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| Application of discharge planning based on IMB model in the elderly patients with chronic heart failure |
| LU Xuan1 YIN Wei2 ZHANG Jianwei3 |
1.Department of Geriatrics, Drum Tower Clinical Medical College, Jiangsu University, Jiangsu Province, Nanjing 210008, China;
2.Department of Endocrinology, Affiliated Hospital of Jiangsu University, Jiangsu Province, Zhenjiang 210031, China;
3.Department of Geriatrics, Nanjing Drum Tower Hospital, Affiliated Hospital of Nanjing University Medical Sohool, Jiangsu Province, Nanjing 210008, China
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Abstract Objective To explore the application effect of discharge planning based on IMB model in the elderly patients with chronic heart failure. Methods A total of 82 elderly patients with chronic heart failure admitted to the Department of Geriatric, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School from September 2020 to September 2021 were selected as the research objects. The patients were divided into control group and observation group by random number table method, with 41 cases in each group. The control group was given routine nursing and discharge guidance, and on the basis of the control group, the observation group was given IMB model-based service plan for discharge preparation. Comparison of self-care ability (EHFSCB-9 score), cardiac function indicators (cardiac output [CO], left ventricular ejection time [LVET], B-type urinary natriuretic peptide [BNP]), 6-min walking distance (6MWD), and minnesota living with heart failure questionnaire (MLHFQ) score between the two groups before intervention and three months after discharge. Results After intervention, the EHFSCB-9 score of the observation group was lower than before intervention, and the observation group was lower than the control group, and the differences were statistically significant (P＜0.05). 6MWD in the control group was higher than that before intervention, BNP was lower than that before intervention, 6MWD, CO and LVET in the observation group were higher than those before intervention, BNP was lower than that before intervention, and 6MWD, CO, and LVET in the observation group were higher than those in control group, BNP was lower, and the differences were statistically significant (P＜0.05). MLHFQ scores in both groups were lower than those before intervention, and observation group was lower than control group, and the differences were statistically significant (P＜0.05). Conclusion The discharge planning based on IMB model can effectively improve the self-care ability, exercise endurance, and cardiac function of elderly patients with heart failure, and improve the quality of life of patients.
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