中华护理杂志 ›› 2022, Vol. 57 ›› Issue (17): 2109-2115.DOI: 10.3761/j.issn.0254-1769.2022.17.010
郑改改(), 杨巧芳(), 殷月, 陈参参, 石贞玉, 张艳杰, 蒿若楠, 田焕, 刘艳存
收稿日期:
2021-10-19
出版日期:
2022-09-10
发布日期:
2022-09-07
通讯作者:
杨巧芳,E-mail: eaam68@163.com作者简介:
郑改改:女,硕士,护师,E-mail: 2466851841@qq.com
基金资助:
ZHENG Gaigai(), YANG Qiaofang(), YIN Yue, CHEN Cancan, SHI Zhenyu, ZHANG Yanjie, HAO Ruonan, TIAN Huan, LIU Yancun
Received:
2021-10-19
Online:
2022-09-10
Published:
2022-09-07
摘要:
目的 纵向探讨急性心力衰竭(acute heart failure,AHF)患者从入院时到易损期不同时期症状群的特点,以期为医护人员实施针对性的症状管理提供依据。 方法 采用前瞻性研究设计,便利选取2019年11月—2020年11月在郑州市某三级甲等医院心内科住院的265例AHF患者,分别在患者入院第3天、出院后2个月和出院后3个月,使用中文版Memorial心力衰竭症状评估量表进行调查,且对3个时间点症状发生率≥40%的症状进行探索性因子分析提取症状群,并进行统计描述。 结果 AHF患者入院第3天有4个症状群,分别是急性血容量负荷过重症状群、心理情绪症状群、疲乏症状群和外周及肺部淤血症状群;出院后2个月有3个症状群,分别是休息相关症状群、心脏及组织缺血症状群和胸痛/胸闷-紧张症状群;出院后3个月有3个症状群,分别是心理情绪症状群、睡眠困难-口干症状群和疲乏症状群。 结论 AHF患者的症状群在不同时间点呈现动态变化的特点,疲乏症状稳定出现,入院时症状群较为严重,但是易损期的症状群也不容忽视,医护人员可以根据不同时期的症状群特征,采取针对性的干预措施。
郑改改, 杨巧芳, 殷月, 陈参参, 石贞玉, 张艳杰, 蒿若楠, 田焕, 刘艳存. 急性心力衰竭患者入院时及易损期核心症状群的纵向研究[J]. 中华护理杂志, 2022, 57(17): 2109-2115.
ZHENG Gaigai, YANG Qiaofang, YIN Yue, CHEN Cancan, SHI Zhenyu, ZHANG Yanjie, HAO Ruonan, TIAN Huan, LIU Yancun. The changes of core symptom clusters in patients with acute heart failure during admission and vulnerable phase:a longitudinal study[J]. Chinese Journal of Nursing, 2022, 57(17): 2109-2115.
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