摘要
目的探讨基于“互联网+”医院家庭一体化模式在慢性心力衰竭患者容量管理中的应用效果。方法选取就诊于南昌大学第二附属医院心内科慢性心力衰竭出院患者108例为研究对象,将患者按组间基本特征匹配原则分为对照组和观察组,每组54例。对照组采用传统电话随访,观察组由专科护士采用“互联网+”医院家庭一体化容量管理模式对慢性心力衰竭患者进行管理。比较两组患者出院后1个月、3个月、6个月自我护理行为能力、随访期间再住院率及心功能指标[包括左心室射血分数(LVEF)、6分钟步行距离]。结果出院后1个月、3个月、6个月观察组自我护理行为能力高于对照组,且随时间差距逐渐增大,组间比较差异有统计学意义(P<0.05)。随访期间,观察组患者再住院率低于对照组,LVEF高于对照组,6分钟步行距离长于对照组,组间比较差异均有统计学意义(P<0.05)。结论基于“互联网+”医院家庭一体化容量管理模式可提高心力衰竭患者自护能力,有效改善心功能,降低再住院率,有利于预防与缓解慢性心力衰竭的发生与发展。
Objective To explore the application effect of "Internet +" hospital family integration model in capacity management of patients with chronic heart failure. Methods 108 discharged patients with chronic heart failure in the department of cardiology of The Second Affiliated Hospital of Nanchang University were selected as the study subjects. They were divided into a control group and an observation group according to the principle of basic feature matching between groups, with 54 patients in each group. The control group was followed up by traditional telephone, and the observation group was managed by specialized nurses using "Internet +" integrated hospital and family capacity management model for patients with chronic heart failure. Self-care behavior ability, re-hospitalization rate and cardiac function indexes [including left ventricular ejection fraction(LVEF) and 6-minute walking distance] were compared between the two groups at 1month, 3 and 6 months after discharge. Results At 1 month, 3 and 6 months after discharge, the self-care behavior ability of the observation group was higher than the control group, and the dif ference gradually increased with time, with statistical significance(P<0.05). During the follow-up period, the rehospitalization rate of patients in the observation group was lower than the control group, LVEF was higher than the control group, and 6-minute walking distance was longer than the control group, with statistical significance(P<0.05). Conclusion "Internet +" integrated hospital family integration model could improve the self-care ability of patients with heart failure, effectively improve cardiac function, reduce the rate of rehospitalization, and help prevent and alleviate the occurrence and development of chronic heart failure.
作者
宋玉洁
孙兴兰
涂惠
陈茜
胡婷英
Song Yujie;SUN Xinglan;TU Hui;CHEN Xi;HU Tingying(The Second Affiliated Hospital of Nanchang University,Nanchang,330006,China)
出处
《护理实践与研究》
2022年第15期2221-2225,共5页
Nursing Practice and Research
基金
江西省卫生健康委科技计划项目(编号:SKJP420203934)。
关键词
互联网+
慢性心力衰竭
容量管理
医院家庭一体化
Internet+
Chronic heart failure
Capacity management
Hospital family integration
