MTP干预模式对扩张型心肌病合并心力衰竭患者心功能、心理状态及日常生活能力的影响

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Abstract Objective To investigate the impact of monitoring-training-planning (MTP) intervention model in patients with dilated cardiomyopathy (DCM) and heart failure (HF). Methods Eighty patients with DCM complicated with HF admitted to the Second Affiliated Hospital of Air Force Military Medical University from July 2020 to July 2021 were prospectively selected as the study subjects. The patients were divided into group A and group B by simple random coin-flipping method. Finally, 47 cases in group A and 33 cases in group B were included. Group A received MTP intervention mode on the basis of routine nursing, and group B received simple routine nursing, intervention lasted for three months. The changes of heart function before and after intervention were compared between the two groups, the psychological state before and after intervention was evaluated by self-rating anxiety scale (SAS) and self-rating depression scale (SDS), the living ability before and after intervention was evaluated by activity of daily living scale (ADL), and the nursing satisfaction between the two groups was compared. Results After three months of intervention, the levels of left ventricular ejection fraction in both groups were higher than before intervention, and those of the group A were higher than group B, the levels of left ventricular end-systolic diameter and left ventricular diastolic diameter were lower than before intervention, and those of the group A were lower than group B, the differences were statistically significant (P ＜ 0.05). SAS and SDS scores of the two groups were lower than before intervention, and those of the group A were lower than group B, the differences were statistically significant (P ＜ 0.05); ADL scale scores of both groups were higher than before intervention, and group A was higher than group B, the differences were statistically significant (P ＜ 0.05). The scores of nursing quality, nursing attitude, nursing specialty, nursing procedure, and nursing satisfaction in group A were higher than those in group B, the differences were high statistically significant (P ＜ 0.01). Conclusion MTP intervention mode has significant intervention effect on patients with DCM combined with HF, which can improve their cardiac function, psychological state, and enhance daily living ability.

Key words： Monitoring-training-planning intervention model Dilated cardiomyopathy Heart failure Heart function

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	YIN Jiao WANG Juan LIU Ning SHI Min QIN Haihong LIU Xiaoyang▲

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YIN Jiao WANG Juan LIU Ning SHI Min QIN Haihong LIU Xiaoyang▲. Effect of MTP intervention mode on the heart function, mental state, and ability of daily living in patients with dilated cardiomyopathy complicated with heart failure[J]. 中国医药导报, 2022, 19(23): 182-185.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I23/182

[1] 韩蒙蒙，王欣，徐琳，等.扩张型心肌病161例患者15年预后及影响因素分析[J].中国实用内科杂志，2019，39（4）：375-377.
[2] 边汝涛，王振涛.中医药治疗扩张型心肌病的研究进展[J].中西医结合心脑血管病杂志，2019，17（12）：1826-1828.
[3] 王艳丽，王艳萍，马金波，等.芪苈强心胶囊辅治扩张型心肌病合并慢性心力衰竭的疗效及对神经内分泌因子，炎性因子及心室重构的影响[J].解放军医药杂志，2021，33（2）：84-88.
[4] 章体玲，张伟华，罗庆祎，等.沙库巴曲缬沙坦治疗扩张型心肌病心力衰竭的疗效[J].昆明医科大学学报，2020， 41（3）：91-95.
[5] 宁国庆，刘厂辉，杨军，等.托拉塞米对扩张性心肌病合并心力衰竭患者心功能及生活质量的影响观察[J].中国药师，2019，22（5）：867-870.
[6] 韩卓辰.重组人脑利钠肽联合盐酸曲美他嗪片治疗扩张型心肌病合并心力衰竭的临床研究[J].中西医结合心脑血管病杂志，2020，18（5）：801-811.
[7] 张静，徐菲菲.扩张型心肌病合并心力衰竭患者应用针对性护理的效果观察[J].中国医刊，2020，55（3）：300-303.
[8] 王双英，韩海英，张继红，等.监测-培训-计划干预法对儿科社区获得性肺炎抗菌药物合理使用的效果评价[J].安徽医药，2021，25（1）：191-193.
[9] 陈丽萍，雷曦兵，孙睿，等.监测-培训-计划干预模式在重症监护病房导尿管相关尿路感染预防与控制中的效果研究[J].华西医学，2017，32（3）：352-356.
[10] 钟旭丽，王翔岩，林爱华，等.儿童静脉输液安全问题的调查与干预模式探讨[J].临床药物治疗杂志，2017，15（10）：21-23.
[11] 练静秀.MTP循环管理模式在产科抗菌药物应用管理中的效果[J].中医药管理杂志，2019，27（5）：116-117.
[12] 李伟煊，莫迪威，曾旺焕，等.MTP模式干预门诊过度输液的多中心研究[J].中国药业，2017，26（11）：92-94.
[13] 廖玉华.中国扩张型心肌病诊断和治疗指南：创新与转化[J].中国循环杂志，2019，34（z1）：120-121.
[14] 赵豪飞，何嘉悦，谭素素，等.老年抑郁量表在不同性别老年人群中的测量等值性[J].中国临床心理学杂志，2019， 27（3）：543-545，554.
[15] 龙赟，童颜，陈瑶偏，等.社区老年人认知功能、负性情绪与社会支持的相关性研究[J].临床精神医学杂志，2019，29（2）：91-94.
[16] 曹蒙，李越，田庆丰，等.河南省老年人慢性病共病患病现状及其对日常生活活动能力影响[J].中国公共卫生，2022，38（4）：11-14.
[17] 杨钰，王洁，汪宁，等.标准化视频在缺血性脑血管病介入治疗术后护理中的应用[J].中国临床神经外科杂志，2020，25（8）：560-561.
[18] 倪荔，俞海萍，汤舟青，等.普外科门诊手术患者护理服务需求及满意度调查[J].中华现代护理杂志，2019，25（3）：350-353.
[19] 廖莉，刘伟光，许晓强，等.MTP-KPI干预模式在患儿Ⅰ类手术切口预防使用抗菌药物中的应用评价[J].中华医院感染学杂志，2017，27（16）：3783-3786.
[20] 徐长妍，陈玉坤，李妍艳，等.监测-培训-计划干预模式对Ⅰ类切口手术围术期抗菌药物应用的影响研究[J]. 中华医院感染学杂志，2017，27（7）：1634-1637.
[21] 李靖，钱茜，秦娴，等.心理疏导对扩张型心肌病合并心力衰竭伴焦虑抑郁患者的影响[J].心血管康复医学杂志，2021，30（3）：251-254.
[22] 武晓燕.心理护理和健康教育对扩张型心肌病并心衰患者的疗效[J].国际护理学杂志，2019，38（5）：610-611.
[23] 曾柏华，曾珍，余芳.扩张型心肌病合并心力衰竭患者的护理干预[J].海南医学，2017，28（9）：1541-1543.
[24] 张伟娟，李慧丹，沈晓萌，等.人文关怀联合心理护理对慢性心力衰竭伴焦虑患者睡眠质量及心理状态的影响[J].山西医药杂志，2021，50（8）：1332-1334.
[25] 李玥，魏怡真，张丁丁，等.导师培训项目提升临床和转化医学导师的自信心和技能[J].基础医学与临床，2020， 40（6）：856-862.
[26] 刘影，肖瑾.基于追踪方法学的管理干预对护理人员核心能力培养及护理管理质量的影响[J].中国医药导报，2021，18（19）：185-188.
[27] 陈玉琴，龙丽华，王僚阳.集束化管理策略在4G移动护理推进中的作用[J].当代医学，2020，26（16）：187-188.