摘要
目的:探讨认知护理对老年慢性心衰患者生活质量和再住院率的影响。方法:接受标准药物治疗的老年慢性心衰患者随机分为:(1)试验组:常规护理+认知干预;(2)对照组:常规护理。完成疾病认知调查问卷,评价生活质量,比较12个月时再住院率。结果:(1)试验组对疾病的认知优于对照组。(2)试验组生活质量评分高于对照组,再住院率低于对照组。结论:认知护理改善患者对疾病的错误认知,提高生活质量,降低再住院率,改善心衰预后。
Objective： To explore the effects of the awareness of illness on the quality of life and re-hospitalization rate of elderly patients with chronic heart failure（ CHF）. Methods： Elderly patients with CHF receiving standard medical therapy were randomized into 2 groups：（ 1） experimental group,routine care plus perception intervention（ n = 87）.（ 2） control group,routine care（ n = 82）. 12 month pre-intervention and post-intervention,questionnaire for illness awareness was finished,and Minnesota Living with Heart Failure Questionnaire（ MLHFQ）was used to evaluate the quality of life. Re-hospitalization rate was also investigated 12 months post-intervention.Results：（ 1） The patients in experimental group displayed improved illness arareness compared with that of control group（ P〈0. 05）.（ 2） MLHFQ quality of life score was higher and readmission rate was reduced in the experimental group than those in the control group（ 53. 9 ± 14. 7 vs 47. 2 ± 10. 1,19. 54% vs 37. 80%,P〈0. 05）. Conclusion： Care for illness awareness can improve patients＇ awareness and the quality of life in elderly patients with chronic heart failure,reduce readmission rate,thus improving the prognosis of heart failure.
出处
《现代医学》
2017年第7期1053-1056,共4页
Modern Medical Journal
关键词
慢性心力衰竭
认知护理
疾病认知
生活质量
再住院率
chronic Heart Failure
illness perception care
illness perception
quality of life
rehospitalization rate
