Influence of strengthening nursing intervention on quality of life in patients with coronary heart disease complicated with chronic heart failure

GU Ai-qin; WANG Li-chun; XU Hong; NI Xiao-su

doi:10.3969/j.issn.1674-4055.2016.09.30

Abstract：Objective To analyze the influence of strengthening nursing intervention on quality of life (QOL) in the patients with coronary heart disease (CHD) complicated with chronic heart failure (CHF), and investigate the clinical significance of strengthening nursing intervention.Methods The patients with CHD complicated with CHF (n=122) were chosen from the Department of Cardiovasology of People’s Hospital in Taizhou City from Jan. 2013 to Dec. 2014. All patients were randomly divided into observation group given strengthening nursing intervention and control group given routine nursing intervention (eachn=61). The general clinical data was compared between 2 groups, and psychological status (depression severity and anxiety severity), QOL and attack of angina pectoris were investigated by using scales in 2 groups. The incidence of re-hospitalization due to acute heart failure (AHF) was observed within 1 year.Results Before the nursing, the scores of depression scale, anxiety scale and QOL had no significant statistical difference between 2 groups (allP>0.05). After the nursing, the scores of depression scale, anxiety scale and QOL were significantly improved in 2 groups, which was more significant in observation group than those in control group (allP<0.05). The degree of satisfaction to nursing care, attack of angina pectoris, stable disease status, cognition of disease and influence on normal life were significantly superior in observation group to those in control group (P<0.05). The incidence of re-hospitalization due to AHF within 1 year was significantly lower in observation group than that in control group (19.67%vs. 36.06%,P<0.05).Conclusion The strengthening nursing intervention can significantly relieve anxiety and depression, improve QOL, and reduce the incidence of re-hospitalization due to AHF in patients with CHD complicated with CHF.