摘要
目的初步建立符合新疆地区的慢性心力衰竭患者延续性照护模式,试图提高慢性心力衰竭(CHF)患者疾病相关知识、自我护理能力及生活质量。方法应用随机分组软件将纳入患者分为观察组53例,对照组53例,共计106例患者。观察组实施个体化的延续性护理干预模式。对照组采用常规出院宣教。随访观察12周,记录两组患者的疾病相关知识、自我护理能力及生活质量情况等情况。结果干预后CHF患病常见并发症(67.9%),对治疗药物了解度(67.9%),及每天摄取食盐量(67.9%)有了明显转变,对慢性心力衰竭出院后适当的运动(79.2%),心理状态有更全面的认识加强,慢性心力衰竭的自我监视指标及其他知识的认识率显著高于对照组(P<0.05);除“采用低盐饮食”和“医生处方服药”外,观察组各项得分低均于对照组,差异有统计学意义(P<0.05);实施延续性照护模式后观察组患者症状维度得分(6.7±5.1),身体素质维度得分(11.4±6.6),心理素质维度得分(4.6±4.5)均低于对照组及干预前(P<0.05)。结论本研究制定的延续性护理模式可以提高慢性心力衰竭患者的疾病相关知识及自我护理能力,提高患者出院后自我管理能力。
Objective Initially establish a continuous care model for chronic heart failure patients in Xinjiang region,trying to improve the disease-related knowledge,self-care ability and quality of life of patients with chronic heart failure(CHF).Methods The randomization software divided the included patients into 53 patients in the observation group and 53 patients in the control group,for a total of 106 patients.The observation group implemented an individualized model of continuation care intervention.Routine discharge mission was used in the control group.Followed up for 12 weeks,the disease-related knowledge,self-care ability and quality of life of both groups were recorded.Results Common complications of CHF disease after the intervention(67.9%),knowledge of therapeutic drugs(67.9%),and a significant shift in daily intake of salt(67.9%),appropriate exercise after discharge from chronic heart failure(79.2%),a more comprehensive understanding of the psychological state is strengthened,the recognition rate of self-monitoring indicators and other knowledge of chronic heart failure was significantly higher than that in the control group(p<0.05);In addition to“using a low salt diet”and“doctor prescribed medication”,The scores of the observed group were all lower than those of the control group,Statistical and significant difference(P<0.05);Patient symptom dimension score in the observation group after the implementation of the continuation care model(6.7±5.1),Physical Fitness Dimension score(11.4±6.6),the psychological quality dimension score(4.6±4.5)was lower than that of the control group and before the intervention(P<0.05).Conclusion The continuation care model developed in this study can improve the disease-related knowledge and self-care ability of chronic heart failure patients in Xinjiang,and improve their self-management ability after discharge.
作者
杨爱琼
许倩倩
崔蕴文
YANG Aiqiong;XU Qianqian;CUI Yunwen(Cadres health Center,The First Affiliated Hospital of Xinjiang Medical University,Urumqi,830054,China)
出处
《新疆医学》
2023年第7期870-873,902,共5页
Xinjiang Medical Journal
基金
新疆维吾尔自治区自然科学基金(项目编号:2019D01C320)
关键词
延续性护理模式
慢性心力衰竭患者
自我护理能力
Continuation care model
Patients with chronic heart failure
Self-care capability
