Effect of holistic nursing care on the negative emotion and life quality of patients with chronic heart failure

Abstract

Objective To investigate the effect of holistic nursing care on the negative emotion and life quality of patients with chronic heart failure(CHF).Methods Totals of 118 patients with CHF were randomly divided into intervention group(n =59) and control group(n =59).The control group received routine nursing care,while the intervention group were given holistic nursing intervention such as mental care,basic nursing,medicine nursing.Then,anxiety and depression of patients,quality of life,6 min walking distance,metabolic equivalents,and quality of life score and clinical indicators,as well as relapse and hospitalization rate were observed and compared.Results No significant difference was found in the SAS and SDS of patients when admitted to hospital (P ＞ 0.05).The SAS and SDS scores of control group were significantly higher than that in intervention group when discharge from hospital [(43.37 ± 5.62) vs (37.25 ± 5.57),(45.32 ± 7.58) vs (41.58 ±7.49)],the difference was statistical significance (t =2.53,3.08,P ＜ 0.05).And the 6 min walking distance [(253.07 ±75.68) mvs (104.15 ±45.36) m],clinical indicators[(5.68 ±0.78) vs (3.98 ± 1.19)],life quality score [(28.26 ± 10.65) vs (18.73 ± 11.57)] in intervention group were significantly higher than that in control group (t =2.45,3.16,3.04,respectively; P ＜ 0.05).Recurrent hospitalization rate in intervention group was significantly lower than that in control group (50.87％ vs 92.31％),the difference was statistical significance (x2 =5.48,P ＜ 0.05).Conclusions The holistic nursing intervention can effectively improve patients' satisfaction and promote recovery for the patients. Key words: Holistic nursing; Chronic heart failure; Negative emotion; Quality of life