摘要
目的探究院外强化管理模式应用于老年慢性心力衰竭(chronicheart failure,CHF)患者的价值。方法选取河南省中医院心内科127例老年CHF患者作为研究对象,以随机抽签法分组,对照组63例,给予院外常规延续性护理,观察组64例,在对照组基础上联用院外强化管理模式。对比治疗后两组患者心功能改善总有效率、自我监测意识、自护能力、焦虑抑郁情绪及再住院率。结果干预后,观察组自测脉搏率、自测血压率、自我称重率高于对照组(P<0.05);自我护理维持、自我管理及自我信心水平改善较对照组明显(P<0.05);汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分均降低,且较对照组降低明显(P<0.05);再住院率(6.25%)低于对照组(19.05%)(P<0.05);心功能改善总有效率(95.31%)较对照组(77.78%)高(P<0.05)。结论院外强化管理模式用于老年CHF患者可有效提高患者自我监测意识和自护能力,减轻焦虑抑郁情绪,进而提高心功能改善总有效率,降低再住院率。
Objective To explore the value of out-hospital intensive management in elderly patients with chronic heart failure(CHF).Methods 127 elderly patients with CHF in the Department of Cardiology of Henan Hospital of Traditional Chinese Medicine were selected as the research objects.They were divided into two groups by random drawing.63 cases in the control group were given routine continuity care outside the hospital,and 64 cases in the observation group were combined with intensive management mode outside the hospital.The total rate of improvement of cardiac function,self-monitoring awareness,self-care ability,anxiety and depression moodand re-hospitalization rate were compared between the two groups after treatment.Results After intervention,the self-measured pulse rate,self-measured blood pressure rate and self-weighing rate in the observation group were higher than those in the control group(P<0.05).The levels of self-care maintenance,self-management and self-confidence were significantly better than those of control group(P<0.05).The scores of Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)were decreased significantly than those of control group(P<0.05).Rehospitalization rate(6.25%)was lower than that of control group(19.05%)(P<0.05).The total effective rate of improving cardiac function(95.31%)was higher than that of control group(77.78%)(P<0.05).Conclusion The out-of-hospital intensive management model can effectively improve the self-monitoring awareness and self-care ability of elderly patients with CHF,relieve anxiety and depression,improve the total effective rate of cardiac function improvement,and reduce the re-hospitalization rate.
作者
高俊英
韩萌
曹海英
曾垂义
GAO Junying;HAN Meng;CAO Haiying;ZENG Chuiyi(Department of Cardiology, Henan Hospital of Traditional Chinese Medicine, Zhengzhou 450002, China;Department of Cardiology, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou 450099, China)
出处
《医学研究与教育》
CAS
2021年第5期45-50,共6页
Medical Research and Education
基金
河南省医学科技攻关项目(SB202001100)
河南省特色骨干学科中医学学科建设项目(STG-ZYXKY-2020013)。
关键词
院外强化管理模式
慢性心力衰竭
心功能改善
自我监测意识
自护能力
out-hospital strengthening management mode
chronic heart failure
improved cardiac function
self-monitoring consciousness
the nursing ability
