延续性管理模式在慢性心力衰竭患者中的应用

Abstract
Figure/Table
References (24)
Related Citation (15)

Download: PDF (573 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the effect of continuous management mode in patients with chronic heart failure. Method A total of 115 patients with chronic heart failure from Beijing Shijitan Hospital, Capital Medical University from January 2016 to January 2018 were selected for the study, the patients were divided into control group 45 cases and observation group 70 cases according to the order of admission. The quality of life score, social support score, anxiety score and depression score of the two groups were investigated, the 6 min walking test (6 MWT), left ventricular ejection fraction (LVEF) and plasma amino-terminal brain natriuretic peptide precursor (NT-pro BNP) were compared. Follow-up was conducted for 1 year to record readmission rate and mortality. Results There were no statistically significant differences in quality of life score, social support score, anxiety score, depression score, 6 MWT, LVEF, NT-pro BNP before the implementation of management mode between the two groups of patients (all P ＞ 0.05). There were statistically significant differences in the management model, after the implementation of the quality of life scores in the control group and observation group, social support score, 6 MWT, LVEF were higher than before the implementation of this management mode, anxiety score, depression score, NT-pro BNP were lower than before the implementation of this management mode, and the observation group of patients quality of life scale, social support score, 6 MWT, LVEF were higher than the control group, the anxiety score, depression score were lower than the control group, the difference had statistical significance (P ＜ 0.05). There was no significant difference in NT-pro BNP between the two groups after the implementation of the management mode (P ＞ 0.05). The readmission rate and mortality rate in the observation group within 1 year were lower than those in the control group, with statistically significant differences (all P ＜ 0.05). Conclusion The application of continuous management mode in patients with chronic heart failure significantly improved the quality of life, social support, improved the poor psychological mood, improved the exercise tolerance, and reduced the recurrence and mortality.

Key words： Continuity management model Chronic heart failure Life quality Social support

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LU Yang CHEN Ce YAO Na XU Dongni▲

Cite this article:

LU Yang CHEN Ce YAO Na XU Dongni▲. Application of continuity management model in chronic heart failure patients[J]. 中国医药导报, 2019, 16(34): 177-180.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I34/177

[1] 王艳华，张方霞，王晨艳，等.基于微信的延续性护理对慢性心力衰竭病人生活质量的影响[J].全科护理，2018， 16（27）：3357-3358.
[2] 朱朝晖，吴菁华，罗惠芳，等.老年慢性心力衰竭患者的延续优质护理服务与体会[J].广东医学，2017，38（1）：348-351.
[3] van Dijk MR，Utens EM，Dulfer K，et al. Depression and anxiety symptoms as predictors of mortality in PCI patients at 10 years of follow-up [J]. Eur J Prev Cardiol，2016，23（5）：552-558.
[4] 刘晓芳.延续性健康教育对慢性心力衰竭患者心功能和生存质量的影响[J].中国卫生工程学，2018，17（1）：105-107.
[5] 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.
[6] 倪芳，赵雪峰.老年慢性充血性心力衰竭患者生活质量与心功能的相关性[J].中国老年学杂志，2017，37（11）：2670-2671.
[7] 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.
[8] 陈俊红，李艳鑫.慢性心力衰竭反复发作的影响因素及防控措施[J].中国卫生工程学，2017，16（5）：652-653.
[9] 高俊峰，颛孙程程，李方，等.基于微信平台的延续性护理对慢性心力衰竭患者康复的影响[J].中国慢性病预防与控制，2018，26（11）：861-863.
[10] 黄莉莉，胡光玲.老年心力衰竭患者感知控制力与生活质量的相关性[J].中国老年学杂志，2017，37（2）：466-468.
[11] 高丽珍，曾嵘，张敏，等.慢性心力衰竭患者延续性护理方案探索[J].大理大学学报，2018，3（2）：91-94.
[12] 赵桂花，于燕.高原地区老年病科住院患者疾病构成分析与探讨[J].中国卫生工程学，2017，16（1）：49-52.
[13] 肖璐，赵容，陈燕华，等.慢性心力衰竭患者延续护理质量现状及分析[J].广东医学，2017，38（12）：1938-1940.
[14] 陈卓芳，林雪英，梁菊艳.电话随访式延续性护理对慢性心力衰竭患者自我护理行为及生活质量的影响[J].临床护理杂志，2018，17（1）：24-26.
[15] 陈炎，陈亚蓓，陶荣芳.《2014中国心力衰竭诊断和治疗指南》解读[J].中国实用内科杂志，2014，34（S2）：69-73.
[16] 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.
[17] 陆婷，高钰琳，张近近，等.中文版产后社会支持量表的信效度研究[J].中国实用护理杂志，2014，30（5）：26-28.
[18] 吴文源.焦虑自评量表[J].中国心理卫生杂志，1999（增刊）：235-238.
[19] 舒良.自评抑郁量表[J].中国心理卫生杂志，1999（增刊）：194-196.
[20] 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.
[21] 李德胜.实用M型/二维超声心动图.[M].重庆出版社，1986：1412-1422.
[22] 雷铖，陈晨，石镁虹，等.基于微信平台的延续护理在院外患者中的应用现状[J].护土进修杂志，2017，32（2）：117-120.
[23] 章琳，钱江.延续性护理健康教育对结直肠癌患者术后生活质量的影响[J].中国医药导报，2018，15（17）：163-166.
[24] 杭宝明.对出院高血压患者进行延续性护理的临床效果评价[J].中外医学研究，2017，15（31）：107-108.