摘要

【摘要】
目的 探讨针对性护理干预对于冠心病（CHD）合并心力衰竭（CHF）患者的负性情绪及血清皮质醇（Cor）水平的影响。

方法 选择2015年1月至2016年12月我院心内科住院CHD合并CHF患者124例，随机分为观察组与对照组，各62例。对照组给予常规护理干预，观察组在对照组基础上给予针对性护理干预。比较两组干预前后Zung焦虑自评量表（SAS）、抑郁自评量表（SDS）、明尼苏达心力衰竭生活质量量表（LiHFe）评分、血清Cor水平、左室射血分数（LVEF）、6min步行距离（6WMT）。

结果 干预后两组SAS、SDS、LiHFe各维度评分及血清Cor水平均较干预前显著降低，且观察组显著低于对照组（P<0.05）；干预后两组LVEF及6WMT均较干预前显著提高，且观察组显著高于对照组（P<0.05）。

结论 针对性护理干预可有效下调CHD合并CHF患者的负性情绪及血清Cor水平，对改善患者的心功能及生活质量具有积极作用。

关键词：【关键词】冠心病；心力衰竭；针对性护理；负性情绪；皮质醇

ABSTRACT

[Abstract]
Objective To investigate the targeted nursing intervention on negative emotion and serum cortisol (Cor) in coronary heart disease (CHD) patients with chronic heart failure (CHF).

Methods Totally 124 cases of CHD patients with CHF in our hospital from January 2015 to December 2016 were enrolled and randomly divided into observation group and control group ,62 cases in each group.The control group received routine nursing intervention,the observation group received targeted nursing intervention on the basis of the control group.The Zung Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), Minnesota Heart Failure Quality of Life Scale (LiHFe), serum Cor level, left ventricular ejection fraction (LVEF) and 6-minute walk test (6WMT) between the two groups were compared.

Results After intervention, the scores of SAS, SDS,LiHFe and the serum level of Cor in the two groups were significantly lower than before intervention,and those were significantly lower than in the control group (P<0.05). The LVEF and 6WMT in the two groups were significantly higher than before intervention,and the observation group were significantly higher than those in the control group (P<0.05).

Conclusion   Targeted nursing intervention can effectively reduce the negative emotion and serum Cor level in CHD patients with CHF. It has positive effect on improving cardiac function and quality of life of patients.

Key words: 【Key words】 Coronary heart disease; Heart failure; Targeted care; Negative mood; Cortisol