Iranian Journal of Public Health 2016. 45(6):748-753.

A Comparative Study of the Efficacy and Psychological States be¬tween Patients with Senile Ischemic Heart Failure Undergone ICU and Conventional Therapies
Changli DU

Abstract


Background: Our aim was to forward an effective therapeutic approach by comparing efficacy and psychological states between patients with senile ischemic heart failure undergone ICU and conventional therapies.

Methods: We selected 64 patients from Hospital of Traditional Chinese Medicine of Rizhao (Shandong, China) between June 2013 and June 2014. The patients had ischemic heart disease, and were monitored for one-year time span. They were randomly divided into the experiment and control group, each of which of 32 cases. The experimental group received an ICU therapy, whereas the control group was treated with conventional therapy. The result of patients’ cardiac function, SDSSAS index and clinical efficacies were monitored and compared.

Results: Both groups, especially the experiment group showed significant improvement in the left ventricular end-diastolic diameter, left ventricular ejection fraction and cardiac NYHA rating (P<0.05). The experiment group needed less hospital stay and hence significantly more cost effective in comparison to control group (P<0.05). The therapy in terms of stent implantation, coronary artery bypass surgery and pure medication was not of statistical significant (P>0.05). In comparison to control group, the experiment group showed significantly lower mortality rate in short and long term (P<0.05). The SDSSAS rating of the 2 groups, especially the control group was significantly increased (P< 0.05).

Conclusion: We observed improvement in clinical efficacy and depressed anxiety among patients with serious senile ischemic heart failure, after specialized ICU therapy.

 

 


Keywords


ICU, Ischemic heart failure, SDSSAS scale

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