摘要
目的研究并分析开展新型院外强化模式管理对慢性心力衰竭(CHF)患者生活质量的影响.方法 192例CHF患者,采用电脑随机法分为观察组与对照组,每组96例.对照组患者接受常规随访,观察组患者接受院外强化模式管理.观察并比较两组患者随访1年期间自我检测情况(自我称重率、自测血压率、自测脉搏率)及1年后生活质量情况.结果随访1年期间,观察组患者自我称重率58.33%、自测血压率64.58%、自测脉搏率57.29%均高于对照组的14.58%、32.29%、30.21%,差异具有统计学意义(P<0.05).1年后,观察组患者的体力评分(13.62±0.73)分、情绪评分(6.23±0.53)分、生活质量总分(30.23±1.23)分均低于对照组的(17.23±0.61)、(7.53±0.52)、(39.33±2.25)分,差异具有统计学意义(P<0.05).结论对于CHF患者采用院外强化管理模式可有效改善患者的自我管理行为,增强自我监测意识,并改善其生活质量,值得在临床上进行推广应用.
Objective To study and analyze the effect of new type of intensive management mode outside hospital on the quality of life of patients with chronic heart failure (CHF). Methods A total of 192 CHF patients were divided into observation group and control group according to computer random grouping method, with 96 cases in each group. The control group received conventional follow-up, and the observation group received intensive management mode outside hospital. The self-testing status (self-weighing rate, self-measured blood pressure rate, self-measured pulse rate) during 1 year of follow-up and the quality of life 1 year later were observed and compared between the two groups. Results After 1 year of follow-up, the observation group had higher self-weighing rate as 58.33%, self-measured blood pressure rate as 64.58%, self-measured pulse rate as 57.29% than 14.58%, 32.29% and 30.21% in the control group, and the difference was statistically significant (P<0.05). 1 year later, the observation group had lower physical strength score as (13.62±0.73) points, emotion score as (6.23±0.53) points and quality of life score as (30.23±1.23) points than (17.23±0.61),(7.53±0.52) and (39.33±2.25) points in the control group. Their difference was statistically significant (P<0.05). Conclusion New type of intensive management mode outside hospital can effectively improve the self-management behavior, enhance self-monitoring awareness of CHF patients, and improve their quality of life. It is worthy of clinical promotion and application.
作者
鲁鄂莲
LU E-lian(Xiaogan Xiaonan District Xinpu Health Center,Xiaogan 432100,China)
出处
《中国现代药物应用》
2019年第17期234-236,共3页
Chinese Journal of Modern Drug Application
关键词
慢性心力衰竭
生活质量
自测血压
自测脉搏
院外强化模式
Chronic heart failure
Quality of life
Self-measured blood pressure
Self-measured pulse
Intensive management mode outside hospital
