慢性心力衰竭患者6 min步行试验的综合护理干预(1)
【摘要】 目的：探讨慢性心力衰竭患者行6 min步行试验的综合护理干预效果。方法：按随机数字表法将70例NYHA心功能Ⅱ～Ⅳ级且病情稳定的慢性心力衰竭患者分为两组，每组35例。对照组采用常规护理实施6 min步行试验，观察组在对照组基础上实施综合护理干预，包括试验前评估患者的心功能状态和心理状况，同时做好健康教育及急救准备。比较两组试验完成情况、试验结果与NYHA心功能分级符合率。结果：观察组试验结果与NYHA心功能评级的符合率(94.12%)均显著优于对照组，差异具有统计学意义(P<0.05)。结论：综合护理干预6 min步行试验，可以有效地评估慢性心力衰竭患者心功能，值得在临床中推广应用。
【关键词】 慢性心力衰竭； 心功能； 6 min步行试验； 综合护理
Comprehensive Nursing Interventions on Six-minute Walk Test for Patients with Chronic Heart Failure/HUANG Ai-jing，WU Fu-cheng.//Medical Innovation of China，2015，12(18)：091-092
, http://www.100md.com
【Abstract】 Objective：To study the effect of comprehensive nursing intervention on 6 minutes walk test for patients with chronic heart failure.Method：70 patients with heart function NYHA class Ⅱ-Ⅳ and stable condition of chronic heart failure were randomly divided into two groups，with each group 35 cases.The control group was given conventional nursing，while the observation group was given comprehensive nursing intervention，patient’s heart function and psychological condition were assessed，preparing for health education and first aid were included in the process.The complete status of the test，the coincidence rate of the test results and the NYHA heart function classification were compared between the two groups.Result：The coincidence rate of the test results and the NYHA heart function classification of the control group were significantly better than those of the control group，the difference was statistically significant(P<0.05).Conclusion：Comprehensive nursing intervention on 6 minutes walk test can effectively evaluate the cardiac function of patients with chronic heart failure，it is worth popularizing in clinical application.
, 百拇医药
【Key words】 Chronic heart failure； Cardiac function； 6 minutes walk test； Comprehensive nursing care
First-author’s address：The People’s Hospital of Shenzhen City，Shenzhen 518109，China
doi：10.3969/j.issn.1674-4985.2015.18.033
心功能评定是评估慢性心力衰竭重要组成部分。6 min步行试验是评估慢性心力衰竭患者心功能的重要指标。近几年，有关临床研究发现，影响6 min步行试验距离的因素较多，如对环境熟悉程度、年龄以及性别等[1]。目前，部分学者认为该试验有引起患者发生急性心功能不全以及心律失常等疾病的风险，所以严格规范6 min步行试验的操作流程，对于保证评估患者心功能的准确性以及安全性具有重要的意义[2]。本研究选择70例NYHA心功能Ⅱ～Ⅳ级且病情稳定的慢性心力衰竭患者，探讨慢性心力衰竭患者行6 min步行试验的综合护理干预效果。现报告如下。
1 资料与方法
1.1 一般资料 按随机数字表法将70例NYHA心功能Ⅱ～Ⅳ级且病情稳定的慢性心力衰竭患者分为两组，每组35例。其中对照组男21例，女14例；年龄55～76岁，平均(63.7±3.8)岁；20例冠心病、7例扩张型心肌病、8例瓣膜病。观察组男20例，女15例；年龄56～76岁，平均(63.9±3.5)岁；21例冠心病、8例扩张型心肌病、6例瓣膜病。排除标准：近期出现不稳定型心绞痛等疾病者；静息心率大于120次/min者；高血压者；伴有严重心律失常疾病者；严重瓣膜病者；体质较差者。两组性别、年龄等资料比较差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(黄爱京 吴福成)
【关键词】 慢性心力衰竭； 心功能； 6 min步行试验； 综合护理
Comprehensive Nursing Interventions on Six-minute Walk Test for Patients with Chronic Heart Failure/HUANG Ai-jing，WU Fu-cheng.//Medical Innovation of China，2015，12(18)：091-092
, http://www.100md.com
【Abstract】 Objective：To study the effect of comprehensive nursing intervention on 6 minutes walk test for patients with chronic heart failure.Method：70 patients with heart function NYHA class Ⅱ-Ⅳ and stable condition of chronic heart failure were randomly divided into two groups，with each group 35 cases.The control group was given conventional nursing，while the observation group was given comprehensive nursing intervention，patient’s heart function and psychological condition were assessed，preparing for health education and first aid were included in the process.The complete status of the test，the coincidence rate of the test results and the NYHA heart function classification were compared between the two groups.Result：The coincidence rate of the test results and the NYHA heart function classification of the control group were significantly better than those of the control group，the difference was statistically significant(P<0.05).Conclusion：Comprehensive nursing intervention on 6 minutes walk test can effectively evaluate the cardiac function of patients with chronic heart failure，it is worth popularizing in clinical application.
, 百拇医药
【Key words】 Chronic heart failure； Cardiac function； 6 minutes walk test； Comprehensive nursing care
First-author’s address：The People’s Hospital of Shenzhen City，Shenzhen 518109，China
doi：10.3969/j.issn.1674-4985.2015.18.033
心功能评定是评估慢性心力衰竭重要组成部分。6 min步行试验是评估慢性心力衰竭患者心功能的重要指标。近几年，有关临床研究发现，影响6 min步行试验距离的因素较多，如对环境熟悉程度、年龄以及性别等[1]。目前，部分学者认为该试验有引起患者发生急性心功能不全以及心律失常等疾病的风险，所以严格规范6 min步行试验的操作流程，对于保证评估患者心功能的准确性以及安全性具有重要的意义[2]。本研究选择70例NYHA心功能Ⅱ～Ⅳ级且病情稳定的慢性心力衰竭患者，探讨慢性心力衰竭患者行6 min步行试验的综合护理干预效果。现报告如下。
1 资料与方法
1.1 一般资料 按随机数字表法将70例NYHA心功能Ⅱ～Ⅳ级且病情稳定的慢性心力衰竭患者分为两组，每组35例。其中对照组男21例，女14例；年龄55～76岁，平均(63.7±3.8)岁；20例冠心病、7例扩张型心肌病、8例瓣膜病。观察组男20例，女15例；年龄56～76岁，平均(63.9±3.5)岁；21例冠心病、8例扩张型心肌病、6例瓣膜病。排除标准：近期出现不稳定型心绞痛等疾病者；静息心率大于120次/min者；高血压者；伴有严重心律失常疾病者；严重瓣膜病者；体质较差者。两组性别、年龄等资料比较差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(黄爱京 吴福成)