THE EFFECT OF RED BLOOD CELL DISTRIBUTION WIDTH IN THE HOLISTIC NURSING MODE FOR PATIENTS WITH ACUTE LEFT HEART FAILURE

Yuan Zhang¹, Yanyan Xu^{2, *}

¹Hemodialysis Room, The Second Affiliated Hospital of Hainan Medical University, Haikou, 570100, China - ²Infectious and Tropical Disease Dept., Ward 3 (Infectious Disease), The Second Affiliated Hospital of Hainan Medical University, Haikou, 570100, China

Introduction: This work focused on effect of red blood cell distribution width (RDW) in holistic nursing mode in patients with acute left heart failure (ALHF).

Material and method: 102 ALHF patients during January 15, 2020 to January 14, 2022 were selected, with 51 cases in the observation group (holistic nursing mode) and 51 cases in the control group (conventional nursing mode). All patients received cardiac color Doppler ultrasound, electrocardiogram, blood biochemistry test, and blood routine test. The correlations of RDW to left ventricular ejection fraction (LVEF) and left ventricular end-diastolic dimension (LVEDD) were analyzed, and then the satisfaction and efficacy of the two groups were compared. The RDW, high-sensitivity C-reactive protein (hs-CRP), mean corpuscular volume (MCV), hemoglobin (Hb), uric acid (UA), and creatinine (CR) of patients in groups I, II, and III were determined according to the level of RDW.

Result: There were significant differences in hs-CRP among the three groups (<0.05). The values of RDW and hs-CRP increased gradually from group I to group III. RDW was negatively correlated with LVEF (r=-0.671, P<0.05) and positively correlated with LVEDD (r = 0.457, P<0.05). The effective rate in the observation group was 94.12%, which was statistically higher than the rate in the control group (90.20%) (P<0.05).

Conclusion: The holistic nursing model can greatly affect the recovery of RDW in ALHF patients, and RDW level reflected the changes of cardiac function, which was worthy of clinical promotion.