护理主导的容量平衡管理方案联合体重监测与症状评分在心衰患者中的应用效果及对预后的影响

The Effectiveness of a Nursing-Directed Volume Balance Management Protocol Combined with Weight Monitoring and Symptom Scoring in Heart Failure Patients and Its Impact on Prognosis

摘要: 目的：探讨护理主导的容量平衡管理方案联合体重监测与症状评分在心力衰竭患者中的应用效果及对预后的影响。方法：本研究共选择出98例心力衰竭患者，均于2025年1月~2025年12月期间在本院接受治疗的患者。随机分为2组，各49例。对照组采用常规护理，观察组实施护理主导的容量平衡管理方案联合体重监测与症状评分干预。对两组的干预作用进行对比分析。结果：干预后，观察组自我管理评分高于对照组；心功能优于对照组；再住院率与死亡率均低于对照组，P均 < 0.05。结论：该联合护理方案可有效提升心衰患者自我管理能力，改善心功能，降低不良预后风险，值得临床推广应用。

Abstract: Objective: This paper aims to explore the application effect and prognostic impact of a nursing-led fluid balance management program combined with weight monitoring and symptom scoring in patients with heart failure. Methods: A total of 98 heart failure patients treated in our hospital from January 2025 to December 2025 were selected and randomly divided into two groups (49 cases each). The control group received routine nursing care, while the observation group underwent the nursing-led fluid balance management program combined with weight monitoring and symptom scoring intervention. The intervention effects of the two groups were compared and analyzed. Results: After intervention, the observation group exhibited higher self-management scores than the control group; better cardiac function; and lower rates of readmission and mortality, with all P-values < 0.05. Conclusion: This combined nursing approach effectively enhances self-management abilities, improves cardiac function, and reduces the risk of adverse outcomes in heart failure patients, making it worthy of clinical promotion and application.