心内科护理干预在慢性心力衰竭患者液体管理中的应用及对其心功能指标水平的影响
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蒋静颖
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上海市普陀区中心医院，上海，200333
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摘要：目的 探究在心内科的护理工作中，对慢性心力衰竭患者实施液体管理，对于改善患者心功能指标水平所产生的积极影响。方法 以2023 年3 月—2024 年7 月作为时间期限，在心内科筛选50 例确诊为慢性心力衰竭患者作为分析对象，进行对照式研究分析。对患者进行分组，划分为观察组与对照组，单组是25 例。对照组仅按照心内科的常规护理内容，观察组增加液体管理。在干预措施实施后，测定两组患者的心功能指标水平数据、液体潴留发生率、症状负担评分和护理满意度数据。结果 经护理，以观察组心功能指标水平优为记录，明显优于对照组，P<0.05；观察组液体潴留发生率数据低，对照组相对更高，体现为8%<36%，数据构成差异性；在护理后，观察组症状负担评分下降，下降的幅度超过对照组，P<0.05；满意度数据：观察组是（92.19±1.27）分，对照组是（78.03±1.33）分，观察组评价更好。结论 心内科护理干预中要重视对慢性心力衰竭患者的液体管理，减少液体潴留事件的发生，改善心功能指标水平，减轻发病症状，是非常好的护理方案，值得应用。
关健词：慢性心力衰竭；液体管理；心内科护理；心功能
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Application of cardiology nursing intervention in fluid management of patients with chronic heart failure and its impact on their cardiac function indicators
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Jingying Jiang
Putuo District Central Hospital, Shanghai 200333，China
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Abstract: Objective To explore the positive impact of implementing fluid management in the nursing care of patients with chronic heart failure in the cardiology department on improving their cardiac function indicators. Methods From March 2023 to July 2024, 50 patients diagnosed with chronic heart failure in the cardiology department were selected as subjects for a comparative study. The patients were divided into an observation group and a control group, with 25 patients in each group. The control group received only routine cardiology care, while the observation group received additional fluid management. After the implementation of the interventions, the levels of cardiac function indicators, incidence of fluid retention, symptom burden scores, and nursing satisfaction data were measured for both groups. Results After nursing, the observation group showed superior cardiac function indicator levels compared to the control group, with P < 0.05. The incidence of fluid retention in the observation group was lower than that in the control group, recorded as 8% < 36%, indicating a significant difference. After nursing, the symptom burden scores of the observation group decreased more significantly than those of the control group, with P < 0.05. Satisfaction data: the observation group scored (92.19 ± 1.27) points, while the control group scored (78.03 ± 1.33) points, indicating better evaluation in the observation group. Conclusion In cardiology nursing interventions, it is important to emphasize fluid management for patients with chronic heart failure. This approach reduces the incidence of fluid retention,improves cardiac function indicators, and alleviates symptoms, making it an excellent nursing strategy that is highly recommended for application.
Keywords : chronic heart failure; Liquid management; Cardiology nursing; cardiac function
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