|
|
|
| Application effect of CICARE communication mode in the nursing of patients with chronic heart failure nursing |
| WANG Yanting CHU Junxiao CAO Xuelian |
| Department of Cardiovascular, Medicine Shijitan Hospital Affiliated to Capital Medical University, Beijing 100038, China |
|
|
|
Abstract Objective To approach effect of CICARE communication mode in the nursing of patients with chronic heart failure nursing. Methods The clinical data of 100 patients with chronic heart failure admitted to the Department of Cardiology of Medicine Shijitan Hospital Affiliated to Capital Medical University from November 2017 to November 2018 were analyzed, according to random paper method, 50 cases were divided into the control group (traditional nurse-patient communication mode) and 50 cases were divided into the observation group (CICARE communication mode). Exercise tolerance, left ventricular ejection fraction (LVEF), plasma amino-terminal brain natriuretic peptide precursor (NT-proBNP), self-efficacy score, quality of life score and self-management score were observed before and after intervention in the two groups of patients. Results Before intervention, exercise tolerance, LVEF, NT-proBNP, self-efficacy score, quality of life score and self-management score of the two groups showed no statistically significant difference (all P ＞ 0.05). After intervention, exercise tolerance, LVEF, self-efficacy scores and self-management scores of the two groups were all higher than those before intervention, NT-proBNP and life quality scores were lower than those before intervention (P < 0.05). After intervention, exercise tolerance, LVEF, self-efficacy scores and self-management scores of the observation group were all higher than those of the control group, and its NT-proBNP and quality of life scores were lower than those of the control group; the total effective rate of the observation group was higher than that of the control group, and the differences were statistically significant (all P ＜ 0.05). Conclusion The application of CICARE communication mode in patients with chronic heart failure can improve patients′ cardiac function, enhance their self-efficacy and self-management level, and reduce the impact on patients′ quality of life, which is worthy of clinical promotion and application.
|
|
|
|
|
|
[1] 刘连，潘欣宇，范忠才，等.重组人脑利钠肽联合左西孟旦治疗急性心力衰竭病人护理相关指标的Meta分析[J].循证护理，2018，4（4）：289-296.
[2] Seto E，Leonard KJ，Cafazzo JA，et al. Mobile phone-based telemonitoring for heart failure management：a randomized controlled trial [J]. J Med Internet Ｒes，2012，14（1）：e31
[3] Poh R，Ng HN，Loo G，et al. Cardiac rehabilitation after percutaneous coronary intervention in a multiethnic asian country：enrollment and barriers [J]. Arch Phys Med Rehabil，2015，96（9）：1733-1738.
[4] 曾彩虹.延伸性护理对冠心病心力衰竭患者复检依从性和健康的影响[J].河北医药，2018，40（1）：149-151.
[5] 抄龙芬.慢性心力衰竭住院病人病情加重的多因素分析及护理干预[J].全科护理，2018，16（2）：148-150.
[6] 尿病酮症酸中毒合并急性心力衰竭的急救与护理干预分析[J].全科护理，2018，16（28）：3532-3533.
[7] 杜颖平.自我管理在慢性心力衰竭病人护理中的应用[J].护理研究，2018，32（8）：1327-1328.
[8] 王淑娟，郎倩，李艳玲，等.基于自我效能理论的健康教育对慢性心力衰竭患者自我护理行为的影响[J].职业与健康，2018，34（12）：1682-1685.
[9] 尤黎明，吴瑛.内科护理学[M].４版．北京：人民卫生出版社，2010：119.
[10] Guyatt GH，Sullivan MJ，Thompson PJ，et al. The 6-minute walk：a new measure of exercise capacity in patients with chronic heart failure [J]. Can Med Assoc J，1985，132（8）：919-923.
[11] 李德胜.实用M型/二维超声心动图[M].重庆：重庆出版社，1986.
[12] 王才康，胡中锋，刘勇.一般自我效能感量表的信度和效度研究[J].应用心理学，2001，7（1）：37-40.
[13] 奚悦文，范维琥.明尼苏达心力衰竭生活质量调查表适用性的评价[J].上海医学，2004，27（4）：222-225.
[14] 任洪艳，唐萍，赵庆华.冠心病自我管理量表的开发和评价[J].第三军医大学学报，2009，3（11）：1087-1090.
[15] 黄秀杰，贲迎春.早期运动训练对慢性心力衰竭患者心功能及自理能力的影响[J].右江医学，2016，44（1）：78-81．
[16] 董忻悦，张贤，陆飞歆，等.心力衰竭管理手册对患者自我护理能力及生存质量的影响[J].护理学杂志，2018， 33（8）：66-69.
[17] 孙秀芳，徐肇雄.社区联动式延续性护理对慢性心力衰竭病人自我管理能力的影响[J].全科护理，2018，16（20）：2450-2453.
[18] 范小清，金丽清，薛盛龙.体质量监测APP在慢性心力衰竭出院患者延续护理中的应用[J].中国康复理论与实践，2018，24（9）：1110-1113.
[19] 彭蓉.肺部感染并心力衰竭老年患者的早期综合护理措施分析[J].河北医学，2018，24（6）：1043-1047.
[20] 曹敏锐.慢性心力衰竭患者的运动康复护理研究进展[J].护理与康复，2018，17（6）：43-45. |
|
|
|
