of cognition and prognosis of patients with chronic heart failure
Fang Lijua
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Abstract
Objective To investigate the effect of comprehensive nursing intervention on improving the cognitive level in patients with chronic heart failure and the prognosis, to provide basis for clinical nursing. Methods In our hospital from June 2012 to June 2014, 60 cases patients with chronic heart failure according to the nursing methods were divided into control group and intervention group, 30 cases in each group, the control group was given routine nursing, the observation group based on routine nursing application of comprehensive nursing intervention. The psychological nursing, exercise intervention, body position intervention, dietary intervention, medication nursing, health education, cognitive function level quality of life, the score before and after intervention, and the prognosis were compared between the two groups. Results After 3 months intervention, intervention time directional force, disorientation, immediate memory,attention and calculation, delayed memory, language, visuospatial scores of observation group were(8.97 ±0.59),(8.39±1.14),(2.93±0.82),(4.45 ±0.64),(2.26 ±0.14),(8.83 ±1.26),(2.62 ±0.34), significantly higher than the control group, the difference was statistically significant(P0.05). 3 months after the intervention, the intervention group patients physical function, emotional function, role function, cognitive function, social function, the overall quality of life scores were(95.37 ±3.62) and(91.40 ±3.97),(89.42 ±4.13),(81.33 ±4.64),(59.01 ±3.92),(89.47 ±4.18), significantly higher than the control group, the difference was statistical significance(P0.05). The intervention group's worsening rehospitalization for heart failure or emergency department visits and ratio were significantly lower than the control group, the difference was statistically significant(P 0.05). Conclusion The implementation of comprehensive nursing intervention on patients with chronic heart failure, can raise the level of awareness of the disease of the patients, the quality of life of the patients and the prognosis is significantly improved.