Observation on the effect of integrated nursing intervention between western and traditional Chinese medicine in chronic heart failure patients
慢性心衰患者中西医结合护理干预效果观察

摘要

目的 构建“西医基础护理+中医辨证施护”一体化方案，探究其对慢性心衰患者的改善效果。方法选取2024年4月至2025年7月92例慢性心衰患者，按随机数字表法分为对照组（46例，常规西医护理）与实验组（46例，中西医结合护理）。对比两组干预3个月后心功能指标（LVEF、BNP）、生活质量评分及再住院率。结果 实验组LVEF高于对照组，BNP低于对照组（t=8.672、10.258，P＜0.001）；生活质量评分高于对照组（t=12.538，P＜0.001）；再住院率低于对照组（χ2=4.039，P=0.044）。结论 中西医结合护理可改善心功能，提升生活质量，降低再住院风险，值得临床推广。

Abstract

Objective To establish an integrated nursing protocol combining "Western medical basic care+TCM syndrome differentiation and nursing "and explore its therapeutic effects on chronic heart failure patients.
Methods A total of 92 chronic heart failure patients from April 2024 to July 2025 were randomly divided into a control group (46 cases, conventional Western medical care) and an experimental group (46 cases, integrated nursing). The cardiac function indicators(LVEF,BNP),quality of life scores, and rehospitalization rates were compared after 3 months of intervention.
Results The experimental group showed significantly higher LVEF (t=8.672, P<0.001) and lower BNP (t=10.258, P<0.001) compared to the control group. The quality of life scores were also higher (t=12.538, P<0.001), while the rehospitalization rate was lower (χ2=4.039, P=0.044).
Conclusion   Integrated nursing combining Western and traditional Chinese medicine can improve cardiac function, enhance quality of life, and reduce rehospitalization risks, making it worthy of clinical promotion.