摘要
目的探讨延续性护理在出院慢性心衰患者中的应用价值。方法选取该院2018年1月—2019年8月收治的104例慢性心力衰竭患者,随机分延续组及常规组各52例,常规组住院期间常规护理,出院预后不主动进行干预,延续组开展下列护理措施:成立延伸护理小组,建立健康档案,实施电话联系+家庭随访+定期进讲座+QQ群或微信平台多模式护理干预,完善心力衰竭护理内容,观察指标包括患者心衰知识掌握情况、医嘱依从性、心血管不良事件、再次住院及护理满意。结果对两组慢性心力衰竭患者随访1年,延续组健康饮食94.23%、规律用药96.15%、保持良好生活方式96.54%、合理运动90.38%高于常规组的73.08%、76.92%、61.54%、67.31%,差异有统计学意义(χ^(2)=8.508、8.254、8.454、8.302,P<0.05);延续组患者掌握慢性心力衰竭知识94.23%、护理满意98.08%高于常规组的53.85%、82.69%,差异有统计学意义(χ^(2)=22.061、7.081,P<0.05);心血管不良事件5.77%、再次住院9.62%低于常规组的19.23%、36.42%,差异有统计学意义(χ^(2)=4.308、9.434,P<0.05)。结论延伸护理在心力衰竭的实施能够使患者充分了解自身疾病情况,改善其遵医行为,并且能在一定程度上降低慢性心力衰竭患者心血管不良事件发生及再次住院,值得临床应用。
Objective To explore application value of continuous nursing in chronic heart failure patients.Methods From January 2018 to August 2019,104 patients with chronic heart failure in the hospital were selected,with were randomly divided into the continuation group and the routine group with 52 cases each.The routine group received routine care during hospitalization,and the prognosis after discharge was not actively intervened.The continuation group carried out the following nursing measures:establishing an extended nursing group,establishing health records,implementing telephone contact+family follow-up+regular lectures+QQ group or WeChat platform multi-modal nursing intervention,improve the content of heart failure care.Observation indicators include patient knowledge of heart failure,compliance with doctor's orders,adverse cardiovascular events,rehospitalization,and nursing satisfaction.Results Two groups of patients with chronic heart failure were followed up for 1 year,the continuation group had a healthy diet 94.23%,regular medication 96.15%,a good lifestyle 96.54%,and reasonable exercise 90.38%were higher than those in the routine group 73.08%,76.92%,61.54%,67.31%,the difference was statistically significant(χ^(2)=8.508,8.254,8.454,8.302,P<0.05);94.23%of patients in the continuation group had knowledge of chronic heart failure,98.08%of nursing satisfaction was higher than the 53.85%and 82.69%of the routine group,the difference was statistically significant(χ^(2)=22.061,7.081,P<0.05);the adverse cardiovascular events of 5.77%and rehospitalization of 9.62%were lower than those of the routine group of 19.23%and 36.42%,the difference was statistically significant(χ^(2)=4.308,9.434,P<0.05).Conclusion The implementation of extended nursing in heart failure can make patients fully understand their own disease situation,improve their compliance behavior,and certain extent reduce the incidence of adverse cardiovascular events and readmission of chronic heart failure,worthy of clinical application.
作者
李婷
LI Ting(Department of Cardiology,Jiangdu People's Hospital,Yangzhou,Jiangsu Province,225200 China)
出处
《系统医学》
2021年第18期155-158,共4页
Systems Medicine
关键词
慢性心力衰竭
出院患者
延续
护理干预
效果评价
Chronic heart failure
Discharged patients
Continuation
Nursing intervention
Effect evaluation
